Studies have established a success rate of 80-90% for treatment of primary anorgasmia; and between 10-75% for treatment of secondary anorgasmia. This female dysfunction treatment may involve a combination of lifestyle changes, therapy and medication. Although the term “anorgasmia” covers women who are medically unable to achieve orgasm, the great majority of anorgasmia cases are as a result of social, cultural, psychological and relationship factors, which are best treated in therapy. Nevertheless, women suffering from any type of sexual dysfunction, including anorgasmia, should first be examined by a gynecologist before undergoing sex therapy, to determine whether their issue is due to a treatable underlying condition. If unable to diagnose and treat the problem, your regular doctor may then refer you to a specialist who can.
As a result of anorgasmia, millions of women over the world continue to live with the frustration of being unable to achieve orgasm. The good news is that society has come around to the realization that women also need, desire and deserve similar pleasure from the sexual act as men have enjoyed for centuries, and there are now sex therapists available to help women to live fully satisfying sex lives. Anorgasmia can be treated by a qualified sex therapist by identifying and applying effective solutions to the underlying cause.
While not all sexual problems require medical attention, it is advisable to consult a doctor in the event that the sexual issue persists for more than a couple of weeks. A doctor may help solve your sex problem. And if not, they may refer you to other specialists such as a psychotherapist, marriage counselor or sex therapist.
Certain sex problems would require immediate medical attention. These include sudden pain during intercourse which was not there before due to an infection or medical condition. Likewise, it is important for a woman experiencing sexual dysfunction to immediately visit their doctor if they have suspicions that they may have an STD, or following an unusual reaction to sex such as a headache, brief chest pain or pain in another part of your body.
In general, the main goal of anorgasmia therapy is to enable the woman to achieve orgasm as desired, under any circumstance. Cognitive-behavioral therapy (CBT) for anorgasmia will focus on the promotion of changes in attitudes and thoughts relevant to sex. The underlying assumption of CBT therapy is that the ability to have an orgasm and achieve sexual satisfaction can be increased by reducing anxiety and cognitive distortions associated with sex. This is based on the theory that performance anxiety hinders sexual functions and orgasm by misdirecting the focus of the woman from the erotic stimulation to concerns relating to performance such as embarrassment and guilt.
For most women, the key part of anorgasmia therapy will involve addressing issues and causes of everyday stress. Also helpful are tips to enable women to understand their bodies, as well as try out various methods for sexual stimulation. Anorgasmia is often treated with specific therapeutic techniques that focus on the mechanics of sexual arousal in females, as well as the differences between sexual response cycles in men and women. In particular:
Sex therapy will involve counseling on the emotional or situational factors in the individual and the couple that could be contributing to a lack of orgasm. Women are normally encouraged to attend sex therapy with their primary sexual partner. This is because just like many sexual dysfunctions, anorgasmia should not be viewed as solely the woman’s problem. Many relationship factors such as conflict and disagreements may cause this condition, which requires treatment in couple’s counseling to help you work through the tensions and get your sex life back on track. This may involve assistance with communication skills, as well as behavioral exercises for you and your partner to try at home. The woman is encouraged to avoid embarrassment that prevents them from sharing intimate details or sexual techniques with their partners that they require to achieve satisfaction.
Females are encouraged and taught to use systematic desensitization, Kegel exercises and directed masturbation techniques for bringing oneself to orgasm. With an increase in comfort with orgasm and body awareness, women are able to transfer this gained knowledge and take charge while directing their partners during intercourse, thereby enabling them to achieve orgasm with them.
Couples are also taught how to use sensate focus exercises at home which is essentially an anxiety reduction technique. This is a specific set of gradually increased and focused body-touching exercises that progress from nonsexual to increasingly sexual touching of each other’s bodies. These exercises offer a great way for couples to learn how to touch and please each other without focusing on orgasm. Sensate focus exercises have proved to be effective in decreasing sexual anxiety and occasionally increase the frequency of sexual intercourse and satisfaction.
Or the couple is taught how to combine a situation in which the woman reaches climax – such as clitoral stimulation – with a situation in which they desire to achieve orgasm – such as intercourse. By using a combination of techniques, the woman can learn to view orgasm as just a pleasurable part of being sexually intimate, and not the ultimate sole goal of each sexual encounter.
Understand your body better
To improve their chances at sexual satisfaction, it is important for women to understand their own anatomy and how they like to be touched. Ask your doctor for a refresher course on your genital anatomy using a diagram, or even better, get a mirror and look at yourself. Thereafter, spend some time exploring your own body. Masturbating or using a vibrator will aid in your discovery of what type of touching feels best to you, and you may then share this information with your partner. Women who are uncomfortable with self-exploration may explore their bodies with their partner’s help. Anorgasmic women may also try the Eros Clitoral Therapy Device (EROS-CTD), a vacuum device that increases clitoral enlargement and the likelihood of experiencing an orgasm.
