Types of Anorgasmia

1. Primary Anorgasmia

• The individual has never experienced an orgasm in their life.

• More common in women.

• May be related to inadequate sexual education, anxiety, or deep-rooted psychological blocks.

2. Secondary Anorgasmia

• The individual previously experienced orgasms but is no longer able to.

• Often caused by trauma, relationship changes, medications, or medical conditions.

3. Situational Anorgasmia

• Orgasm occurs only in certain situations (e.g., during masturbation but not intercourse, or with one partner but not another).

4. Generalized Anorgasmia

• Orgasm is absent in all settings—solo or partnered sex.

Anorgasmia in Women

Female orgasm is complex, involving emotional, psychological, relational, and physical components.

Common causes include:

• Psychological factors: anxiety, fear, shame, past trauma

• Relationship issues: lack of trust, emotional disconnect, unresolved conflicts

• Hormonal changes: menopause, postpartum period, low estrogen

• Medical conditions: diabetes, multiple sclerosis, endometriosis

• Medications: antidepressants (especially SSRIs), antipsychotics, blood pressure drugs

• Inadequate stimulation or foreplay

• Lack of knowledge about one’s own body or clitoral stimulation

In India and other conservative societies, lack of sexual education and taboo around female pleasure are major contributors to anorgasmia.

Anorgasmia in Men

While orgasm and ejaculation often occur together in men, they are distinct processes—and in anorgasmia, orgasm is impaired even if erection or ejaculation is possible.

Causes of male anorgasmia:

• Psychological: performance anxiety, guilt, depression

• Medication side effects: SSRIs, opioids, antipsychotics

• Chronic illnesses: diabetes, neurological diseases, spinal cord injury

• Pelvic surgery or trauma

• Low testosterone

• Masturbation habits: high-frequency or specific techniques not replicable with a partner

• Relationship distress

Some men may also have delayed orgasm (a milder form) that takes a long time to reach climax or happens only during specific conditions.

How is Anorgasmia Diagnosed?

At our clinic, we provide a confidential and non-judgmental space to discuss your concerns.

The assessment includes:

• Detailed sexual history: onset, frequency, patterns

• Emotional and relationship history

• Medical and surgical history

• Medication review

• Physical and pelvic examination (when relevant)

• Hormonal or neurological evaluation (in select cases)

We use validated sexual function questionnaires and tools tailored for both men and women.

Treatment Options for Anorgasmia

Anorgasmia is treatable in most cases with a comprehensive and individualized approach. Treatment depends on identifying the root cause—whether psychological, physical, or relational.

1. Sex Therapy and Counseling

• Helps identify and resolve emotional blocks

• Improves communication with partners

• Focuses on body awareness, mindfulness, and sensate focus exercises

• Ideal for both individuals and couples

2. Cognitive Behavioral Therapy (CBT)

• Addresses anxiety, negative beliefs, trauma, or guilt related to sex

• Particularly useful in primary anorgasmia

3. Medication Management

• Adjusting or switching antidepressants (e.g., from SSRIs to bupropion)

• Hormonal therapy if low estrogen/testosterone is involved

• Use of agents that enhance arousal and pleasure (in selected cases)

4. Pelvic Floor Physical Therapy (Women)

• Helps reduce tightness and increase control of pelvic muscles

• Useful when vaginismus or pain coexists

5. Sensate Focus and Directed Masturbation

• Guided programs to reconnect with pleasure

• Use of vibrators or lubrication for enhanced stimulation

6. Partner Involvement

• Enhancing emotional intimacy

• Exploring new forms of stimulation or communication

Why Choose Our Sexual Medicine Clinic?

• 🧠 Multidisciplinary Team: Experts in psychiatry, gynecology, urology, and psychotherapy

• 🛡️ Safe, Respectful, Confidential Environment

• ❤️ Couple-Friendly Therapy Options

• 📊 Evidence-Based Protocols Customized for You

Whether you’re struggling silently or seeking answers after years of difficulty, our clinic is here to restore your sexual confidence and pleasure

Let’s Reclaim the Joy of Intimacy—Together

You don’t need to “just accept it” or pretend. Anorgasmia is real—and so is healing. If you or your partner are facing difficulties reaching orgasm, let’s talk.

Discover the full potential of your pleasure, connection, and sexual health. We’re here for you.