What is Anorgasmia? – Symptoms, Types, Treatments

Anorgasmia, or syndrome Coughlan, is a sexual disorder in which a person can not achieve orgasm. This difficulty occurs even when they are sexually aroused and there is enough sexual stimulation. In men, it is more closely associated with delayed ejaculation and which can cause sexual frustration. It is much more common in women (4.7 percent), especially in postmenopausal women, than in men, and it is scarce in younger men.

Orgasms are intense feelings of release during sexual stimulation, they can vary in intensity, duration, and frequency and occur with little sexual stimulation, but sometimes much more stimulus is needed.

Types of anorgasmia

This orgasmic difficulty can be of several types: primary or secondary, situational or generalized.

Primary type anorgasmia

People who suffer from it have never climaxed, not through intercourse or masturbation. Although men may or may not ejaculate, in these cases, reaching an orgasm has always been difficult.

Secondary anorgasmia

This difficulty has not always been there but arose at a particular time; complications begin to appear after not having a problem with orgasm.

It is the loss of the ability to have orgasms (as opposed to the primary anorgasmia that indicates a person who has never had an orgasm). Or loss of ability to reach orgasm of past intensity. The cause can be alcoholism, depression, grief, pelvic surgery (such as total hysterectomy) or injury, certain medications, illness, estrogen deprivation associated with menopause, or rape.

Situational anorgasmia

When it is not possible to reach an orgasm in certain situations or in a condition that we call situational anorgasmia, it is when a person has difficulty reaching the climax with someone but not with others or when we can only reach an orgasm when we are stimulated in only one way, but not otherwise. A common type of anorgasmia is coital anorgasmia in women who cannot achieve orgasm during intercourse but can achieve orgasm with other sexual activity (direct clitoral stimulation, fondling, masturbation, etc., etc.).

Generalized type anorgasmia

This typically happens when you cannot reach orgasms in any situation or partner.

What are some of the common causes of anorgasmia?

It can be considered more of a psychiatric disorder than a condition related to bodily dysfunction. Anorgasmia can cause temporary or even permanent sexual diseases. It can be caused by medical conditions such as hormonal imbalance, pelvic injury, diabetic neuropathy, spinal cord injury, removal of the uterus, and certain heart conditions. It is seen mainly in women who have reached menopause and for emotional, medical, and psychological reasons.

Emotional causes

Some of the emotional causes of Anorgasmia are:

  • Certain misunderstandings and conflicts with the partner that cause undue stress on the individual leading to decreased sexual desire, can lead to anorgasmia.
  • Lack of emotional connection with your partner can lead to decreased sexual desire.
  • Lack of communication regarding sexual needs with the partner can reduce sexual interest resulting in Anorgasmia
  • Ignorance in sexual life can also lead to decreased sexual desire.

Medical causes

Some of the medical reasons for anorgasmia are:

  • Diabetes and diabetic neuropathy are one of the leading causes in women.
  • Certain heart conditions can also lead to decreased sex drive and cause anorgasmia.
  • A spinal cord injury due to a car accident or other direct trauma.
  • Damage to the pelvic region or cases where a person has had pelvic surgery.
  • Multiple sclerosis is a neurological disorder that can cause decreased sexual desire and anorgasmia.
  • Hypertension.
  • If an individual has undergone a surgical procedure like a hysterectomy, it can also lead to anorgasmia.

Psychological causes

Specific psychological causes are:

  • Depression is the leading cause that leads to a lack of sexual desire, which in turn leads to anorgasmia.
  • Increased stress is another common cause of a person’s lack of desire to have sex.
  • Negative feelings about sex.
  • Anxiety about sexual performance is quite common in men since they are constantly pressured to be available for intercourse. This causes stress, the number one enemy of desire, arousal, and orgasm.

If an individual has a history of sexual abuse as a child, it can affect that person’s sex life, causing Anorgasmia.

Situational causes

There are situational factors that mainly affect female orgasms, related to culture and sexual education. The shortage of sex education is one of the leading causes of sexual disorder.

