Anorgasmia is the medical term for regular difficulty reaching orgasm after ample sexual stimulation. The lack of orgasms distresses you or interferes with your relationship with your partner.
Orgasms vary in intensity, and women vary in the frequency of their orgasms and the amount of stimulation needed to trigger an orgasm. Most women require some degree of direct or indirect clitoral stimulation and don't climax from penetration alone. Plus, orgasms often change with age, medical issues or medications you're taking.
If you're happy with the climax of your sexual activities, there's no need for concern. However, if you're bothered by the lack of orgasm or the intensity of your orgasms, talk to your doctor about anorgasmia.
An orgasm is a feeling of intense physical pleasure and release of tension, accompanied by involuntary, rhythmic contractions of your pelvic floor muscles. But it doesn't always look â or sound â like it does in the movies. The way an orgasm feels varies among women, and in an individual, it can differ from orgasm to orgasm.
By definition, the major symptoms of anorgasmia are the inability to have an orgasm or long delays in reaching orgasm that's distressing to you. But there are different types of anorgasmia:
Talk to your doctor if you have questions about orgasm or concerns about your ability to reach orgasm.
Orgasm is a complex reaction to various physical, emotional and psychological factors. Difficulties in any of these areas can affect your ability to orgasm.
A wide range of illnesses, physical changes and medications can interfere with orgasm:
Many psychological factors play a role in your ability to orgasm, including:
Couples' problems outside of the bedroom can affect their sexual relationship. Issues might include:
A medical evaluation for anorgasmia usually consists of:
Natural products, such as those made with L-arginine, are marketed for improving women's sex lives. But these supplements haven't been well-studied for this use, and they're not regulated by the FDA.
Talk with your doctor before trying natural therapies, which can cause side effects and interact with other medications.
Your difficulty reaching orgasm can be frustrating for you and your partner. Plus, concentrating on climax can make the problem worse.
Most couples aren't having the headboard-banging, earth-shaking sex that appears on TV and in the movies. So try to reframe your expectations. Focus on mutual pleasure and intimacy instead of orgasm. You might find that a sustained pleasure plateau is just as satisfying as orgasm.