The paper, published online ahead of print in the Journal of Sexual Medicine, reviews 101 studies of female orgasm disorder, a condition in which women have difficulty reaching climax or orgasm is not at all. Despite the inability to orgasm is the second most common sexual complaint of women after the lack of desire and orgasm is one of 50 reasons for having sex, disease treatments are insufficient, they conclude authors.
"We do not do enough research," said William Waguih Ishak, a psychiatrist at Cedars-Sinai Medical Center in Los Angeles and author of the paper. "There are many good clinicians working with patients through the therapy, but when it comes to medicine, it's all trial and error."
A common problem
To qualify as a disorder, anorgasmia, or inability to orgasm, to be persistent and to interfere with the patient's quality of life or relationships. If the patient is concerned about his lack of orgasms, Ishak said, the disease is not present.
However, the difficulties in orgasming seems to be very common among women. 2001 study found that 24 percent of women reported long months in which they were able to climax during sex. The appeal is more common in women in their 40s 20s, Ishak said.
Only a fraction of cases of orgasm come to the attention of clinicians, he said.
"There are a lot of shame about sexual dysfunction," he said. "There are many implications of this garden, the relationship of the person. They may be afraid of it can complicate their relationship anymore, so people tend to underreport it. "
Causes and remedies
Even when the patient seeks medical care, treatment can be difficult. There is no "normal" when it comes to timing or number of orgasms, so doctors must take into account the age of the patients', the sexual experience, satisfaction, and also the quality of sexual stimulation they receive first diagnosis.
Understanding the root cause of anorgasmia is another challenge. In many cases, the problem is psychological: the abuses of the past, guilt, sexuality, and poor body image are all associated with difficulty orgasming. Rocky relations with the lack of communication about sex and other factors. In these cases, the best treatment may be a relationship counseling or psychotherapy.
For other women, the problem is medical. Kidney problems, fibromyalgia, and atherosclerosis (narrowing of arteries due to accumulation of cholesterol) are all associated with anorgasmia, review found. Weakness of the pelvic floor muscles, which can occur after childbirth, is another factor. So are the hormonal changes and certain medications, particularly antidepressants called selective serotonin reuptake inhibitors (SSRIs).
In these cases, the root causes of physical problems can help. Kegel exercises can strengthen pelvic floor muscles. Patients libido-killing of an SSRI may be useful to change the antidepressant bupropion (better known under the brand name, Wellbutrin), which does not cause sexual side effects. Some studies also find it helpful to use hormone supplements, such as testosterone and estrogen, while testosterone can have masculinizing side effects, and estrogen is linked to some types of cancer.
