Anorgasmia is the inability to experience sexual orgasm. Orgasmic disorder is a persistent delay in or absence of an orgasm during sexual activity. This sexual dysfunction disrupts the third stage of the sexual response cycle, the orgasm phase.
To assess for anorgasmia, a qualified sex therapist needs to consider:
In order for anorgasmia to be a diagnosable clinical disorder, the individual must experience distress or interpersonal difficulty as a result. The inability to experience sexual orgasm must not be caused by physical side effects of a substance or a general medical condition.
There are multiple types of anorgasmia:
There are two subtypes of anorgasmia:
Anorgasmia is more common in females. For men, anorgasmia is often related to delayed ejaculation.
Anorgasmia has physical causes including:
The psychological origins for anorgasmia may include:
A systemic approach to therapy with a qualified sex therapist may be the most appropriate framework to assess anorgasmia. It is important to look at the totality of the individuals’ life context to properly diagnose anorgasmia (McCabe, 2009).
Treatment for anorgasmia may include:
American Psychiatric Association. (2000) Diagnostic and statistical manual of mental disorders (4th ed., text rev.). Washington, DC: Author.
McCabe, M. P. (2009). Anorgasmia in women. Journal Of Family Psychotherapy, 20(2-3), 177-197. doi:10.1080/08975350902970055