As a result of intense and long-lasting sexual stimulation, the physical and mental response is called ORGAZM. Despite the sexual stimuli, it is also called ANORGASM that physically inability to reach the peak of pleasure. Masters and Johnson conducted long researches in the 1950s and 60s and divided the orgasm process into four phases. The first of these stages; is the phase of excitement. It occurs with the beginning of sexual stimuli with person’s physical or fantasy constructions. With the continuation of these stimuli, the plateau stage is started. During the plateau stage, there are physical changes in the erogenous areas against the sexual stimulus and the sense of pleasure is quite high. With the continuation of the sexual stimulus, the sense of pleasure increases to the upper level, and entered the orgasm stage which is the ejaculation in men and is manifested by rhythmic contractions in the vagina for a few seconds in women. After this stage, the physical differences in the body gradually begin to return to normal (pulse, clitoris, inner lips, nipples, etc.). This phase is called the dissolution phase. Anorgasmia is caused by any of these stages.
Anorgasmia is one of the most common sexual dysfunctions in our society and treatment is possible.
Causes of Anorgasmia
Not being able to reach orgasm is common problem for many women today. Female sexuality develops by learning as unlike male sexuality. Due to the social judgments and misconceptions about sexuality, women have difficulty in finding a field to develop themselves. Lack of knowledge and experience is one of the major causes of anorgasmia.
Dynamics of the relationship assigned the meaning and allocated time to sexuality by the partner / spouse are important factors in anorgasmia. However, relationship problems, deception, anger or resentments to the partner also trigger anorgasmia.
Even though not so often, physical factors can be found. Untreated vaginal infection, structural abnormalities in vagina, low sensitivity and deformations after vaginal delivery trigger anorgasmia.
Types of Anorgasmia
Coital Anorgasmia: It is a case of inability to climax through sexual intercourse.
Clitoral Anorgasmia: It is a case of inability to climax despite the masturbation or the partner’s stimulation of the clitoris.
No orgasm with the beginning of the active sexual life is called as primary type anorgasmia. From any period of sexual life, inability to have an orgasm for any reasons is called as secondary type anorgasmia. Anorgasmia, which develops depending on the partner or conditions, is also called situational type anorgasmia.
Orgasm, whether coital or clitoral, the main organ that needed is clitoris. The clitoris is the main pleasure organ of the woman. However, the brain is the other great factor that directs this process.
Treatment of Anorgasmia
Anorgasmia, which cannot be orgasm, is a curable sexual dysfunction. The first stage of anorgasmia treatment is a detailed gynaecological examination. A detailed gynaecological examination is essential to understand whether there is any intra-vaginal sensitivity, structural anomalies, and any physical causes. If this is not a physical factor after the examination, the therapy process begins. A detailed anamnesis / medical history taking in the treatment of anorgasmia is the first step to reveal the patient’s causes. An active therapy process must be started, which should be determined according to the individual’s reasons. Here, the sexual organization of the person, the created images, sexual myths and beliefs, dynamics of the relationship should be examined one by one. After this process, which we call cognitive therapy, the process of active therapy, that is, the process of behavioural sexual therapy begins. In this process, individual and paired works include practical homework are done. If there is an element that needs to be interfered in the relationship dynamics, family / spouse therapy should be included. After these studies, hypnotherapy is added to motivate the level of consciousness of the person and to provide reinforcement for the process.
Treatment of anorgasmia is an enjoyable process full of discoveries, which requires patience. Although it varies from person to person, it takes 10-12 sessions on an average.