The Four Frustrating Faces of Anorgasmia

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Fall out from Anorgasmia: Physical soreness, emotional irritation, frustration, lack of sex drive, resentment, blame, shame, guilt, anger and frustration with or from your partner. The lack of communication results in loss of intimacy, and decreased self-esteem, feeling less of a man or woman, diminished sexual confidence and the list goes on.
Anorgasmia is defined as a sexual dysfunction wherein one fails to achieve orgasm. In men, the condition relates to premature or delayed ejaculation.Meanwhile, female anorgasmia is far more widespread and a major cause of sexual frustration. 


Anorgasmia can be classified as a psychiatric disorder, but evidence shows that it can also be caused by medial problems.
Should you have suffered any of the following, it may well be the cause of your condition: pelvic trauma (injury from a fall), hormonal imbalance, hysterectomy, spinal cord injury, uterine embolisation, childbirth trauma; i.e., tearing by the use of forceps or suction, cardiovascular disease, diabetes, multiple sclerosis, genital mutilation or complications from genital surgery. 
Situational anorgasmia is caused by the use of anti-depressants, recreational drugs and prescriptive drugs with side effects.
The worst drugs are those containing opiates such as heroin, even in low quantities. Studies consistently show that anorgasmia is the most common complaint resulting from drug use.
About 20% of women have orgasm issues and 10% claim to have never climaxed.
Nota Bene: Not reaching orgasm every time does not mean that you suffer from anorgasmia. The success rate for women who achieve orgasm regularly is on average of two out of three attempts.

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Anorgasmia is classified into four groups: primary, secondary, situational, random

Primary anorgasmia is a condition where the woman has never experienced an orgasm, although sufferers can achieve a degree of sexual excitement. There may be no obvious cause for this condition. Women often state that they have a caring, loving partner and have no concerns which could prevent the achievement of sexual satisfaction. Thus in the case of primary anorgasmia, therapists study the woman herself rather than her relationship.
Secondary anorgasmia is defined as the loss of the capacity to have orgasms. Various causes for this sudden occurrence include pelvic surgery (hysterectomy), injuries, alcohol or drug abuse, depression, medication side effects, illness, menopausal-related estrogen deprivation or trauma (rape or sexual abuse).
Situational anorgasmia is where woman is orgasmic in some situations but not others; i.e., she may achieve orgasm with one partner but not another or climax under certain conditions but not others. Many variables are at play so sexual researchers study the type and amount of foreplay plus any variations included. The woman, in conjunction with her partner and therapist, will investigate the various types of situations in which she is or is not orgasmic. Her fatigue levels and mood swings are both areas worthy of in-depth exploration. Happily, Situational anorgasmia is the easiest type to address, and the treatment and cure are relatively simple.
Random anorgasmia is where a woman is orgasmic on occasions but not enough to fulfill her basic needs. Here, therapy will help her thoroughly examine her desires and expectations of sexual activity and orgasm.

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Diagnosis and treatment. In men, education and training may help their chances of securing for successful dating experiences and loving relationships. After all, few men are taught by their fathers on how to forge and maintain a successful intimate heterosexual relationship.
Diagnosis and effective treatment of anorgasmia depends on the type and cause. One proven cause is violence or sexual trauma, where the preferred option is psychosexual counseling.
If there is no clear psychological cause, a full medical exam is usually called for: full blood count, liver function test, estradiol examination, total testosterone, thyroid function, blood sugar and the regular tests for conditions; i.e., diabetes and heart malfunction.

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The results are then forwarded to the sexual therapist who will evaluate them in terms of hormonal levels in the blood, thyroid function, genital blood flow and genital sensation. The therapist may also conduct tests to evaluate any nerve damage and its extent and relevance to the situation.

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There are many treatments available and many variations practiced by medical professionals. These are just some of the varied treatments and sub treatments. Hormonal patches or tablets are a simple method to correct hormonal imbalances.

Hypnosis is an option, but for various reasons is very rarely used. There are devices available which will improve blood flow, sexual sensation and arousal.
One of these is the clitoral vacuum pump. Medication, tablets and even injections may be used by the therapist depending on the circumstances.
If the woman has had nerve damage or pelvic trauma, surgery can repair any physical damage that may have been suffered. The therapist may advise that couples use manual or vibrator stimulation during penetration.
The matter of foreplay is often raised by a therapist, and the relationship between the couple and it is not unusual for therapists to offer practical advice on the best sexual positions that can be used.
Importantly, the female sufferer must know that she is not alone as the extensive problem affects women of all cultures, ages and walks of life. Also, she must realize that a variety of methods can be used to solve the problem. 
Fear of sexual intercourse is known as Genophobia. A persistent, significant aversion to sexual contact takes a massive toll on an adult’s entire sense of well-being, ability to form relationships, and level of sexual self-confidence. Clearly, body image plays a huge role here, too. Penis size is a psychological hurdle for many men; they feel inadequate when their penis size does not match up to what they deem to be the male norm.
People can develop a sexual phobia for many reasons like premature ejaculation (highly embarrassing during sexual contact) or an inability to attain or maintain an erection due to age or other health issues. 
Even with Viagra, men do not always develop an erection, but the problems of both premature ejaculation and erectile dysfunction can be treated successfully. 
For women, fear of sex may be related to dyspareunia (incredibly painful coitus so women opt to avoid intercourse. Loss of libido due to hormone level changes after the menopause, during pregnancy, and in the menstrual cycle can all affect how a woman sees sex.
Importantly,  any illness or infection which may contribute to vaginal or vulval discomfort must be identified and eliminated. For example, recurrent or persistent yeast infections can cause irritation and itching which makes sex downright challenging if not impossible.
Frigidity: Real or Imagined?  Female frigidity has been the butt of many jokes. Today, however, psychologists view the whole idea of frigidity to be a myth. 
Although loss of libido is common, it happens to both men and women. So often coldness and sexual disinterest can be attributed to deeper aspects of a relationship rather than fear of sex. 
For women, loss of libido and lack of desire could be symptomatic of poor communication with their relationship partner, or lack of romance, excitement or emotional intimacy in longterm unions.
Women have considerable hormonal fluctuations through life, leading to loss of libido and fear of sex during pregnancy and menopause. 
Men lose their libido when they face erectile dysfunction, work-related stress or troubled sexual relationships. If you feel frigid or anorgasmic, you may just be with a mismatched sex partner who cannot release the passion deep in your soul.
For reproductive purposes, a healthy sex drive is innate within us. With the right partner, loss of libido can dissipate and frigidity may totally disappear!

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