Explanations of a Romanian expert. Why some women fail to have orgasms and how to treat them

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One in five women suffer from anorgasmia, meaning they cannot orgasm at all or touch it hard. The number of men with this problem is smaller, but they are indirectly affected by the problem of partners.

Depending on the cause, anorgasmia can be cured by psychological self-awareness or couples therapy, sex hormone therapy or genital malformation correction operations.

There are several types of anorgasmia: primary (the woman has never had an orgasm), secondary anorgasmia (she had a period), occasional anorgasmia (when she can reach the orgasm only by stimulating the clitoris), and general anorgasmia (she can have no orgasm at all). ).

Orgasm is a complex reaction of the body and, even if one does not have to think too much, its success is influenced by both physical and mental factors. "Anorgasmia has three causes: either you are not working well physically, either endocrinologically or psychically," explains psychiatrist and sexologist Roxana Mischianu, from Colentina Hospital.

"Not all women are built the same. Some are endowed with less erectile tissue, or of poorer quality. This tissue, which influences the response to sexual stimuli, is located in the area of ​​the clitoris, in the walls of the vagina and in the area of ​​the anus or perineum, ”explains the sexologist.

Genital malformations, which can be corrected by surgery, are another cause of this dysfunction. "If the clitoris has a strange shape, is sucked or has any other defect, women cannot reach orgasm."

Diabetes, neurological diseases, gynecological operations are the main conditions that prevent orgasm. Very often, its lack is related to vaginismus (which makes penetration painful) or vaginal dryness.

Drugs that regulate blood pressure, antihistamines (allergy medications) and antidepressants produce hormonal disorders that no longer allow sexual stimuli to reach the brain.

With aging, normal changes occur at anatomical, hormonal, neurological and blood circulation levels. Decreasing the level of estrogen at menopause decreases sexual appetite and sensations, because it affects the blood circulation to the vagina and clitoris.

Testosterone therapy and body self-awareness

Psychological therapy focuses on learning about the couple's special touches and exercises, self-knowledge of highly erogenous areas. "Psychologists are teaching women to stimulate their erogenous areas and discover for themselves how they can best achieve orgasm," says the sexologist.

Medical treatment includes the treatment of basic diseases, sex hormone therapy or surgery. Estrogen therapy (pills, gels, ova or patches) accelerates circulation in the vagina and increases sexual appetite.

In some cases, your doctor may recommend a combination of progesterone and estrogen or testosterone therapy, effective in women who have had ovarian removal.

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