Is orgasm disorder incurable for life? Can stimulation of the clitoris reach orgasm

After a normal period of agitation (estimated at the central point, intensity, and duration of sufficient stimulation) of sexual activity, orgasm is prolonged or repeatedly delayed.

Most patients have not only sexual agitation disorder but also orgasmic disorder. Orgasmic disorder is diagnosed only with no or minimal difficulty with sexual arousal (agitation).

Orgasmic disorder can be lifelong or acquired, ordinary or under certain circumstances. About 10% of women, regardless of any stimulus or situation, never reach orgasm. Most women achieve orgasm with clitoral stimulation, but only 50% of women regularly achieve orgasm during sexual intercourse. When a woman responds to non-sexual clitoral stimulation but is unable to orgasm during intercourse, a thorough sexual examination and sometimes psychotherapy tests are required to determine whether the non-copulatory orgasm is a variation of the normal response or is due to a personal or interpersonal psychopathological problem.

A woman who once reaches orgasm generally does not lose that ability unless it is a bad sexual interaction, a conflict in a relationship, a traumatic experience, a mood disorder, or the intervention of a physical condition.

【Etiology】

The etiology is similar to that of arousal disorder. In addition, sexual arousal always ends before the woman reaches orgasm (e.g. due to inadequate pre-caressing to the clitoris).

/ Anatomical and functional ignorance of the vagina or premature ejaculation), and frustration can cause resentment and dysfunction or even disgust. Some women develop full vascular congestion and fear of "letting go," especially during sexual intercourse. This fear may be guilty after a fun experience, fear of indulging in relying on a partner for pleasure, or fear of losing control.

Drugs, especially selective

Serotonin reuptake inhibitor, which suppresses libido orgasm. Depression is the most important cause of weakening sexual arousal and libido, so the patient's mood must be estimated.

【Treatment】

Physical ailments must be treated. If psychological factors are predominant, they should be persuaded to remove or reduce them; Often spouses should participate.

A woman should understand the function of her sexual organs and how they respond, including the best ways to stimulate the clitoris and enhance vaginal sensation. Kegal training strengthens the voluntary control of the pubococcal muscles.

This muscle contracts for 10~15 minutes each time, 3 times a day. Within 2~3 months, the muscle tone around the vagina was improved, and the quality of women's controlled sensation and libido orgasm was also improved. Women with lifelong orgasmic disorder should be treated by a psychiatrist. The number of consultations with patients by non-specialists should be limited to about 6 times. Complex cases should be managed by a sex therapist or psychiatrist.