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Sexuality is a major concern for people, regardless of their sex or gender. Usually, the cycle of sexual response ends with orgasm. Therefore, living in a hypersexualized society and not having orgasms regularly seems sacrilege. But is this really a problem?
Different studies show that the definition of orgasm is not easy, because it is something that is experienced in a very subjective way.
Generally speaking, we can say that this is a variable and transient peak of sensation of intense pleasure, which creates an altered state of consciousness accompanied by rhythmic and involuntary contractions of the pelvic muscles, with an induction of good. -being and joy.
Anyone who has experienced an orgasm can recognize it, even if the definition was different. But when that doesn’t happen, what happens?
We are facing an orgasm disorder. This is defined as a permanent or recurring difficulty, delay or failure to reach orgasm after sufficient sexual stimulation, causing personal distress. This is called anorgasmia or the absence of orgasms.
The causes can be very different from person to person, as orgasm is influenced by psychological, cultural and physical factors.
In the physical factors we can find hormonal disorders, such as decreased testosterone levels, the influence of other drugs (mainly SSRI antidepressants) or any injury or alteration to the genitals and parts of the body involved in the sexual response (bone marrow injury or muscle damage due to the pelvic floor). Age or chronic disease also play a role.
On the other hand, psychological factors, like in other sexual dysfunctions, are very present in anorgasmia. More precisely, depressive and anxiety disorders desire and excitement decrease.
Also included in this group are previous negative sexual experiences, stories of abuse and mistreatment or traumatic experiences the failure.
Additionally, milder things such as fear of getting carried away or anxiety about sexual performance, which taken to the extreme, can prevent the person from reaching orgasm by not avoiding these intrusive thoughts. .
Finally, cultural factors can intervene. Among them are those who are interconnected with the current relationship, lack of communication or intimacy, insufficient erotic games, sexual encounters that end before the woman is sufficiently aroused or relationship problems.
It is important to explain that there are also other cultural issues, especially in the case of women, in which the sexual response is influenced by negative cultural conditioning over the centuries, rare sex education or a lack of sexuality. negative attitude towards sex.
But identifying the causes is not that simple. Anorgasmia, like most sexual dysfunctions, is usually not caused by one factor, but a set of several at once.
Likewise, it usually does not appear on its own, as it is usually accompanied by other dysfunctions. If one phase of the cycle is disturbed, others are decompensated. Therefore, the treatments are generally varied.
The types of treatment largely depend on the causes of anorgasmia. Psychosexual and pharmacological treatments are the most frequent.
Pharmacological treatments depend, to a large extent, on each person. Among the most common, there is mainly the use of testosterone. Other drugs also used are phosphodiesterase 5 (PDE-5) inhibitors, as well as anxiolytics.
On the other hand, the most recommended option for anorgasmias caused by psychological and cultural factors is psychosexual therapy. As a starting point, we recommend sensory and sexual eroticization in both men and women with anorgasmia.
Likewise, it seeks to provide sexual information to counter sexual myths and work on negative attitudes and thoughts. Self-stimulation and directed masturbation, personal or in pairs, are favored.
Sensory targeting programs are implemented, which are a type of systematic desensitization, psychological therapy applied to the sexual sphere. In them the person is exposed to sensual and sexual situations with increasing levels of difficulty and anxiety.
Finally, the erotic toy machine, in which there are mainly clitoral suction cups and vibrating male masturbators.
Based on the above, it can be said that anorgasmia has been considered culturally and scientifically for a long time as a female sexual dysfunction, although it has been seen that this is not the case and that men can also suffer from it.
Based on the question we asked ourselves whether it is a health problem or not, we can say that in order for it to be considered a problem, two essential characteristics must be given: that orgasm does not occur despite adequate sexual stimulation and causes distress in the person.
If you have doubts but don’t meet both of these conditions, this probably isn’t for you.
* Cristina Guerra Marmolejo is a nurse and sexologist, and a teaching and research professor in the Department of Nursing and Podiatry at the University of Malaga. His article was published in The Conversation.
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