Persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase . It was formerly known as inhibited female orgasm. Some researchers called it Female Orgasmic Dysfunction.
Causes:
Strong negative signals from psychosocial system results in female orgasmic disorder. In our culture the female has been forbidden to accept herself as a sexual being. Girls as they grow up, deny their sexual feelings in order to conform to society’s image of “good” behavior. Later, as a woman, she resists the experience of orgasmic response. Anxiety and guilt feeling due to religious orthodoxy can cause this dysfunction. The idea that it is woman’s duty to satisfy her husbands makes her inhibit her own sexual response. Woman may have orgasm with masturbation by stimulating her clitoris, with partner’s manipulation or with oral-genital stimulation, but not during intercourse. Similarly, a woman may be orgasmic during intercourse, but not with other kinds of stimulation.
The organic causes for this dysfunction are multiple sclerosis, spinal cord trauma or tumor, nutritional deficiencies, diabetes.
Neuropathy and severe arteriosclerosis.
Chronic illnesses impair orgasmic responsiveness by affecting libido and generalHealth.
Treatment
The treatment is based upon the information indicating woman’s attitude towards sex, the degree of her open-mindedness and her physical responsiveness. The first goal is to help the couple to stop behaving toward each other in hostile or in negative ways, so that they can create erotic aura in their relationship. They are provided information about sex to counter myth and misunderstandings that stand in the way of woman’s response to sexual stimuli.
The couple is given instruction to practice ‘Sensate Focus’ exercise for 3 days. On the next 3 days, after the couple has experienced feelings of closeness and intimacy in pleasuring each other, they proceed to genital play.