Orgasm-Seeking Women Find Little Help From Science

One in four women orgasm during sex is an elusive goal. A new report, medical science is not doing enough to ensure the satisfaction of these women who are between the sheets.

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.

Sexual orgasmic disorders

Sexual orgasmic disorders

Orgasmic disorder is the difficulty or inability to reach orgasm after sufficient stimulation and arousal. The state includes any difficulty or delay in reaching orgasm women causing

personal distress. The state is divided into two categories:

1. Primary: women reached orgasm.

2. Secondary: the woman can not achieve orgasm because of surgery, hormone deficiency or trauma.


Primary Orgasmic Disorder

- The history of unresolved trauma or sexual or emotional unresolved emotional conflicts General (depression, anxiety, low self-esteem, poor body image, etc.)

- Medical include: medications, injury to the arteries of the pelvis during surgery

Secondary orgasmic disorder

- Blood flow compromise

Nerve damage (due to pelvic surgery or pelvic injury) -

Hormone deficiency -

- He / emotional trauma or abuse

Conflict in relationships (for example, issues of anger, trust, lack of stimulation, communication difficulties, etc.) -

Primary orgasmic disorder

- Unsolved History emotional or sexual abuse or trauma, unresolved emotional conflicts in general (eg, depression, anxiety, low self-esteem, poor body image, etc.)

- The medical factors: drugs, damage to arteries during pelvic surgery

Secondary orgasmic disorder

- Blood flow compromise

Nerve damage (due to pelvic surgery or pelvic injury) -

Hormone deficiency -

- Emotional trauma or sexual abuse

Relationship conflicts (eg issues of anger, trust, lack of stimulation, communication difficulties, etc.)

Male orgasmic disorders

Male orgasmic disorder can be defined as the persistent or recurrent inability to achieve orgasm despite lengthy sexual contact or engaged in sexual intercourse.

Mental health professional manual, the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR), includes the unease among sexual dysfunction, with premature ejaculation, dyspareunia, and others.

Descriptive

A person affected by a disorder of the male orgasm is unable to experience an orgasm following a normal sexual excitement phase. Assigned regular man can suffer delays in orgasm, or may be unable to experience a full orgasm.

The normal orgasm

First of all, it is important to this debate, understand the characteristics of orgasm "normal". Sensation of orgasm a man includes emissions after ejaculation. Emission refers to the feeling of impending ejaculation produced by contractions of the prostate, seminal vesicles, bladder and urethra with generalized muscle tension, involuntary contractions of the perineum and pelvic thrust. Orgasm during resolution characterized by feelings of wellbeing and general muscle relaxation. At this point, men may not be able to answer the following sexual stimulation, erection, orgasm and variable over time.

It is also important to separate orgasm from ejaculation, but in most cases, they occur almost simultaneously. Orgasm is an emotional experience and physical peak, whereas ejaculation is simply a reflex point on the lower part of the spinal cord, causing the ejection of semen. Some men were able to recognize the separation of the two processes so that they can experience multiple orgasms without the occurrence of ejaculation. When ejaculation occurs, is a period of recovery time before a subsequent orgasm.

The sensation of orgasm differs between individuals, and orgasms individual may vary in the same person. All orgasms share certain characteristics, including the body and rhythmic contractions of pelvic elevation of pulse rate of systemic hypertension, hyperventilation and muscle tension, followed by the sudden release of tension.

Female orgasmic disorders

Definition

Female orgasmic disorder (FOD) is the persistent or recurrent inability of a woman to reach orgasm (climax or sexual release) after adequate sexual arousal and sexual stimulation. According to the manual used by mental health professionals to diagnose mental disorders, may Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (also known as the DSM-IV-TR), this lack of response to primary (a woman has never had an orgasm) or secondary (acquired after trauma) and may be general or specific situation. There are reasons both physiological and psychological inability of a woman to achieve orgasm. To receive the diagnosis of OD, the inability to reach orgasm can be caused by physiological problems or be a symptom of another major mental health problem. FOD can be diagnosed when the disease is caused by a combination of physiological and psychological problems.

FOD is considered, the condition is due to personal distress or relationship problems. In previous versions of the Diagnostic and Statistical Manual of Mental Disorders, FOD has been called "to prevent sexual orgasm."

Descriptive

FOD is the persistent or recurrent inability of a woman to orgasm. This lack of response affects the quality of women's sexual experiences. To understand the DOM, you must first understand the physiological changes that occur normally in the body of a woman during sexual arousal and orgasm.

Generally, when a woman is sexually aroused, the blood vessels in the pelvic region expands, allowing more blood to flow to the genitals. This is followed by leakage of fluid from blood vessels in the vagina and provides lubrication before and during intercourse. These events are called the "lubrication-swelling response."

Body tension and blood flow in the pelvic region will continue to build as a woman gets more sexual stimulation, and this occurs either by direct pressure on the clitoris or the pressure on the walls of the vagina and cervix. The tension rises with increasing blood flow. When the tension is relaxed, pleasant rhythmic contractions of the uterus and vagina occur this release is called an "orgasm". Contractions carry blood to the genitals and back into the general circulation.

