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No Orgasm? It May Mean Poor Arousal
by Leonard DeRogatis, Ph.D.
Women do not experience orgasm as reliably as men, and reports of difficulty reaching orgasm are common. Usually, men can have an orgasm, although rarely, men may have what's called an inhibited orgasm. Even a man whose prostate has been removed can still have an orgasm.
Many women require direct clitoral stimulation before orgasms; some women have never had an orgasm. From what we know about the differences in sexual response between men and women, it seems that the female orgasm is more dependent upon certain conditions such as her constitution, her partner, the quality of the couple's lovemaking, and her mood, stress, and energy levels.
Despite these many factors affecting a woman's ability to orgasm, a single word may help to describe the source of orgasmic problems experienced by many women: arousal. Women are often insufficiently sexually aroused to reach orgasm.
Arousal tends to take longer, is more vulnerable to interruption, and is more difficult to restore in women than in men. A broader range of stimuli arouse men, whereas women's arousal tends to be much more contextual.
Let's look at two examples. First, women who suffer from low testosterone complain of difficulties with sexual arousal and also, often, of loss of orgasmic capacity. Frequently, a treatment regimen of replacement testosterone restores not only arousal, but also the capacity for satisfying orgasms.
If arousal is not restored, orgasmic capacity will not return, either. A second example comes from a recent case report in which three women who were taking SSRI antidepressants and suffering from anorgasmia (inability to have an orgasm) were given Cialis, a PDE5 inhibitor, before engaging in sex.
Medications in the PDE5 class (Viagra is another) work specifically on the body's arousal mechanisms. All three women responded to the Cialis and regained their capacity for orgasm.
Low hormone levels (in the first example) and a side effect of a drug used to treat depression (in the second) may interfere with a woman's ability to become sexually aroused.
Other factors, such as boredom, partner conflicts, stress from jobs or children, or psychological inhibition can also impair sexual arousal. It's important for a woman first to establish what factors are blocking her arousal, and then to work with an appropriate health professional to address her specific problem. [标签:content1][标签:content2]
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作者:admin@医学,生命科学 2011-06-23 05:17
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