The experience of orgasm varies from person to person and across different periods of life. Not every sexual experience has to result in orgasm. However, if this situation causes significant distress to the person, affects the relationship, or a previous experience has changed, an evaluation can be made.
What is primary anorgasmia?
Primary or lifelong anorgasmia means that the person has never experienced orgasm under any circumstances. This does not mean that the person has no sexual desire or feeling of pleasure. It may not be possible to reach orgasm while arousal, intimacy and pleasure continue.
This picture has been present since the first experiences; It may be related to lack of sexual education, anxiety, body image, relationship conditions, medications, or other physical and psychological factors. It should not be reduced to a single cause.
What is secondary anorgasmia?
In secondary or acquired anorgasmia, the person may have experienced orgasm before but later begins to have difficulty or the orgasm experience decreases significantly. Change; It may occur at the same time as a new medication, hormonal period, pain, surgery, stress, depression, relationship problems, or another health condition.
Therefore, the statement “it used to happen, but it doesn’t happen now” is an important initial information for evaluation.
What are the other types of anorgasmia?
- Situational anorgasmia: Orgasm is possible only under certain conditions, forms of arousal, or with a partner.
- General anorgasmia: Reaching orgasm may become significantly more difficult under different conditions.
- Delayed orgasm: Reaching orgasm takes too long or the experience becomes too difficult to satisfy the person.
What causes are investigated?
In the evaluation, sexual health, general health and mental status are considered together. Medications used, especially some antidepressants, hormonal changes, menopause, chronic diseases, pelvic floor problems, sexual pain and past experiences may be reviewed.
Stress, sleep problems, depression, anxiety, body image, and relationship confidence can also affect the orgasm experience. The presence of one of these factors does not mean that the problem is “purely psychological”; Often more than one factor plays a role.
How is evaluation done?
In the first interview, the person’s sexual health history and when the complaint started are discussed. Under what conditions orgasm is possible or difficult, whether there is pain or dryness, medications and life changes are evaluated.
If necessary, a gynecological examination or some tests can be planned. The aim is not to subject the person to performance measurement, but to understand whether there is a treatable cause.
How to plan treatment?
Treatment varies depending on the cause. If medication side effects are considered, options are discussed with the physician who prescribed the medication; The medication should not be discontinued on its own. If there is dryness or pain, these complaints are addressed. Sex therapy, individual support or couples counseling may also be helpful for some people.
The approach of “A single application gives definitive results to everyone” is not correct. The aim is to create a personalized plan that supports the person’s pleasure, communication and body awareness.
Frequently Asked Questions
What is the difference between primary and secondary anorgasmia?
In primary anorgasmia, the person may never have experienced orgasm. In secondary anorgasmia, the previous orgasm experience becomes difficult or disappears later.
Is anorgasmia just a psychological problem?
No. Medications, hormones, pain, pelvic floor, chronic diseases, stress and relationship dynamics may play a role together.
Can antidepressants affect orgasm?
Some medications can affect sexual function. It is necessary to consult the prescribing physician before discontinuing the medication on its own.
When should support be sought to prevent orgasm?
If the condition causes distress to the person, has just started, is accompanied by pain or dryness, or affects the relationship, professional evaluation can be obtained.
This article has been prepared for general information purposes. It is not a substitute for examination, diagnosis or personalized treatment advice.
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