It is normal for orgasms to vary with the intensity, duration and number of contractions from woman to woman, and an individual from experience to experience. Unlike men, women can have multiple orgasms in a short period. Mature women who may be more sexually experienced than younger women may find it easier to reach orgasm younger and sexually inexperienced.

In DOM, sexual arousal and lubrication occur. The tension in the body increases, but the women are unable or have extreme difficulty reaching climax and tension. This inability can lead to frustration and unsatisfactory sexual experience for both parties. FOD is often combined with other sexual dysfunctions. In addition, lack of orgasm can cause anger, frustration and other problems in the relationship.

Causes and symptoms

With OD, if a woman has an orgasm or have difficulty extreme steadily to peak. It is normal that women do not have this response from time to time, or to achieve orgasm only with specific types of stimulation. The occasional failure to achieve orgasm or use a particular type of stimulation is not the same as the OD.

The reasons for the departments can be both physically and mentally. DOM is more often the primary illness or permanent, which means that a woman has never achieved an orgasm at any stimulus, self-stimulation (masturbation), the direct stimulation of the clitoris is a partner, or vaginal intercourse. Some women feel secondary, or acquired FOD. These women have had orgasms, but then loses its ability to illness, emotional trauma, or a side effect of surgery or drugs. FOD acquired is often temporary.


FOD can be generalized or a specific situation. FOD, in general, inability to orgasm occurs with different partners and in many different contexts. In the situation of FOD, inability to reach orgasm occurs only with specific partners or in special circumstances. FOD can be caused by psychological factors or a combination of physiological and psychological factors, but not due to physiological factors alone.

The physiological causes of FOD include:

damage the blood vessels in the pelvic area

spinal cord injury, or damage to nerves in the pelvic area

Medication side effects (neuroleptics, antidepressants, narcotics) or illicit substance abuse

removal of the clitoris (also called female genital mutilation, a cultural practice in parts of Africa, the Middle East and Asia)

Psychological causes of FOD include:

past abuse, rape, incest or other traumatic sexual experiences

emotional abuse

The fear of getting pregnant

fear of rejection by partner

Fear of loss of control during orgasm

self-image problems

relationship problems with partner

life stress, such as financial problems, job loss, or divorce

guilt about sex or sexual pleasure

religious or cultural beliefs about sex

other mental disorders as major depression

FOD is more likely to make a psychological rather than physical causes. The lack of time devoted to foreplay, arousal, inadequate, lack of adequate sexual stimulation, lack of sexual communication with a partner, and the impossibility of continuing the stimulation for a sufficient period of time can cause the failure of the orgasm but are not considered causes of FOD.

Orgasmic disorders are the inability to achieve climax during sexual stimulation

Orgasmic dysfunction is an inability for a person to have an orgasm during sexual stimulation. This disturbance must cause marked distress or interpersonal difficulties. This dysfunction is not better accounted for by another mental state, the direct physiological effects of a substance or another general medical condition. A person may be diagnosed with orgasmic disorder Female or Male Orgasmic Disorder, but it is less common for men. The condition is called primary when a woman has never experienced orgasm through any type of stimulation. This is called secondary if the woman has attained orgasm in the past but currently non-orgasmic.

For men, the disease can present itself as an inability to achieve orgasm during intercourse or ejaculate after prolonged intense non-intercourse stimulation.


Drugs and alcohol can impair orgasmic responsiveness. Less commonly, medical conditions that affect the nerve supply to the pelvis (spinal cord injury, multiple sclerosis and diabetic neuropathy), hormonal disorders and chronic diseases affecting the general interest and sexual health may be factors. Negative attitudes toward sex in childhood may affect the reactivity of a person who can experience sexual abuse or rape. The problem may be related to marital problems and decreased sexual desire. Boredom and monotony in sexual activity may serve as factors that contribute to secondary anorgasmia. Other factors may be shy or embarrassed to ask for any kind of stimulation works better, as well as conflict or lack of emotional closeness in the relationship.

When men experience difficulty achieving orgasm, the reasons are primarily medical, alcohol or drugs. These factors may affect the ability of a woman to achieve orgasm as well.

Approximately 10-15 percent of women seem to suffer from primary orgasmic dysfunction. According to studies, usually 33-50 percent of women experience orgasm infrequently and are dissatisfied. Performance anxiety is believed to be the most common cause of orgasm questions, and 90 percent of orgasm problems appear to be psychogenic (non-organic).


Prevention

A healthy attitude towards sex education and sexual stimulation and response is often to minimize problems. The principle of taking responsibility for their sexual pleasure is important, too. Couples who know they must verbally and nonverbally guide their partner in this problem less frequently. It 'also important to understand that a man can not force a sexual response, and the more you try to focus on orgasm, the harder it is to be achieved.