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ANORGASMIA
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ANORGASMIA
An overview of its incidence, causes, consequences,
management, and potential treatment
© Doctor Andrew Rynne
Introduction
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Definition
Also Female Orgasmic Disorder (FOD) or Anorgasmia is defined as a woman’s sustained
and permanent inability or delay in reaching orgasm through intercourse alone after
sufficient desire, arousal and sexual stimulation have taken place. The term “Anorgasmia” as
commonly used is in fact a misnomer. It is often applied to women who can reach orgasm
alright but they can not reach it through intercourse alone.
What is then often referred to as“anorgasmia” should more accurately be called “Vaginal
Anorgasmia”.
Since women vary widely in the type and intensity of stimulation that they require in order to
trigger a vaginal orgasmic response, certain caveats have to be included with this definition.
They are:

A woman’s orgasmic capacity needs to be considered in the context of her age,
sexual experience, and adequacy of sexual stimulation she receives.

Her Anorgasmia (vaginal) must cause measurable distress or interpersonal
difficulties. Indeed so common is it for women not to experience orgasm during intercourse
that this may be viewed as “normal” and not a “problem” at all. After all, if the same woman
can reach orgasm through manual or oral clitoral stimulation, then where is the “problem”

A more compelling diagnosis other than FOD does not fit better. For example, if the
woman suffers from a chronic illness, depression or is on multiple medications, then her
Anorgasmia may be a reflection of this rather than a primary diagnosis.
In addition to this, Female Orgasmic Disorder may be Primary or Secondary.
Primary Vaginal Anorgasmia is the lifelong and apparently causeless total Vaginal
Anorgasmia. It is more complex and is not the subject of this short article. Primary total
anorgasmia may only be resolved through skilled Sex Therapy. A good place to start may be
to read For Women Only by Jennifer Berman.
Secondary Anorgasmia, on the other hand, is where the woman was once vaginally
orgasmic but due, perhaps to some trauma, later lost that capacity. It may be experienced
under all circumstances – total Anorgasmia or only under particular circumstances –
situational anorgasmia. It may be due to psychological or multiple factors.
Another feature of FOD is that it often remains hidden or occult throughout the woman’s life.
This may come about because she feels it is easier to fake orgasm rather than run the risk of
bruising her partner’s fragile ego. After all, she can always orgasm later in the privacy of her
own company through masturbation. So why rock the boat?
© Dr Andrew Rynne 2010. All rights reserved. No part of this document should be reproduced
without prior written consent.
Finally, female vaginal orgasmic disorder must not be confused with other female sexual
dysfunctions. In particular, Dyspareunia or painful intercourse, sexual aversion and female
sexual arousal defect may each cause the woman to be non-orgasmic but that is not the
primary diagnosis. It is important that the therapist tease all of these things out before one
embarks on the management of this condition.
1
Incidence and Consequences
Female vaginal orgasmic disorder is not a rare condition. Most studies enquiring into its
prevalence return an incidence of the order of at least one in four women have an inability to
climax through sexual intercourse alone. Given that many women may be in denial to
themselves and their partner about their Anorgasmia, then the incidence may be a lot higher
than one in four.
However, as alluded to above, if something occurs in as many as one in four or one in three
women then one must question the validity of referring to this as a “dysfunction”. Depending
entirely on how it is perceived and on how it is affecting her, an inability to orgasm during
intercourse can be viewed as perfectly normal or as a problem. Viewing it as normal is
certainly less challenging.
The consequences to a woman or to the couple engaged in sexual activity, of not being able
to climax during intercourse may vary from none at all to a situation where it causes
considerable distress. This in turn may arise from the man blaming himself or feeling
inadequate that he has somehow failed as a lover.
Alternatively, it may be the woman simply desiring to experience an orgasm through
intercourse and feeling somewhat incomplete in not being able to do so.
2
Causes
When it comes to considering the causes of female Vaginal Anorgasmia, the first thing to
consider is this. Since it is such a very common phenomenon -- so common indeed as to be
normal, then it has no cause, it is natural.
Where however, Vaginal Anorgasmia is causing distress, then the following are common
underlying factors that might be found:

Depression and the use or SSRI’s antidepressant medication

Poor lifestyle, poor diet, lack of exercise, overindulgence in alcohol and cigarettes,
use of illicit drugs

Poor interpersonal relationship, lack of trust, annoyance, resentment or anger

Inadequate sexual stimulation. Premature ejaculation in the man
© Dr Andrew Rynne 2010. All rights reserved. No part of this document should be reproduced
without prior written consent.
3
Treatments or Management
Many women work out their own ways of dealing with complaints from their partner about
their apparent inability to reach orgasm through intercourse. The easiest way to do this is to
fake orgasm by appropriate porn-movie style grunts and tremors. However, open and honest
dialogue where possible is always preferable in good intimate relationships. Men need to be
told and sometimes shown what it is exactly that his partner enjoys. Then, if he ensures that
she always, reaches orgasm before intercourse commences then that should be problem
solved.
There are however some strategies for overcoming Vaginal Anorgasmia that are worth
trying. These are all well covered in standard sex manual and involve sexual positions that
bring about maximum clitoral and G spot stimulation from the thrusting penis.
Finally, where Vaginal Anorgasmia is causing a real problem in a relationship and no amount
of sexual positional ingenuity seem to be helping, then a few visits to a skilled Sex Therapist
may be indicated. In practise practically all Vaginal Anorgasmia can be overcome if so
desired. All that is required is patient perseverance.
4
Final advice
I genuinely hope this guide has given you some valuable information and has armed you
with the confidence to go and seek a diagnosis for your Vaginal Anorgasmia.
Because, without a professional diagnosis first, you can never be certain that the treatment
you are taking for your condition is appropriate or optimum.
You should also bear in mind that understanding your condition is a large part of the cure
and that is why discussing it with a specialist is so important.
So, good luck with obtaining a full diagnosis of your condition and I hope that it will lead you
to a suitable cure for your Vaginal Anorgasmia.
© Dr Andrew Rynne 2010. All rights reserved. No part of this document should be reproduced
without prior written consent.
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Note:
This publication is not intended as a substitute for discussing your sexual dysfunction with
your own doctor. Always seek medical advice if you are worried. No promise is given that
reading this information booklet will in anyway address or improve your unique sexual
problems.
For more information please visit: www.doctorrynne.com
© Dr Andrew Rynne 2010. All rights reserved. No part of this document should be reproduced
without prior written consent.