- Anorgasmia refers to difficulty in reaching orgasm or the inability to do so after enough sexual stimulation. Orgasm refers to the rush of sexual excitement; now specifically, the climax or peak of sexual pleasure, which occurs during sexual activity and which in males may include ejaculation and in females vaginal contractions.
Many women reach orgasm after enough sexual stimulation. Some however aren’t able to do so no matter how hard they try or find it very difficult to do so.
The lack of orgasms can be very stressful and cause problems in relationships. Orgasms vary in intensity, frequency and amount. Different women need to be aroused differently to reach orgasm. Not every woman reaches orgasm through penetrative sex.
In most women, the clitoris needs to be stimulated for them to be able to orgasm. Some women require a combination of clitoris stimulation and penetrative sex to be able to reach orgasm.
Orgasms usually change with age, medical issues or medications you’re taking. You might notice this as you grow. If you’re happy with the way you feel during sexual activities, there’s no need for concern. However, if you’re bothered by the lack of orgasm or you feel your orgasms aren’t strong and satisfying enough, talk to your OB-GYN
- Symptoms of anorgasmia
An orgasm is a feeling of intense physical pleasure and release of tension, accompanied by involuntary, rhythmic contractions of your pelvic floor muscles.
Everyone experiences orgasm differently. You might also notice that not all of your orgasms feel the same. People with anorgasmia usually take very long to reach orgasm or don’t reach orgasm at all. This can be very stressful.
Types of anorgasmia
• Lifelong anorgasmia: Such people have never had an orgasm.
•Acquired anorgasmia: You used to have orgasms, but now you find it difficult doing so.
•Situational anorgasmia: You are able to have an orgasm only in certain circumstances, eg during oral sex or masturbation or only with a certain partner. You’re not weird.
•Generalized anorgasmia: You aren’t weird to have an orgasm in any situation or with any partner.
Orgasms are pretty complex. It had to do with a combination of physical, emotional and psychological factors. If you have difficulties in any of these areas can affect your ability to orgasm.
Physical causes that can affect orgasm
•Many illnesses, physical changes and medications can affect how you orgasm. A few are listed below :
• Diseases :
Diseases like multiple sclerosis and Parkinson’s disease and how they affect the body, on the whole, can affect orgasm.
Gynecologic surgeries eg hysterectomy ( removal of the womb) or cancer surgeries, can affect orgasm. If sex is uncomfortable or painful, you might not be able to reach orgasm too.
Many drugs eg blood pressure medications, drugs for depression and mood disorders, and allergy medication can affect how you reach orgasm.
•Alcohol and affect:
Too much alcohol can affect your ability to climax. Smoking can limit blood flow to your sexual organs. This will affect how you feel during sex.
As you grow old, normal changes in your body and hormones can affect how you function sexually. The drop in estrogen levels as you transition to menopause and menopausal symptoms, such as night sweats and mood changes, can have an impact on sexuality. You might be off-season most of the time.
•Psychological off-season Anxiety, depression, not feeling you look good or sexy enough, stress and financial pressures, cultural and religious beliefs eg the thought of no sex before marriage in your mind whilst engaging in sex, the feeling of embarrassment, guilt about enjoying sex and past sexual or emotional abuse can also affect your sexual experience greatly.
DR ALBERT DONKOR