Female anorgasmia: Experts explain the causes, treatments, and keys to achieving orgasm and restoring sexual well-being in women.

In the context of Female Orgasm Day, this August 8, health professionals highlight the importance of raising awareness and treating anorgasmia , a condition that involves persistent or recurring difficulty in achieving orgasm despite adequate sexual stimulation.
According to the Mayo Clinic, this disorder can have a significant impact on emotional well-being, self-esteem, and relationship life, but there are effective treatments that, with the guidance of a specialist, can improve the sexual experience.

Anorgasmia is the recurring difficulty achieving orgasm with adequate sexual stimulation. Photo: iStock
Anorgasmia, also known as female orgasmic disorder, can present as a significant delay in reaching orgasm, its complete absence, or a marked decrease in its intensity. This phenomenon occurs even when there is sufficient sexual arousal and adequate physical or psychological stimulation.
It is important to note that not all women seek or need to achieve orgasm in every sexual encounter, so in the absence of discomfort, it is not considered a clinical disorder.
Factors that can cause it Female sexual response involves physical, psychological, and relational aspects. Among the identified causes are:
- Psychological and personal: history of abuse, lack of knowledge about sexual stimulation, negative body image, guilt or shame surrounding sex, restrictive cultural beliefs, stress, and mental health disorders.
- Related to the couple: lack of emotional intimacy, unresolved conflicts, poor communication about sexual preferences, infidelity, partner violence, or sexual dysfunctions in the couple.
- Physical: chronic illnesses (diabetes, multiple sclerosis), effects of gynecological surgeries, medications (antidepressants, antihypertensives, antipsychotics, antihistamines), alcohol or tobacco use, and hormonal changes associated with age or menopause.

Its causes can be psychological, relational, or physical. Photo: iStock
Addressing anorgasmia requires identifying the causes and treating them specifically. Specialists point out that options include educational, therapeutic, and medical interventions:
Sex education and therapy- Guided sex education: Detailed explanation of female anatomy and erogenous zones to understand the body's response to different types of stimulation.
- Cognitive-behavioral therapy: Individual or couples sessions to work on beliefs, emotional blocks, and communication skills related to sexuality.
- Guided masturbation: Prescribed exercises to explore self-stimulation, identify pleasurable sensations, and transfer that knowledge to sexual relations with your partner.
- Sensory Focusing Techniques: Gradual activities to rediscover physical contact, starting with non-erotic caresses and progressing to sexual stimulation, with the goal of improving communication and physical connection.
- Varying sexual positions: finding those that stimulate the clitoris and increase the chances of achieving orgasm.
- Use of stimulation devices: vibrators and clitoral suction devices that enhance sensitivity and blood flow, initially tested individually and then with a partner.

Its causes include psychological factors, relationship problems, and physical or medical conditions. Photo: iStock
- Estrogen therapy : In women with menopausal symptoms, topical use (creams or suppositories) may improve vaginal lubrication and blood flow. Systemic use requires medical evaluation due to associated risks, such as breast cancer or cardiovascular disease.
- Testosterone therapy: Indicated in selected cases of women with low levels of this hormone, to improve arousal and orgasmic response. It can cause adverse effects such as acne, body hair growth, or cholesterol changes.
Specialists insist that anorgasmia should not be considered an unsolvable problem. An accurate diagnosis and a personalized treatment plan can help restore sexual confidence and strengthen the bond between couples. Comprehensive management addresses both physical health and emotional well-being, recognizing that sexual pleasure is a fundamental part of quality of life.
More news in EL TIEMPO *This content was rewritten with the assistance of artificial intelligence, based on information from the Mayo Clinic, and reviewed by the journalist and an editor.
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