Orgasmic dysfunction

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Male and female reproductive systems

orgasmic dysfunction

In secondary dysfunction, relationship difficulties sometimes play a role, and thus treatment may also sometimes need to include communication training and relationship enhancement work.

It is also important in treatment to ascertain that the problem is only one of lack of orgasm, and that there is not also a coexisting problem with inhibited sexual desire. Sometimes hypnosis may also assist in increasing concentration, exploring and overcoming subconscious conflicts, and minimizing performance anxiety. Women's therapy groups focused exclusively on this problem have also been found to have some positive effect.

EXPECTATIONS (PROGNOSIS)

Success rates when orgasmic dysfunction is treated by specialists in sex therapy vary widely. Women tend to be more successful with treatment if they have orgasmic dysfunction problems due to another condition. Women with difficulty with orgasms not due to another condition tend to do better with sexual technique training procedures and desensitization (treatment that gradually stops the response that causes lack of orgasms). Desensitization also appears helpful for women with significant sexual anxiety.

A positive prognosis (probable outcome) is usually associated with being younger, emotionally healthy, and having a loving, affectionate relationship with a partner.

COMPLICATIONS

When enjoyment does not accompany sex, it can become a chore rather than a mutually satisfying, playful, and intimate experience. When orgasmic dysfunction persists, sexual desire usually declines, sexual frequency wanes, and this may create resentments and conflicts in the relationship.

Review Date: 07/25/2006
Reviewed By: Paul Ballas, D.O., Department of Psychiatry, Thomas Jefferson University Hospital, Philadelphia, PA. Review provided by VeriMed Healthcare Network.