Anorgasmia in Women

Anorgasmia is the delayed, infrequent, or absence of orgasms — or orgasms that are much less intense — following appropriate sexual stimulation and desire. Anorgasmia may be identified in women who experience severe discomfort as a result of their orgasmic issues.

Orgasm intensity and frequency vary among all women. Orgasms can also vary from person to person and from one occasion to the next. The kind and intensity of stimulation required for an orgasm differ as well.

Anorgasmia can be caused by a variety of things. These include problems with intimacy or romantic relationships, cultural aspects, health disorders, and medicines. Individual or couple counseling, sexual enhancement gadgets, education on sexual stimulation, and medicine are all examples of possible treatments.

The range of orgasmic issues is known as "female orgasmic dysfunction". Anorexia is the medical term for the inability to experience an orgasm; nevertheless, it is also a colloquial term for illnesses that prevent women from experiencing orgasms.

Anorgasmia: Causes

Orgasms and sexual arousal are intricate responses to a variety of physical, emotional, sensory, and psychological elements. Any of these issues might make it more difficult for you to experience an orgasm.

Psychological and Personal Aspects

Orgasm-related issues might be influenced by past events, present actions, past experiences, background, or mental health. These consist of −

  • Previous emotional or sexual abuse

  • Insufficient familiarity with sexual stimulation or relations

  • Negative body image

  • Guilt or shame over sex

  • Religious or cultural perspectives on sex

  • Stressors like financial difficulties or the death of a loved one

  • Disorders of the mind like anxiety or sadness

Relational Variables

Problems with orgasms may be exacerbated by issues with your sex partner. These may consist of −

  • Insufficient emotional intimacy

  • Unresolved disputes

  • Ineffective sexual needs and preferences communication

  • Violence against intimate partners or acts of infidelity

  • Sexual dysfunction of the spouse, such as a man having erectile dysfunction

Bodily Causes

Orgasms can be hampered by a variety of diseases, physical changes, and medications −

  • Health problems. Orgasm problems may be caused by or complicated by chronic illnesses including diabetes, an overactive bladder, or multiple sclerosis.

  • Medical care for women. The capacity to experience an orgasm may be impacted by tissue damage following gynecologic procedures like hysterectomy or cancer surgery.

  • Medications. Numerous prescription and over-the-counter medicines, such as blood pressure pills, antipsychotics, antihistamines, and antidepressants, in particular selective serotonin reuptake inhibitors, might prevent orgasm (SSRIs).

  • Smoking and drinking. Alcohol might make it more difficult to experience an orgasm since it calms the nervous system. Smoking can reduce blood flow to your genitalia, which can interfere with your ability to experience an orgasm.

  • Bodily changes brought on by aging. Different forms of sexual dysfunction may be caused by changes to the body that occur after menopause or later in life.

Sexually Related Diseases

One or more sexual issues may be present in anorgasmic women. These could exacerbate the issue with orgasms or contribute to it. These circumstances include −

  • Difficulties with arousal

  • No or little desire for sex

  • Suffering from sexual activity or other forms of sexual excitement

  • Vulval or vaginal dryness

  • Vaginal tightness that is unintentional (vaginismus)

Anorgasmia: Symptoms

A peak experience of extreme pleasure brought on by exciting sexual activity is known as an orgasm. The clitoris is indirectly stimulated by vaginal penetration during intercourse. However, there's a chance that this won't stimulate an orgasm. Many women could also require oral or direct clitoral stimulation to have orgasms.

Anorgasmia, also known as female orgasmic dysfunction, is the considerable occurrence of any of the following −

  • Delayed erection

  • There is no orgasm

  • Fewer erotica

  • Less ferocious orgasms

Additionally, anorgasmia can be −

  • If you've never experienced an orgasm, for the rest of your life.

  • If you're experiencing new orgasmic issues, they may have been acquired.

  • Situational, meaning that you only have orgasm issues with specific partners, types of stimulation, or scenarios

  • In general, if you experience orgasm issues in any circumstance

It might not be upsetting to women who don't always experience orgasm during sexual experiences. The absence of an orgasm is hence not seen as a problem.

Anorgasmia: Risk Factors

The major risk factors include −

  • A background of rape or sexual abuse

  • Boredom in a relationship or during sexual activity 

  • Fatigue, stress, or sadness

  • Lack of understanding of the sexual function

  • Negative attitudes towards sex (often learned in childhood or teen years)

  • Unwillingness or shame to request the finest form of touching

  • Partner problems

Anorgasmia: Diagnosis

Your primary care physician or gynecologist will examine you generally and do a pelvic exam in addition to reviewing your medical history. These examinations may reveal physical disorders that lead to orgasmic difficulties.

Your healthcare professional could inquire about your orgasmic experiences and other relevant topics. You could also be given a questionnaire to complete that contains the answers to these inquiries. You could be quizzed on −

  • Your most recent and previous sexual encounters

  • Your spouse or spouses

  • Your feelings regarding your sexual encounters

  • The sorts of sexual activities or stimulation you participate in

Your healthcare professional might want to meet with or speak with you and your spouse individually.

Anorgasmia: Treatment

Depending on what's causing the issue, many things can be treated for anorgasmia. Modifications to one's lifestyle, counseling, and medication are all potential therapies. Your doctor will advise the best course of action if an underlying medical problem is causing your anorgasmia.

Treatment and a Change in Lifestyle

Anorgasmia treatment often starts with one or more methods for better understanding your body, discovering what works for you, and altering habits. These remedies might consist of −

  • Education. This discussion can help you address any concerns, dispel any misperceptions, and better grasp the rationale behind any additional recommended therapies. Additionally, your provider could suggest reading material.

  • Intentional masturbation. You may explore self-directed sexual stimulation and become comfortable with your own body with the aid of this program of training and exercises you can do at home.

  • Careful attention. This method for couples includes instructions and exercises that may be done at home.

  • Modifications to sexual postures. Your doctor could advise altering your posture during sex to stimulate the clitoris more during vaginal intercourse.

  • Gadgets for enhancing sex. You could be helped to experience an orgasm by devices that improve sexual stimulation.

  • Cognitive-behavioral treatment. Your thoughts about sex in general or with your spouse may be addressed in individual or couples therapy.

Anorgasmia: Prevention

Although anorgasmia cannot be avoided, addressing the root of the orgasmic dysfunction will help you manage the situation. These generic suggestions could be helpful −

  • For any medical issues, adhere to your healthcare provider's recommended course of action.

  • Discuss your sex with your spouse honestly and openly.

  • For psychological or emotional problems, get help.

  • Eat well and exercise frequently.


Sex therapy for female orgasmic issues has a generally beneficial effect. Women gain from being given the go-ahead to masturbate, from being advised on how to do it, and from having their right to enjoy themselves sexually validated. Even if it doesn't always lead to a coital orgasm, couples' therapy for situational and/or secondary anorgasmia often helps to improve the relationship and enhance communication.

Dr. Durgesh Kumar Sinha
Dr. Durgesh Kumar Sinha