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ComorbidityĪ high level of comorbidity exists between female orgasmic disorder and other sexual dysfunctions. In some countries, prevalence is unknown because of the discussion of sexual matters, particularly among women is culturally restricted (Adegunlove, 2011). In Asia, prevalence is as high as 46% (Laan, Rellini & Barnes, 2013). As many as 28% of women in the United States, South America and Europe meet criteria for female orgasmic disorder. Prevalence of Female Orgasmic DisorderĪfter hypoactive sexual desire disorder, female orgasmic disorder is the most common sexual disorder among women. The study found that genetics, as well as several factors including social status, occupation, childhood illness, lifetime number of partners, and age of first sexual experience had no significant impact on female orgasmic disorder (Zietsch, et al., 2011). A 2011 Australian study examined the sexual arousal, activity and orgasms of 2,914 adult female twins to measure orgasm rates during a variety of sexual activities. However, because many women are unaware of the sexual histories of their family members, this position is controversial. Antidepressants, antipsychotics, mood stabilizers, cancer treatments, and cardiovascular drugs inhibit orgasm (Laan, Rellini & Barnes, 2013).Ī genetic component is also suspected, as heritability range from 34% for difficulty achieving orgasm during intercourse, to 45% for achieving orgasm through masturbation (Laan, Rellini & Barnes, 2013). Additionally, several medications are associated with sexual dysfunction.
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Chronic diseases such a heart disease, thyroid problems, asthma, diabetes, multiple sclerosis and pelvic conditions are positively correlated with female orgasmic disorder. Psychosocial factors such as attitude about sex, religious views, sexual experience and level of educational also contribute (Laan, Rellini & Barnes, 2013).įemale orgasmic disorder can also be caused by physical conditions, illness or medication (American Psychiatric Association, 2013). These include a personal history of sexual abuse, poor body image, anxiety or depression (American Psychiatric Association, 2013). Personal vulnerabilities can also contribute to female orgasmic disorder. Women experiencing extreme stress from a variety of life circumstances can experience problems with orgasm. Stress can also affect sexual desire and orgasm. Circumstances within a relationship such as fighting, abuse, poor communication, and misunderstandings or differences regarding sexual intimacy and satisfaction can lead to sexual problems. Similarly, relationship problems can contribute. A woman whose partner is in poor health or has sexual problems may experience disruption in orgasm. First, partner problems can be related to female orgasmic disorder. However, the DSM-5 asserts that several factors may contribute to the disorder. Causes of Female Orgasmic Disorderįemale orgasmic disorder is complex and no single cause has been identified. Of these, more than three quarters reported they were satisfied with their sexual relationships (Laan, Rellini & Barnes, 2013). One study found that more than half of married women report arousal or orgasm problems. The presence of distress is necessary for proper diagnosis of female orgasmic disorder. Some women experience high levels of distress, while others are only mildly bothered (American Psychiatric Association, 2013). Every woman responds to this condition differently. For some women, the condition persists in all sexual encounters. In some cases, the disturbance may only happen with some sexual activities or partners but not persist in other situations. For other women, the condition is lifelong as has persisted since her first sexual encounter. For some women, the problematic change in orgasm occurred after a period of normal sexual activity and enjoyment. The symptom must last for at least six months and not be related to other physical, mental or relational problem. The DSM-5 explains that these changes can be reduced intensity, delay, infrequency or absence of orgasm. Symptoms of Female Orgasmic Disorderįemale orgasmic disorder is marked by a significant change in orgasm. Several treatment options are available to address the complex components of female orgasmic disorder.
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Although no one cause has been identified, female orgasmic disorder has been associated with relational problems, stress, depression, anxiety, medications and chronic medical conditions. According to the DSM-5, female orgasmic disorder is characterized by a significant change in orgasm such as delay, reduction of intensity or cessation. DSM-5 Category: Sexual Dysfunction Introductionįemale orgasmic disorder is a sexual dysfunction disorder that effects as many as 42% of women at some time during the lifespan.