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
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
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,
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
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
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.).