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Anorgasmia psychosomatics

Anorgasmia is when a woman doesn't have orgasms, or has them very rarely, even though she wants intimacy and feels aroused.

Anorgasmia psychosomatics: explained by Aizhan Li, author of the Ladder method
Айжан Ли
Aizhan LiAuthor of the Ladder method
Updated

What psychosomatics says

In psychosomatics, anorgasmia is linked to a ban on pleasure. “Good girls don't do that.” “Sex is dirty.” “Pleasure has to be earned.”

Other causes are fear of losing control, shame about your body, a bad experience in the past. Sometimes it's a wish to be somewhere else, with someone else.

Psychosomatics helps you find where you forbid yourself joy, and take that right back.

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Quick check: what may be behind it

  1. What did you hear about pleasure as a child?

  2. Can you relax and stop controlling everything?

  3. Where else in your life do you forbid yourself joy?

What it is

Many women face this. According to the MSD Manual, about one in ten women never has an orgasm, and some of them are still happy with their sex life. And during vaginal sex, fewer than half of women regularly have an orgasm.

Most often the cause isn't in the body. Fatigue, stress, your relationship with your partner, not knowing enough about your own body and fears all play a part. Sometimes the cause is medication, such as antidepressants, hormonal problems or conditions of the nervous system.

Doctors speak of anorgasmia when orgasm is absent, rare, weak or very delayed almost every time you're intimate, this lasts at least 6 months, and it upsets the woman.

Anorgasmia is treated by a gynecologist and a sex therapist. Talking with your partner and getting to know your body help.

How it shows up

A gynecologist and a sex therapist can help.

Frequently asked questions

Is anorgasmia psychological?

Often, but not always. Orgasm can be affected by medications, such as antidepressants, by hormones, illness and pain. That's why you start with a gynecologist and a sex therapist, while psychosomatics looks at bans, shame and the fear of losing control.

What is the psychosomatic meaning of anorgasmia?

Anorgasmia is linked to a ban on pleasure: “good girls don't do that”, “pleasure has to be earned”. Other causes are shame about your body, a bad experience in the past, a wish to be with someone else.

Is something wrong with me if I can't orgasm?

No. Many women rarely reach orgasm from penetration alone, and that's normal. People just rarely talk about trouble with orgasm, even though it's common.

Sources

  1. Orgasmic Disorder in Women. Справочник MSD (MSD Manual), 2023
  2. Female Orgasmic Disorder. Справочник MSD для специалистов (MSD Manual Professional Edition), 2023

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Psychosomatics does not replace tests and treatment. Only a doctor can make a diagnosis.