Anorgasmia: What It Is and How to Overcome It

When a person is unable to have an orgasm even after receiving enough sexual stimulation, it is called anorgasmia or Coughlan's syndrome. It strikes both sexes equally, but women experience it far more.

Anorgasmia may have various reasons, some of which are similar. The decline in oestrogen levels that happens in most women following menopause is the most prevalent cause of anorgasmia. As a continuation of delayed ejaculation, anorgasmia is seen in men. Stress, medication adverse effects, and long-term health issues may contribute.

Anorgasmia Types

There are three possible onsets of anorgasmia: abrupt, progressive, or permanent. You may classify them into four main groups:

1. Primary Anorgasmia - Primary anorgasmia is characterised by a person's inability to have an orgasm, which is often a result of a congenital disability.
2. Secondary Anorgasmia - A person with secondary anorgasmia has previously experienced orgasm but is now unable to do so due to psychological or physiological issues.
3. Anomalies brought on by drugs - Situational anorgasmia is characterised by an inability to have an orgasm under any circumstances other than those associated with oral sex or masturbation. The inability to have an orgasmic experience because of a medicine is known as drug-induced anorgasmia.

Causes of Anorgasmia

The causes of anorgasmia can be categorised as either physiological (related to the body's biological functions) or psychological (related to the mind). Many cases involve both.

Many of the physiological causes of anorgasmia are common to both females and males. However, some are specific to each sex.

Physical Reasons

• Sexual responsiveness might be affected by diabetic nerve injury.
• Impairment of sexual function may occur as a result of MS's effects on the neurological system.
• Problems with Heart Diseases Low blood pressure might impact climax and arousal.
• Sexual stimulation and lubrication might be diminished when oestrogen levels are low.
• Thyroid issues might impact general libido.
• Pain during sex, as might be caused by conditions like endometriosis, can make it harder to achieve orgasm.
• Mental Health

Origins in the Mind

• As a result of the psychological and emotional wounds caused by sexual abuse or assault, victims may have issues with sexual function and orgasm.
• Dissatisfaction may result from a breakdown in communication around sexual wants and preferences.
• Anxiety and a lack of orgasmic satisfaction might spiral out of control if you're not careful.
• Low self-esteem: This can affect libido and excitement in the bedroom.

The Identification of Anorgasmia

A thorough examination of your vital signs and medical history is the first step in diagnosing anorgasmia. The drugs you take may need to be reviewed as part of this process.

Your doctor may recommend a specialist in hormonal disorders, a psychologist for mental health issues, a gynaecologist on matters about the female reproductive system, or a urologist for topics related to the male reproductive system, depending on whether the cause is physiological or psychological.

Possible diagnostic tests for angora

• Oestrogen, prolactin, FSH, and TSH blood tests
• Measures clitoral sensitivity using photoplethysmography
• Perineometer (vaginal tampon-like sensor for pelvic floor muscle strength)
• Transvaginal ultrasonography (for endometriosis and other vaginal issues)

Treatments for Anorgasmia

Treatment for anorgasmia is complicated and not "one-size-fits-all". The fundamental reasons determine the method, which is generally multi-provider.

Possible choices include:

• Dostinex (cabergoline) lowers prolactin.
• Low libido may be treated with Wellbutrin (bupropion).
• The synthetic hormone pitocin (oxytocin) may increase pelvic floor muscle and ejaculatory responsiveness.
• Psychotherapy for sexual performance anxiety or trauma
• Couples counselling may fix relationships.
• Therapy for functional sexual issues
• Viagra (sildenafil) may benefit men and women with SSRI-induced sexual dysfunction.

How to cope with it

Anorgasmia, like any sexual disorder, may harm a person's physical, mental, and emotional health. It might affect their spouse similarly.

Obtain a medical diagnosis—don't be afraid or embarrassed. Therapies often help.

There are ways to manage sexual dysfunction until a remedy is found:

• Talk to your spouse about what's occurring and how you feel.
• Reduce performance anxiety by including your spouse in therapy.
• Focus on intimacy and communication without wanting an erection.
• See how you and your partner respond to role-play and fantasy. Add sex toys or sex outside the bedroom.
• Think of the journey, not the end.

Conclusion

Always keep in mind that the majority of women need some clitoral stimulation, whether it's direct or indirect, to reach climax. Experimenting with different sex toys may enhance sensations for both couples, increasing the likelihood of orgasms.

See a doctor, sex therapist, or relationship counsellor if this all-encompassing method doesn't work.

Appointment scheduling is the initial step, but you should be ready for any questions. Due to the sensitive nature of this condition, inquiries are likely to be similarly personal. Gather your medical information, including past diagnoses, current symptoms, medications, and sexual history, in one place.

Avoid becoming embarrassed. No one has ever had an orgasm before you, and you won't be the last.