Female orgasmic disorder

Female Orgasmic Disorder
Synonyms	N/A
Pronounce	N/A
Specialty	N/A
Symptoms	Difficulty achieving orgasm, reduced intensity of orgasm
Complications	Relationship issues, decreased quality of life
Onset
Duration
Types	Primary, Secondary
Causes	Psychological, physiological, medication-related
Risks
Diagnosis	Clinical assessment, patient history
Differential diagnosis	Other sexual dysfunctions
Prevention	N/A
Treatment	Psychotherapy, medication, lifestyle changes
Medication	N/A
Prognosis	Varies
Frequency	Common
Deaths	N/A

Female Orgasmic Disorder (FOD) is a type of sexual dysfunction characterized by a persistent or recurrent delay in, or absence of, orgasm following a normal sexual arousal phase, which causes marked distress or interpersonal difficulty. This condition is recognized in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) and is considered a significant issue affecting women's sexual health.

Classification

Female Orgasmic Disorder can be classified into two main types:

• Primary Female Orgasmic Disorder: This occurs when a woman has never experienced an orgasm under any circumstances.
• Secondary Female Orgasmic Disorder: This occurs when a woman who previously experienced orgasms is no longer able to do so.

Etiology

The causes of Female Orgasmic Disorder are multifactorial and can be broadly categorized into psychological, physiological, and medication-related factors.

Psychological Factors

Psychological factors can include:

• Anxiety
• Depression
• Stress
• Relationship issues
• Sexual abuse or trauma
• Negative attitudes towards sex

Physiological Factors

Physiological factors may involve:

• Hormonal imbalances
• Neurological disorders
• Chronic illnesses such as diabetes or multiple sclerosis
• Pelvic surgery

Medication-Related Factors

Certain medications can contribute to Female Orgasmic Disorder, including:

• Antidepressants (particularly SSRIs)
• Antipsychotics
• Antihypertensives

Diagnosis

Diagnosis of Female Orgasmic Disorder involves a comprehensive clinical assessment, including:

• Detailed medical history
• Physical examination
• Evaluation of psychological and relationship factors

Differential Diagnosis

It is important to differentiate Female Orgasmic Disorder from other sexual dysfunctions such as:

• Female Sexual Interest/Arousal Disorder
• Genito-Pelvic Pain/Penetration Disorder

Treatment

Treatment for Female Orgasmic Disorder is often multidisciplinary and may include:

Psychotherapy

• Cognitive Behavioral Therapy (CBT)
• Sex therapy
• Couples therapy

Pharmacotherapy

• Off-label use of medications such as bupropion

Lifestyle Modifications

• Stress reduction techniques
• Mindfulness and relaxation exercises

Prognosis

The prognosis for Female Orgasmic Disorder varies depending on the underlying causes and the effectiveness of treatment. Many women experience improvement with appropriate therapy and support.

See Also

• Sexual dysfunction
• Female Sexual Interest/Arousal Disorder
• Sex therapy

External Links

• Women's Health.gov
• Sexual Health.org