It is a condition in which women does not gets orgasm even after
prolong sexual intercourse &when she gets orgasm after prolong sex
then it is called inhibited orgasm. In some women even after normal
sex desire, excitation & enjoyment, they do not achieve peak o
sexual enjoyment i.e. orgasm. As against many women get multiple
orgasm during same sexual act. Some women get orgasm during clitoral
stimulation during manual stimulation or masturbation, but do not
orgasm during vaginal sex. The orgasm is divided into clitoral
orgasm & vaginal orgasm. In one study approximately 10% never
experienced the orgasm in their lifetime & rest few percent women
achieve the orgasm occasionally. The absence of orgasm is classified
as either primary means she has never experienced the orgasm.
Secondary or acquired anorgasmia is called when inhibited orgasm
develops later in life. Due to absence of orgasm coitus is not very
pleasurable for such ladies.
But luckily this problem is very easily amenable to treatment with
newer drugs & advent of modern sex therapy techniques. It may be
generalized i.e. absence orgasm with masturbation as well as no
coital orgasm also. It can be situational also in which she gets
orgasm with masturbation not during sex. In some women orgasm occurs
only after very prolong stimulation to wife so that couple is always
under pressure to achieve orgasm rather than enjoying the sexual
act. This kind of inhibited orgasm is very frustrating for the
Absence of orgasm is most common sexual dysfunction in women whether
married or unmarried.
Causes of Lack of Orgasm Are
(1) Hormones Disorder : Hypogonadotropic hypogonadism
(hypothalamic or pituitary deficiencies)
Hypogonadisms, Hypothyroidisms, Testosterone deficiency,
Hypogonadotropics states: Hypothalamic - pituitary deficiencies:
Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi
syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia,
Untreated endocrinopathies & Diabetics
Glucorticoids excess, Cushings disease, Addisons disease
2) Absence of proper excitation of G. spot by her partner
3) Weak P. C. Muscles
4) Wrong techniques of jerks & other sex techniques.
5) Due to fears due to various sexual myths
6) Any guilt or negative thinking about her sexuality
7) Excess asthenia i.e. chronic asthenia is a also a significant
cause of absent orgasm.
8) Defect of spinal cord
9) After an abdominal or uterine disorder requiring surgical
10) Any radiation exposure
11) Any major surgery on genitals
12) Multiple sclerosis
13)Addiction as chronic alcoholism, chronic smoker, heroin or
cannabis use. 14) Due to Drugs: Sedative: Narcotics, tranquillizers,
amphetamine, cocaine, many antidepressant, and
anti-psychotics, anti -hypertensives,
alprazolam, diazepam, many other drugs. 15) Due to Psychiatric disorder as depression, neurosis, &
many other psychiatric disorders. 16) Any kind of sexual dysfunction in man leading to
non-enjoyment of sexual act by female may lead to low desire
in women. 17) Any cause of painful sexual intercourse (as due to
vaginismus or dyspaerunia) will also lead to secondary loss
of interest in sex in females whether married or unmarried.
Disorders of Sex Centre
n the brain there is a particular center in the hippocampus part of
fore brain, which regulates the enjoyment achieved during sex. When
this peak excitation reaches a particular threshold, the muscles
around vagina starts contracting. This phenomenon is called orgasm.
Sex center has some well-defined portion, which control different
component of normal sexuality. These are as follows as one part of
sex center controls sexual desire other parts controls excitation
i.e. lubrication in response to sexual excitation, time taken in
orgasm & enjoyment of sexual act including enjoyment of orgasm. So
any disorder of sex center due to various causes can lead to absent
orgasm in females. This occurs due to orgasm controlling portions of
sex center does not achieves the peak of sexual excitation & final
orgasm so that in spite of \not having any physical or mental
disorders the patient either does not getting orgasm or getting it
after long delay. Beside absent orgasm patient may be sexually
otherwise fit or patient may be suffering with low desire or some
other sexual dysfunctions.
The causes of sex centre dysfunction can be divided into two groups:
(1) immediate cause, and (2) remote causes. Such a classification is
helpful in the treatment of decreased libido. If the loss of desire
is due to immediate causes, a removal of these factors results in
adequate sexual desire. If it is due to remote causes, then detailed
sex therapy may be necessary for a more lasting cure.