  • End of sexual intercourse before the woman is aroused enough to reach orgasm.
  • Absence of previous games.
  • Inappropriate stimulation.
  • Lack of understanding of our genitals or tastes.
  • Lack of knowledge of the partner about what turns you on or how to stimulate it.

We often believe that the other person must know how to satisfy us, totally false.

What are the symptoms of anorgasmia?

What are the symptoms of anorgasmia

The inability to reach orgasm and incomplete sexual satisfaction is primary anorgasmia. It can also cause an individual to take a significantly long time to orgasm. Some of the common symptoms are:

  • Never reach orgasm.
  • Inability to reach orgasm due to situational or psychological problems.
  • Reach orgasm only with a specific stimulation.

How is anorgasmia diagnosed?

If you think you have this problem, you should make an appointment with your doctor, as he will be able to diagnose your condition and provide an appropriate treatment plan; getting the help of your doctor is the best way to ensure that you can fully enjoy the activity. Sexual again.

Your doctor will ask you questions about your sexual history and perform a physical exam during your appointment. Your answers and test results can reveal any underlying causes of the orgasmic disorder and help identify other factors contributing to your condition.

Your doctor may refer you to a gynecologist for a follow-up exam, and they may recommend additional treatments for orgasmic dysfunction.

Treatment for anorgasmia

Treatment for orgasmic dysfunction depends on the cause of the disease. You may need:

  • Treat any underlying medical conditions.
  • Change antidepressant medications.
  • Have cognitive-behavioral therapy or sex therapy
  • Increase clitoral stimulation during masturbation and sexual intercourse.
  • Couples counseling is another popular treatment option because it will help you and your partner resolve any disagreements or conflicts you may have. This can solve problems occurring both in the relationship and in the bedroom.

In some cases, estrogen hormone therapy can be used, which can help increase sexual desire or the amount of blood flow to the genitals for increased sensitivity. Estrogen hormone therapy may involve taking a pill, wearing a patch, or applying a gel to the genitals. Testosterone therapy is another option, but the US Food and Drug Administration (FDA) has not approved it to treat orgasmic dysfunction in women.

Treatment can be individual and in pairs. It generally includes sex education to break myths and false beliefs about our sexuality. Communication problems will also be a topic of discussion, and there will be self-exploration and self-stimulation to get to know yourself thoroughly.

On the other hand, you can treat insecurity, low self-esteem, depression, stress, etc. Practicing mindfulness can also be helpful. It can help us pay attention to sexual feelings without making judgments. Keep in mind that the more open or curious, the less pressure you will feel.

Natural treatments for anorgasmia

In addition to drugs to stimulate orgasm, specific natural treatments have shown great promise and are pretty effective in treating anorgasmia. Some of the natural remedies are:


This is quite an effective, non-medicinal, and natural way to treat anorgasmia. In this therapy, the negative subconscious patterns in mind are replaced with positive habits; it is beneficial for those who suffer from it due to stress, intimacy problems, and low self-esteem. Read the full article on Hypnotherapy.


Specific exercises are pretty helpful in treating anorgasmia; this is also a non-medicinal and natural way to get rid of the problem. One of these exercises is the Kegel exercise, which is a very effective pelvic exercise in pelvic stability.

Give up smoking

Saying no to tobacco is the best natural treatment to help with anorgasmia, as smoking restricts blood flow to the sexual organs and thus decreases sexual desire and ultimately leads to anorgasmia and thus, Therefore, quitting smoking is the best natural way to treat it.

Alcohol withdrawal

Staying away from alcohol or taking it in moderation is also quite an effective natural treatment. Alcohol reduces sexual stamina and makes orgasm difficult.

psychological counseling

Suppose a person has a problem with their partner regarding sexual desires and needs and cannot communicate it to the partner. In that case, psychological counseling is quite helpful in overcoming it, as lack of communication is one of the most common causes of anorgasmia.


This is another effective natural treatment; it is an herb that helps treat impotence and other sexual dysfunctions, including anorgasmia. This herb contains amino acids and L-arginine that relax the arteries and improve blood flow to the sexual organs by enhancing sexual desire.


This is also quite an effective natural treatment for Anorgasmia; it contains ingredients that increase sexual desire and increase stimulation, and therefore it is quite effective in treatment.

