Orgasm - Sexual Climax
An
orgasm (sexual climax) is the conclusion of the plateau phase of sexual
response cycle, and may be experienced by both males and females. It is
accompanied by quick cycles of muscle contraction in the lower pelvic muscles,
which surround the primary sexual organs and the anus.
Achieving orgasm
- The most common way of achieving
orgasm in women is by the stimulation of clitoris
- Women can get an orgasm
during vaginal intercourse, oral sex (cunnilingus), masturbation, or other
types of non-penetrative sex
- Female orgasm may also be achieved
by stimulation of the nipples, uterus, or other erotic zones
- At times psychological arousal may
be sufficient to lead to an orgasm, for e.g. during dreaming (which
may result in a nocturnal emission)
- Stimulation of an internal
structure called Skene's gland plays an important part in female
orgasm. In common use, this area is referred to as G-spot
Anal stimulation
"Anal orgasm" is orgasm achieved during anal
stimulation, such as during anal sex, or by inserting a finger or a sex
toy. Both men and women can achieve anal orgasm. Hence, anal-oral contact can
still be pleasurable without stimulation of the clitoris.
Breast and nipple stimulation
A "breast orgasm" is a female orgasm that is
triggered by the stimulation of a woman's breast , even the individual's
nipples are stimulated and become erect.
Medical aspects of orgasm
- Orgasm in women lasts much longer
than in men
- It is preceded by stiffening
of the clitoris and moistening of the vaginal opening
- Just at the point of orgasm, the
outer part of the vagina tightens and narrows while overall the vagina
lengthens and dilates and also becomes engorged
- This is followed by muscular
contractions in the uterus
- During a full orgasm, a woman's
uterus, vagina, anus, and pelvic muscles go through a series of rhythmic
contractions
Multiple orgasms
At times women can have a second orgasm soon after the first one
without experiencing a refractory period. Many women find the
subsequent climaxes to be stronger or more pleasurable than the initial
one. In some women, the clitoris and nipples are very sensitive after
climax, because of which further stimulation maybe painful.
Absent Orgasm
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 orgasms 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 couple
Absence of orgasm is most common sexual dysfunction in women whether married or unmarried.
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 couple
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, hyperprolactinemias,
Hypogonadotropics states: Hypothalamic - pituitary deficiencies: Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia, Glucorticoids excess, Cushings disease, Addisons disease, Hypothyroidisms, Untreated endocrinopathies & Diabetics
Ovarian Dysfunctions,
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 procedure
10) Any radiation exposure
11) Any major surgery on genitals
12) Multiple sclerosis
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 procedure
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, antidepressant, and anti-psychotics, anti -hypertensives, 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.
14) Due to Drugs: Sedative: Narcotics, tranquillizers, antidepressant, and anti-psychotics, anti -hypertensives, 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 Center
In the brain there is a particular center in the hippo campus
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. 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.
The causes of sex center 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. 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. 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.
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. 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. 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.
'In most cases, for cure of absent orgasm detailed sex counselling & 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 counselling.
DETAILED HISTORY
For diagnosis of cause of absent orgasm, detailed case history
is taken. Along with we suggest some lab investigations
Detailed Sex Counselling: sex counselors meet with respective
patient, talking in detail resulting in detection of primary cause leading to
low sex desire.
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 & spectating for achieving orgasm..
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 & spectating for achieving orgasm..
Treatment options
1) Sex Therapy:- 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. With these exercises along with behavioural
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.
Even some women fake the orgasm to please her partner & hide her inadequacy.
2) Medicines –Homeopathy
medicines works well for this issue
If
you realize that you won’t feel the Orgasm yet? Then You can consult a Sex
Educator to know the Cause for Lack of Orgasm, Who will guide you the best.
For
more details & Consultation Feel free to contact us.
Vivekanantha Clinic Consultation Champers
at
Chennai:- 9786901830
Panruti:- 9443054168
Pondicherry:- 9865212055 (Camp)
For appointment please Call us or Mail Us
For appointment: SMS your Name -Age – Mobile Number - Problem in Single word -
date and day - Place of appointment (Eg: Rajini – 30 - 99xxxxxxx0 – Lack of
Orgasm – 21st Oct, Sunday - Chennai ), You will receive Appointment details
through SMS
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