In a orgasmic disorder an orgasm occurs despite a perceived as highly sexual arousal state either does not occur, is of greatly reduced intensity or set occurs greatly delayed in response to stimulation.
Women with orgasmic disorders often have difficulty giving up control in non-sexual situations.
In a orgasmic disorder an orgasm occurs despite a perceived as highly sexual arousal state either does not occur, is of greatly reduced intensity or set occurs greatly delayed in response to stimulation. Women with orgasmic disorders often have difficulty giving up control in non-sexual situations. Contextual factors (eg. As permanently insufficient foreplay, early ejaculation by the partners, insufficient communication of sexual preferences), psychological factors (eg. As anxiety, stress, lack of trust in the partner, fear of losing control) and medicines can at a orgasmic disorder play a role (overview of sexual function and sexual disorders of women: etiology). Also, lack of knowledge about the sexual functions can contribute. Orgasmic disorders may be caused by damage to the sensory or autonomic nerves in the genital area (for. Example, due to diabetes or multiple sclerosis), by dystrophy of the vulva (e.g., B. lichen sclerosus) or in particular by SSRI. Treatment masturbation psychotherapies opinions suggest that patients should be encouraged to self-gratification. A vibrator applied to the mons pubis of the clitoris close, as well as an increase in the number and intensity of stimuli (mental, visual, tactile, was, spelled), possibly the same, may be helpful. An explanation of the sexual functions (eg. As on the need to stimulate initially other parts of the body before the clitoris) can be useful. Psychotherapy, including cognitive behavioral therapy, women can help to recognize the fear of losing control, vulnerability and trust disturbances towards the partner and deal with it. The method of mindfulness and mindfulness-based cognitive therapy (MBCT, treatment) can help make women pay attention to their sexual sensations (stay in the present moment), and they do not judge or watch. Take women next SSRI addition bupropion can improve symptoms. In one study, sildenafil is positive.