Female anorgasmia. It is the recurrent and persistent inhibition of orgasm , manifested by its absence after a normal arousal phase, and produced through stimulation that can be considered adequate in intensity, duration and type.
It, along with a lack of desire, constitutes the most common sexual dysfunction in women . Anorgasmia may occur in men , but it is less frequent and difficult to diagnose, since it is hidden behind the erroneous prejudice that ejaculation is an orgasm .
Types of anorgasmia
- Primary anorgasmia. It is suffered by those who have never had an orgasm, neither through intercourse nor through masturbation .
- Secondary anorgasmia. It is experienced by those who, after a period of having had orgasms normally, stop experiencing them systematically.
- Absolute anorgasmia. It refers to when one is not able to reach orgasm through any procedure (self-stimulation, heteromasturbation, etc.).
- Relative anorgasmia. When orgasm is achieved in a certain way, for example, coital anorgasmia.
- Situational anorgasmia]]: when you can reach orgasm only under certain specific circumstances.
Epidemiology of anorgasmia
The prevalence of this disorder in women is not negligible: 10% of women do not experience orgasm , 10% eventually experience it depending on their partner, 50% enjoy it through penetration and stimulation of the clitoris , and 30% only with penetration.
Causes
More factors are involved in the physiology of the female orgasm than in the male, and therefore it is more complex. For this reason, orgasm disorders are much more frequent in women . In them, orgasm is accompanied by a series of reflex contractions of certain genital muscles located in the vagina . Any disease or trauma in this area, as well as the intake of any drug , and even a specific drug, can be organic causes that inhibit orgasm.
Frigidity and anaphrodisia may have a correlation with an endocrine organic cause, but in general, the clinical picture is highly evocative thanks to other clinical symptoms that appear with sexual problems. Anorgasmia has almost no organic cause, it is essentially of psycho-behavioral origin, although there are several causes that can be endocrine.
- Organic They only represent 5 percent of the causes.
- Endocrine. Diabetes , metabolic etc.
- Neurological.
- Gynecological.
- Psychological.
Among the main psychological causes are the following:
- Negative cultural conditions.
- Traumatic sexual experiences.
- Interpersonal factors.
- Lack of sexual information.
- Monotony in lack of concentration, anguish, etc.
- Ambivalence regarding their commitment to their relationship, fear of abandonment, fear of asserting their own independence, feelings of guilt related especially to sexual relationships.
The main psycho-behavioral causes are common to anorgasmia, frigidity and anaphrodisia, these are:
- An education , during childhood , particularly devaluing as regards sexuality, with strong prohibitions (prohibition of nudity, the affective caresses of parents, masturbation and all pleasure in general, etc.
- Self-contempt, a frigid woman does not love herself.
- A feeling of guilt that is related to incestuous fondling or pedophilia during childhood and, more generally, all sexual violence suffered at all ages.
- Particularly painful or psychologically traumatizing first sex
- Painful or disappointing sexual intercourse, particularly if the partner suffers from Premature Ejaculation or if he does not know how to caress his partner.
- A sexual partner in which the woman is no longer in love.
- Certain lassitude in the couple at the level of loving feelings.
It should be noted that the absence of pleasure in each sexual act, when prolonged over time, is often responsible for a secondary anaphrodisia. A woman who does not feel pleasure during sexual intercourse will gradually lose her desire for sex . An experience of global sensual pleasure, and even more, of organic pleasure, will give this woman the desire for sex again, but, sometimes, no obvious cause is evidenced to explain these problems.
Treatment
Anorgasmia is treatable and has a good prognosis, as long as the patient cooperates with the therapist. Treatment is effective in around 95% of cases, a fairly high figure if we take into account the magnitude of the problem. The treatment of anorgasmia is aimed, in the first place, at:
- Eliminate negative attitudes and prejudices around sexuality in general, and orgasm in particular.
- Improve the relationship, through communication between the couple.
- Program sexual skills, which consist of a series of specific exercises for this dysfunction.
The two main treatments are psychotherapy , but many women reject the possibility of undergoing this type of treatment for reasons of time and price, and on the other hand, behavioral therapies.
The psychotherapy is usually very long, that is, several months or several years. This treatment is indicated above all in the following cases: anaphrodisia, anorgasmia or frigidity called primary, that is, when they have always existed.
Behavioral therapy is a treatment that lasts much less than psychotherapy . This is indicated in cases of anaphrodisia or frigidity called secondary, that is, they appear after a rather satisfactory sexuality. In general, the association of a psychotherapy with a behavioral therapy is totally interesting in every sexual problem called primary and of psychological origin . To treat a so-called secondary sexual problem, behavioral therapy alone may be sufficient.
During the first interviews, information is given to the patient, or where appropriate to the couple, about the psychological nature of the problem and the role that both should adopt in the course of therapy .
By following the treatment program, the patient will learn to focus their attention on the pre- orgasm sensations , thus developing a natural response that was previously inhibited. The aim of the therapy is that the patient can enjoy his body , obtaining pleasure, in a relationship with his partner.
In other more specific approaches and somewhat different in technique, it is prescribed that you get used to achieving orgasm by masturbating alone, in this way, once you have gained security in the possibility of personal response, you are advised to obtain total pleasure with self-stimulation in front of your partner. When this objective has been achieved, it is estimated that the psychological inhibitions will have gradually been diluted, and it will be possible to move on to the coital relationship, properly so called, with progressive success.