Orgasmic dysfunction is characterized by the inability or difficulty to reach a climax during sexual intercourse. This condition may affect both males and females; however, it is more common among women. The factors which may lead to orgasmic dysfunction include medications (like antidepressants), past gynecological or andrological surgeries, relationship conflicts, cultural beliefs, depression, anxiety, low self-esteem, and stress. The treatments include couples counseling, sex therapy, and hormone therapy.
There are four types: primary, secondary, general, and situational.
* Primary orgasmic dysfunction refers to cases wherein those affected have never had orgasm.
* Secondary orgasmic dysfunction occurs when orgasm is reached but there is a significant difficulty reaching it.
* General orgasmic dysfunction occurs when orgasm still cannot be reached even with adequate stimulation and arousal.
* Situational orgasmic dysfunction, the most common type, happens when orgasm can only be reached in certain situations.