2) Sexual Performance anxiety means development of anxiety
before sex. Patient develops obsessive concern for her orgasm i.e.
whether or not She'll get orgasm. Due to this anxiety She tries to
concentrate more on getting it & contracting the pelvic & leg
muscles rather than allow it to occur in natural response to erotic
pleasure. But unluckily most ladies do not know that orgasm occurs
spontaneously & automatically in response to more & more enjoyment
she gets in touching & loving by her partner. Thus the more she
tries to get orgasm, but the just opposite happens i.e. she never
gets it. Thus this anxiety to get orgasm every time where as it
really further worsens the prospects of getting orgasm. This
performance anxiety can be cured by sex therapy in few sittings.
3) Spectator Attitude: Those women who suffer with
absent orgasm, whenever She goes for sexual activity though engaged
love making, her brain is always thinking and involuntarily
(unconsciously) trying hard to achieve the vaginal orgasm. This is
called spying for her own orgasm. Thus her mind is always
preoccupied about whether she'll get the orgasm or not. Thus in
place of enjoying the sexual experience , She remains concerned for
orgasm, thus sex centre does not reaches the peak & orgasm never
occurs. She loses confidence in her capability to achieve the
orgasm, and instead of relaxing & enjoying She starts watching her
own sexual responses like 'spectators', rather than being involved
in what is going on. So that in place of enjoying the partner's
touch, She always keeps spying her own sexual response leading to
lack of enjoyment of sexual activity thus\leading to repeated
failures in getting orgasm.
These all above problems contributes to repeated absent orgasm. So
that in all cases of absent orgasmic patients, after proper
diagnosis & treatment of primary cause, these secondary problems
also need to be tackled by sex therapy then only patient can get
permanent cure. So by sex therapy, the patient is taught how to
avoid spectator role and become free of performance anxiety.So these
problems hinder her in getting orgasm
Thus the anxiety of failure into getting into orgasm and
spectatoring (the patient watching all the time to see if She'll get
orgasm or not) are also the important cause. After correcting these
causes the normal orgasm starts occurring. If these factors are
removed by sex therapy, orgasm starts occurring. The new, intensive
team treatment of sexual dysfunction has revolutionized sex therapy.
'In most cases, for cure of absent orgasm detailed sex counseling &
sex therapy is necessary.
DIAGNOSIS OF CAUSE
First step in proper treatment of low sex desire is accurate
diagnosis of cause of her absent orgasm during sex. So we first try
to find out cause. We take detailed history, thorough sex counseling
and physical examination by female doctor, examination genitals.
After that depending on likelihood of particular, cause relevant
tests are done at our centre. Thus you may consult us at our centre
& at same time you may get all test done also. The time taken in
getting all the reports ready is 36 hours. So if you are from out of
Delhi, you may come here for two days.
For diagnosis of cause of absent orgasm, detailed history is taken.
After which thorough physical examination is done for relevant
Onset: We take detailed history, as for duration of absent or
delayed orgasm whether it is from the beginning or of recent onset,
whether it is mild, moderate or severe. Then we decide whether it
occurs all the time or only occasionally. How is the response of
previous treatment? Response to previous therapy, any pain during
sex, Stress (physical or mental), History of precipitation by some
drugs any past history of sexual abuse or painful sex.
EXAMINATION OF GENITALS:
We examine whether any Sexual Development defect is present or not.
The vagina is examined for some local problem. If the vaginal
examination is painful with accompanied spasm is proof of the some
local cause. Status of female hormone is assessed by examination of
various estrogenic signs. Galactorrhoeas & features of other
hormones disorders are checked up. Blood supply of vagina is
assessed by, palpating texture of vaginal wall. Nerves supplying the
female genitals examined by sensation testing & Deep Tendon
Then other systems of body are also examined.
For diagnosis of cause of investigation following tests are
required. These tests include
Complete sex hormones profile as Estradiol, SHBG etc.
Investigation for systemic diseases
Other tests which may be required depending on likelihood of the any
of above causes.
