Female Orgasmic Disorder

By Dr Taranprit Kaur (15.11.2024)

‘O Where Art Thou? A Quest for the Elusive Female Orgasm”

Female Orgasmic Disorder (FOD), also known as female anorgasmia, is a condition characterized by a significant absence or reduction in the intensity or frequency of orgasm following sexual arousal or foreplay. This issue may persist in nearly all sexual encounters for at least six months, often causing considerable distress. The female orgasm is influenced by a complex interplay of biological, physiological, and cultural factors, and any imbalance in these areas can affect a woman’s capacity to achieve orgasm.

Types of Anorgasmia:

  1. Lifelong: Never experienced orgasm in her lifetime.
  2. Generalized: Difficulty achieving orgasm regardless of the type of stimulation, situation, or partner.
  3. Acquired: Previously experienced orgasm but now finds it difficult to achieve one.
  4. Situational: Challenges with orgasm only in specific contexts or with particular partners.

The causes of Female Orgasmic Disorder (FOD) are typically multifaceted. Patients often present with several underlying issues that need to be addressed. Here are some potential contributors to FOD:

  1. Psychological Factors: Feelings of shame, guilt, or anxiety related to sexual  activity, body image concerns, or a history of trauma can contribute to FOD. Mental health conditions like depression and anxiety may also hinder orgasm.
  2. Medical Conditions: Various medical issues can adversely affect both physical and psychological well-being, interfering with orgasm. Conditions such as diabetes, atherosclerosis, heart disease, stroke, and multiple sclerosis are linked to difficulties in achieving orgasm.
  3. Medication Side Effects: Many medications, including antidepressants, antipsychotics, antihistamines, and blood pressure drugs, may reduce libido and the ability to orgasm.
  4. Aging:Changes in anatomy and hormone levels due to pregnancy, childbirth, and lactation can affect orgasm. Reduced oestrogen during perimenopause and menopause may decrease blood flow to the genitals, contributing to FOD.
  5. Substance Use: Excessive consumption of alcohol, tobacco, and recreational drugs can disrupt the physiological processes involved in orgasm, impacting neurological function and blood flow to the genitals.

If you suspect you are experiencing FOD, the first step is to consult a healthcare professional. During your appointment, a thorough medical examination, including a pelvic exam, will be conducted to rule out any anatomical issues.

Treatment Options

Treatment for FOD generally involves sex therapy aimed at fostering healthy sexual attitudes, reducing anxiety, and enhancing orgasmic ability and satisfaction. Approaches may include sex education, communication skills training, and lifestyle changes. Additional options can include oestrogen therapy, medication adjustments, physical therapy, and addressing any underlying medical conditions.

Newer treatments like the O-Shot and Shockwave Therapy are also available. The Shockwave Therapy, a low-intensity treatment delivered at the genitalia region stimulates tissue repair and cellular regeneration, potentially leading to stronger and more frequent orgasms. It is also known to help increase vaginal lubrications during intercourse and increased arousal from clitoral stimulation.

The O-Shot is a minimally-invasive procedure that utilizes the individual’s own platelet-rich plasma to enhance vaginal orgasm and sexual arousal. The O-shots are delivered to specific areas around the female genitalia.

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