What is Anorgasmia?

Anorgasmia refers to an inability to reach orgasm in a reasonable amount of time, if at all, during sexual activity or masturbation. The condition is fairly common among both sexes, and can be caused by one of a number of physical, environmental, or psychological factors. Physicians and psychologists can usually help a patient overcome his or her problem, though the efficacy of treatment depends largely on a person's willingness to be honest and unembarrassed so that a true underlying cause can be discovered.

Men who experience anorgasmia, also called delayed ejaculation, are usually completely unable to reach orgasm with a sexual partner. Ejaculation issues can be related to advancing age, use of antidepressants or mood stabilizers, alcohol abuse, cancer, or a chronic illness. Most cases, however, are the result of psychological factors rather than physical causes. A man who feels embarrassed or guilty about engaging in sex or masturbation is more likely to experience anorgasmia. A lack of an emotional connection with a partner or problems in other areas of a relationship can also hinder a man's ability to ejaculate.

Anorgasmia in women is more common than in men, and problems are largely related to the same psychological and physical causes. Women may have additional anxiety and fear of becoming pregnant, which can take away from the enjoyment of sexual activity. In addition, a woman who has not had many sexual experiences may not fully understand her body; she may be capable of reaching an orgasm with certain types of stimulation, but she is simply unaware of what it takes.

A person who is concerned about anorgasmia can speak with a doctor to learn about overcoming sexual issues. Talking about the condition can seem embarrassing, but physicians are professionals who are willing and able to help. A doctor typically asks about symptoms and whether or not an orgasm can be reached in certain situations, such as during masturbation. When a medical problem is suspected, the doctor can review the patient's current medication use and conduct a physical exam. Most physical issues can be overcome by adjusting medications or receiving the proper treatment for an underlying disorder.

If a doctor cannot find any physical reason for anorgasmia, he or she usually refers the patient to a psychologist or psychiatrist to help with mental issues. Open discussions with a therapist may bring to light underlying anxiety, guilt, or stress issues that are hindering sexual performance. A patient can learn how to work through issues personally and with his or her partner to develop a healthy, satisfying relationship.