Detailed Sex Counseling: detailed sex counseling session, in which
our male & female sex counselors meet with respective patient,
talking in detail resulting in detection of primary cause leading to
low sex desire.
In biochemistry Tests as liver function or kidney function tests are
These tests confirm the diagnosis of absence of orgasm confirmed.
TREATMENT OF ABSENT ORGASM
Once the diagnosis of lack of orgasm is confirmed after detailed
history, examination, relevant investigations, we start the
treatment. It involves giving the sex therapy session, which is
focused on eliminating the anxiety & spectatoring for achieving
orgasm & hormone therapy or other treatment as indicated.
The various treatment options are:
1) Sex Therapy
2) Hormone Therapy
3) Treatment of any secondary cause found as infection, or local
cause or any psychiatric disorder. 4) Sex Therapy: The various sex therapy is offered by sex
therapist are structured directed sex therapy sessions leading to
elimination of the anxiety that whether She'll achieve the orgasm or
not & She becomes confident of her ability. By these exercises she
starts getting orgasm regularly. Along with we tell the partner
about the various sexually very sensitive areas of her body
including G. spot, stimulating which in proper way makes women get a
very intense orgasm. Then various vibrators are used which leads to
quick discharge. Sex therapy begins with detail sex education about
the anatomy of male & female genitals. Then we give the patients
specific exercises, which, the couple has to do at their home. After
every exercise session lady becomes more confident in her ability to
achieve the orgasm. Along with these exercise various orgasmic tools
are also used. With these exercises along with behavioral therapy,
hypnotherapy, & couple's therapy leads to cure in approximately two
months. Certain pelvic exercises also help in getting orgasm
quickly. We teach patient how to eliminate excessive focusing on
having an orgasm.
Even some women fake the orgasm to please her partner & hide her
inadequacy. 4) Hormones Therapy: Hormones therapy is given to
cure the hormone problem whenever hormone disorder is found.
Estrogen treatment is given when deficiency of hormones are found.
Hormones therapy helps n fast cure of this problem & do not have any
adverse effects as they given to only those patients in whom some
hormone disorder is found. 5) Other drugs found effective are anti-inflammatory,
serotonin reuptake inhibitors etc are used when indicated. Response of Treatment: As we have fully dedicated team of
highly qualified, experienced, doctors, sex counselors, sex
therapist, who are expert in the treatment of female sexual
problems, we get cure in almost all cases. It is cured in most
patients by two months treatment.
We get patients from all
major cities in India & Abroad . In the following cities all the
facilities for investigation & treatments including medicines are
available as Delhi (North, South, East, Central, West, New Delhi). To
Different Communities like Hindustani, Hindustan, Hindu, Christian,
Muslim, Sikh, Parsee. The other cities are NCR, National Capital Reagion in India, Indian, Hindustan, Ghaziabad, Faridabad, Noida,
Gurgaon Gurugram, Meerut, Bombay, Chandigarh, Calcutta, Simla, Jammu, Srinagar,
Aligarh, Lucknow, Kanpur, Allahabad, Varanasi, Dehradun, Madras, Kolkatta,
Nainital, Agra, Jaipur, Bikaner, Jodhpur, Porbandar, Dwarka, Ahmedabad,
Gandhi Nagar, Vadodara, Surat, Mumbai, Pune, Thane, Panaji, Nasik, Nagpur,
Indore, Ujjain, Bhopal, Gwalior, Jabalpur, Raipur, Hyderabad, Goa, Visakhapatnam,
Bangalore, Banglore, Bangalooru, Mysore, Mangalore, Manipal, Chennai,
Pondicherry, Madurai, Kanchipuram, Coimbatore, Kanyakumari, Ernakulam,
Trivandrum, Darjeeling, Gangtok, Bhubaneswar, Puri, Guwahati, Shillong,
Imphal, Kohima, Agartala, Patna, Ranchi.
We provide treatment for :
Best Sexologist India Delhi Popular Most Famous Expert Qualified Sexologists
Sex Problem Treatment New Noida Best Qualified Indian East West North South
Central Gurgaon Gurugram Faridabad Ghaziabadhormone therapy is one of
the very remarkable advancement in the last 5 years.