Femile Pelvis

Clique na Foto

What is an Orgasm?

An orgasm is the momentary loss of consciousness, which can last between 20 and 40 seconds in men and up to 90 seconds in women. This loss of consciousness occurs simultaneously with a feeling of pleasure that generally happens due to neuromuscular and endocrinal alterations in conjunction with total dilation in younger women and partial dilation in mature women. It occurs concurrently with a sensation of heat, increased heartbeat and blood pressure, and may be associated with muscular contractions in the lower limbs, abdomen and upper limbs, principally in the muscles surrounding the vaginal and pelvic regions. Orgasm may or may not be followed by ejaculation. In women the amount of fluid ejaculated varies between 15 and 200 ml, being produced in the Skene glands and expelled through the urethra; a greater amount is ejaculated by women who have multiple orgasms who in turn account for 15% of women who have orgasms.


What is orgasmic dysfunction?

Orgasmic dysfunction is when a women has difficulty in reaching orgasm either by masturbation, sexual intercourse, or both. It may occur only in specific circumstances or period of time.

Clitoral Orgasmic Dysfunction:

Is when a woman does not reach orgasm as a result of direct stimulation of the clitoris, whether by her partner or by herself, at any time of life or in any situation.


Vaginal Orgasmic Dysfunction:

Is when a woman does not reach orgasm during sexual intercourse, because the G or S points on the vaginal walls are not stimulated. Orgasm depends on these two points being stimulated.


Total Orgasmic Dysfunction or Frigidity:

Is when a woman is unable to have any type of orgasm (vaginal, oral, clitoral, anal), or in any other situation in which she does not feel desire.


Partial Orgasmic Dysfunction:

Is when a woman has difficulty in reaching an orgasm during vaginal intercourse. It can be Primary Orgasmic Dysfunction (when orgasm never occurs during sexual intercourse), Secondary Dysfunction (when a woman used to have orgasms but no longer has them) or Situational Dysfunction (when a woman does not reach orgasm in certain situations or with certain partners).

What is desire dysfunction?

Desire dysfunction is a condition referring to a woman's lack of interest in sexual intercourse, or difficulty in arousing herself visually or responding positively to a partner's erotic stimulation. This lack of desire can be total (never experienced sexual desire), partial (feels desire on a few special occasions) or situational (only feels desire in certain specific situations: places, types of clothing, danger, etc.).


What are the causes of Anorgasm (Absence of Orgasm)?

Anorgasm can be caused by psychological or physical illnesses, or a combination of the two.

Among the psychological illnesses that most commonly cause the absence of orgasm are childhood traumas or traumas relating to the first time the person had sex, as well as religious conflicts, anxiety, marital infidelity.

Among the physical illnesses that cause orgasmic dysfunction are diseases that cause tumors (prolactinoma), hormonal illnesses (hypothyroidism) pelvic vascular diseases (reduced amount of arteries in the vagina) neurological diseases (diabetic neuropathy), bone diseases (osteoporosis, slipped disks) auto-immune diseases (Lupus Erythematosus), muscular diseases (flaccidity of the vaginal and pubic and coccyges muscles). Vaginal orgasmic dysfunction is the most common sexual dysfunction and is caused principally by muscular flaccidity.

Several drugs and other types of medicine also interfere with the ability to reach orgasm, such as slimming aids, sleeping pills and anti-depressants, amongst others.


What tests are usually done to detect these dysfunction’s?

The most common test for the diagnosis of orgasmic dysfunction’s is the Minnesota Protocol, which is used to differentiate between physical and psychological problems. Another test is Computerized Vaginal Electromyography which besides testing for muscular weakness also exercises the muscles in this area with the aim of reaching a level of 140 micro volts which is the ideal for women who have orgasms or for those that manage to do with the vagina what is usually done with the mouth (fellatio).

Apart from these two basic tests, laboratory tests on blood, urine and bones may be necessary depending on the various causes of the problem.


How does the treatment work?

The treatment depends on the different causes of orgasmic illness. Treatment can be psychotherapeutic (psychotherapy sessions), clinical (medication for basic illness plus computerized exercises for the vaginal muscles), or surgical (in the case of atresia of the vulva etc.).


Vargas, Marilene Cristina, M.D.
Phone/Fax: + 55 41 3338-9435
Curitiba - Paraná - Brazil

© 2000 Vargas. All rights reserved