Orgasm is an intense sensation of pleasure that alters our consciousness and is accompanied by a state of well-being and pleasure. It is usually achieved through erotic and sexual stimulation, but there are people who are even able to reach orgasm only with their imagination.
At the other extreme is anorgasmia, dealing with the difficulty or inability to have orgasms despite adequate sexual arousal and stimulation. This condition can occur in either sex, although it has been reported more in women.
Feminine anorgasmia, previously misnamed "sexual frigidity", is the inhibition (may be delay or absence) of the orgasmic response after a normal excitation phase produced by adequate stimuli. It is not related to the size of the vagina or the pelvic musculature.
According to the DSM-V, it can also be a reduction in intensity of orgasmic sensations. The age variable is very important, since it occurs more frequently among young people because the female orgasmic capacity increases with age, variety of stimulation and body self-knowledge. Still, up to 10% of women do not experience an orgasm in their lifetime.
Male orgasmic dysfunction (DOM), which includes delayed ejaculation or absence of ejaculation, is a more frequent problem than we think, which has been and continues to be silent due to the social pressure that links male masculinity. men with the ability to ejaculate. Likewise, in our culture the male orgasm is linked to ejaculation, but in other cultures they differentiate between orgasm and ejaculation, as in tantric sex, where anejaculatory orgasm is practiced.
Delayed ejaculation, also called orgasmic inhibition, is characterized by the persistent absence or delay of orgasm after a phase of normal sexual arousal. The erection is maintained but is not ejaculated, and can lead to anorgasmia because intercourse becomes unpleasant.
Some factors to take into account are that it usually occurs during intercourse but not with masturbation (most manage to reach orgasm manually or orally), and that it increases with age, especially after 50.
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Although the etiology of anorgasmia is not entirely clear, the difficulty in reaching orgasm may have several related risk factors:
Biological and physiological factors
Among them are:
Psychological causes
They are usually the most frequent and include:
Drugs
Intake of certain medications may have orgasmic inhibition as a side effect. The types of drugs in which this effect has been seen the most are:
Relationships
Depending on how they are, these can be an influencing factor in the ability to reach orgasm. For example:
Sociocultural influence
Social taboos and inadequate and insufficient education are also problems that, although more indirectly, enhance the difficulty of reaching orgasm.
Orgasm is the culmination of sexual response. Although it must be borne in mind that not all orgasms are the same, there are a series of indicators by which we can know if we have reached orgasm.
When we reach climax, a wave of contractions of the circumvaginal and uterine pelvic muscles occurs, in the case of women, and rhythmic contractions of the prostate gland, the seminal vesicles and vas deferens that drive the semen to the base of the urethra in the case of men. Apart from muscle tension, it is also frequent to experience an increase in blood pressure and in the heart and respiratory rhythm.
Furthermore, all this is usually accompanied by a sense of gratifying pleasure and subjective well-being.
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