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 w...