Increase Sexual Stimulation
For most women who’ve never experienced orgasm, this is due to the lack of adequate effective sexual stimulation. Although many women don’t realize this, most women require direct or indirect stimulation of the clitoris to orgasm. Switching sexual positions may bring about increased clitoral stimulation, while some positions also allow for you and your partner to gently touch your clitoris during intercourse. You may also use a vibrator during sex to trigger an orgasm. Erotic stimulation resulting in orgasm in women may be performed on various genital and non genital sites. Although the clitoris and vagina are the most common stimulation areas that result tin climax, other sites such as the breasts, nipple, periurethral glans and mons may trigger an orgasm, along with sexual fantasies, mental imagery and hypnosis.
Just as with erectile dysfunction in men, women who lack sexual function may be treated using hormonal tablets or patches to correct their hormonal imbalances, clitoral vacuum pumps and medication designed to improve sexual sensation, arousal and blood flow to the genitals. In recent years, the Hitachi Magic Wand has become a popular course for couples who wish to achieve orgasm. Recent studies have found that over 93% of women suffering from chronic anorgasmia are able to reach orgasm using the Hitachi Magic Wand and the Betty Dodson Method. While hormone therapy is not a guaranteed cure for anorgasmia, it does help in treating underlying medical conditions.
Because each case is unique to the patient, it is important to discuss your treatment options with your doctor. Thereafter, they will advice you on which of the following anorgasmia treatments to undertake.
- Treating underlying conditions. If your ability to orgasm is hindered by a medical condition, you may resolve this issue simply by treating the underlying cause. Your symptoms may also be eliminated by modifying or changing medications recognized as inhibiting orgasm. Buprion is offered as an alternative treatment for anorgasmia that may improve low libido due to depression or antidepressant-induced sexual dysfunction. Apomorhine SL has also been found to improve orgasm and sexual satisfaction.
- Estrogen therapy. Systemic estrogen therapy in the form of a pill, patch or gel may produce a positive impact on brain function and mood factors affecting sexual response. Local estrogen therapy by a vaginal cream or a slow-releasing suppository/ ring placed in the vagina can increase blood flow to the vagina thus helping to improve desire. In some cases, the doctor may prescribe a combination of estrogen and progesterone.
- Testosterone therapy. Despite their small amounts in women, male hormones such as testosterone play an important role in female sexual function. Testosterone may help increase orgasm, especially in the event of failure by estrogen and progesterone. However, replacing testosterone in women is controversial and not approved for the correction of female sexual dysfunction. Moreover, this may cause negative side effects like acne, excess body hair (hirsutism), mood or personality changes. Testosterone is effective in females with low testosterone levels due to surgical removal of the ovaries (oophorectomy) or postmenopausal women. Women who opt to use this therapy, require close monitoring of their symptoms by their doctor to ensure that they do not experience negative side effects.
There are certain natural products that serve as a cure for anorgasmia and which may help some women suffering from anorgasmia. These include oils and supplements that work in increasing sensation in the clitoris and surrounding tissue. It is important to consult your doctor before embarking on natural therapy. These products may result in side effects or interact with other medications. Your doctor will advise you on whether these products are safe for use. These products include:
- Zestra – A botanical massage oil that helps in warming the clitoris so as to increase arousal and climax.
- ArginMax – An oral nutritional supplement containing L-arginine, a substance used to relax the blood vessels and increase blood flow to the genital area, specifically to the clitoris.
Coping and Support
Women who are unhappy with their climax during sexual activity may consult a doctor about anorgasmia or seek sex therapy. You should not feel embarrassed or nervous talking about sex with your doctor as this is a perfectly appropriate topic. Doctors understand that it is important for every woman to enjoy a satisfying sex life at every age and stage of their lives. Women who consult a doctor with regards to their female dysfunction most often than not find that their issue is normal, and the doctor is able to recommend female dysfunction treatment and strategies for lifestyle changes to alleviate anxiety and increase satisfaction.
It can be very frustrating for a couple experiencing problems achieving orgasm. In addition, solely focusing on climax as the ultimate goal of all sexual activity only serves to exacerbate the problem. Most couples do not experience the type of sex you see in the movies and on TV – banging headboards and rocking vans. It is therefore important for couples to redefine their expectations and instead focus on pleasing each other rather than orgasm. In most cases, a sustained pleasure plateau is just as satisfying as the real orgasm.