Ginseng root

This is also an excellent natural treatment; this herb has been shown to treat various sexual dysfunctions, including anorgasmia. The ginsenosides in ginseng root enhance the release of nitric oxide to the blood vessels, which increases blood flow to the clitoris.

Exercises and tips for anorgasmia

If you think you may have anorgasmia, you should visit your doctor because this disorder causes a lot of anguish and frustration. A professional will help you determine if there is a real problem, and here you will find some tips and exercises to overcome it.

Know your body

It is essential to know your body, stand in front of a mirror and look at yourself completely naked, do not judge yourself. Women are the ones who have more complications with knowing what genital anatomy is. I recommend that to see this part, take a mirror and see how their intimate details look. Many women do not like it and see it as a dirty part of their body, but it is just one more part of the body like the rest, try to do it as many times as possible until you feel comfortable with yourself.


Masturbation is vital to knowing your arousal point. First, caress your whole body and focus on the areas that give you the most pleasure, gradually increasing the intensity of the stimulation.

Use vibrators, lubricants, and sex games alone or with your partner.

Dare to tell your partner what you like and what you don’t like or what you want to do. Talk about sex, experiences, fantasies with sex toys, and use flavored lubricants.

Relax, let yourself go.

You can try practicing relaxation and mindfulness exercises to decrease anxiety about sexual performance.

Try different sexual positions where there is friction with the clitoris, or you can stimulate it during intercourse.

Eight myths about orgasm

1. There are two different types of orgasm: a vaginal one (coital) and a clitoris

The truth is that these orgasms the forms of stimulation. If you have vaginal orgasms, the clitoris is being stimulated indirectly. After all, this is not only what can be seen with the naked eye, it is something much more significant, whose ramifications extend throughout the genital area, so it is believed that the female G-spot does not exist, but in reality, when this point is stimulated it is done in an internal area of ​​the clitoris, there are women who, on the contrary, do not feel pleasure when they encourage that area.

2. The non-intercourse orgasm is less satisfying than the intercourse orgasm

This is false. The orgasms that arise from the stimulation of the clitoris are much more intense than those that can only be reached with intercourse. As we mentioned earlier, some women cannot have orgasms during intercourse.

3. What is expected is to have vaginal or intercourse orgasms

The most common and normal thing is that a woman can have orgasms by stimulating her clitoris, and it is more challenging to do it through intercourse.

4. Having orgasms by stimulating the clitoris is immature or abnormal

This claim, according to Freud, is not proven.

5. Women who masturbate are lesbians, perverts, or sex addicts

A woman who masturbates knows her body like no other. She is responsible for her sexuality, which is a sign of good sexual health. Sex addiction or nymphomania, or hypersexuality, is something else entirely.

6. A man must know how to satisfy a woman

At this point, there is a lousy expectation of sexuality since there is tremendous pressure on men, and that is wrong; both men and women must communicate and express to each other how we want to be touched, where they should do it, what we like it and what we don’t.

7. Women take longer to orgasm than men

If a woman is stimulated correctly and they do it where she likes, it can take as long as a man to orgasm. In the same way, some men may take longer to become aroused. That depends on the person with whom they are having sexual intercourse.

8. To enjoy sex, you must reach climax

There is no denying that orgasm is an incredible experience. Still, you can enjoy sex without experiencing it at the time because fun, intimacy, and emotion can also be an essential part of these encounters. You have to stop obsessing over orgasm. If you climax, extraordinary, but if not, nothing happens.

In summary, anorgasmia is a condition that, if not cared for in time and appropriately, can lead to certain complications such as infertility. As described above, this condition can be treated with medications and natural means. Still, it is essential not to stop limiting stress and the need for proper communication with your partner, especially when it comes to sexual desires. If these things are done correctly, it will be easier for you to get rid of them.

Georgia Tarrant
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Hello, how are you? My name is Georgia Tarrant, and I am a clinical psychologist. In everyday life, professional obligations seem to predominate over our personal life. It's as if work takes up more and more of the time we'd love to devote to our love life, our family, or even a moment of leisure.