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Anorgasmia / Dysorgasmia
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Anorgasmia / Dysorgasmia - No Orgasms, Diminished Orgasms, Painful Orgasms

Anorgasmia / Dysorgasmia - Orgasm Related Problems and Solutions

Anorgasmia and Dysorgasmia are clinical terms whose symptoms include complete lack of orgasm, diminished orgasms, and even painful orgasms. Causes can include physical, mental, and emotional factors.

Dysorgasmia / Painful Orgasms

Dysorgasmia is defined as a painful orgasm, but without any prior pain during sexual intercourse. The pain often manifests as a cramping sensation in the pelvis, buttock(s) or abdomen. The duration of pain from dysorgasmia can last from seconds to minutes to several hours.

Commonly reported cofactors include:

  • Dysorgasmia and Endometriosis
    Endometriosis is a condition where endometrial-like tissue grows outside of the uterus (endometrial tissue is tissue that usually grows inside of the uterus and sheds each month). The most common area for it to grow is in the abdominal cavity, where it can implant on the surface of other structures including the ovaries, bladder, rectum, and along the walls of the abdomen and pelvis.
  • Dysorgasmia and Uterine/Bladder Disorders
    Disorders of the uterus can lead to uterine fibroids, which are benign tumours on your uterus, and these often lead to intense cramps after sex. Similarly, any number of bladder disorders can also cause mild to severe post-orgasm cramping sensations.
  • Dysorgasmia and Pelvic Inflammatory Disease
    Pelvic inflammatory disease is an infection-induced inflammation of the upper reproductive tract (the endometrium, fallopian tubes, ovaries, or pelvic peritoneum) of the female anatomy. In general, inflammation spreads from the vagina or cervix to the upper genital tract. Endometritis is considered an intermediate stage of PID.
  • Dysorgasmia and Ovarian Cysts
    Post-orgasm cramps that only occur only on one side may be the result of one or more ovarian cysts, which are small fluid filled sacs that commonly develop on the ovaries. Most ovarian cysts go unnoticed and disappear on their own, but if pain persists you should consult with your physician or OB/GYN.
  • Anorgasmia (No Orgasms)
    Anorgasmia is the persistent inability to achieve orgasm despite responding to sexual stimulation. There are variations within its larger definition that are listed below.

The Mayo Clinic further defines anorgasmia as a lack of orgasm that distresses you or interferes with your relationship with your partner:

By definition, the major symptoms of anorgasmia are the inability to have an orgasm or long delays in reaching orgasm that's distressing to you. But there are different types of anorgasmia:

  • Lifelong anorgasmia. You've never had an orgasm.
  • Acquired anorgasmia. You used to have orgasms, but now have difficulty reaching climax.
  • Situational anorgasmia. You're able to have an orgasm only in certain circumstances, such as during oral sex or masturbation or only with a certain partner.
  • Generalized anorgasmia. You aren't able to have an orgasm in any situation or with any partner.

Read more about female anorgasmia on the Mayo Clinic's website here.

Diminished Orgasms

Diminished orgasms are a reduction in the intensity or frequency of orgasm in comparison to previous experiences. Once again from the above linked Mayo Clinic article:

Orgasms vary in intensity, and women vary in the frequency of their orgasms and the amount of stimulation needed to trigger an orgasm. Most women require some degree of direct or indirect clitoral stimulation and don't climax from penetration alone. Plus, orgasms often change with age, medical issues or medications you're taking.

But There is Hope

Recent research into the full scope of the clitoris have uncovered some very interesting facts about its anatomical structure and its ability to deliver orgasm during intercourse, even without direct stimulation.

What You Can Do

If you feel you are not getting enough satisfaction in your sex life due to dysorgasmia or other issues, our staff at Femina Physical Therapy can help. Our fully licensed physical therapists can help to get your sex life back on track through a combination of therapies, all specially tailored to your individual situation. Contact us here with any questions you may have.

If you are ready to visit us at one of our multiple Los Angeles area offices, go ahead and schedule an appointment here. We look forward to hearing from you!

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What Our Patients Have to Say

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Testimonial by Lauren B.

Femina PT (née Fusion Wellness & Physical Therapy) has been such an answer to prayer, i'm so glad I found them! I've been struggling with vaginismus my whole life, but didn't have a name for it until about 6 or 7 months ago. Even once I did have a name for it though, I didn't know where to begin in getting help. My OB/GYN had me get a set of dilators, but I couldn't even insert the smallest one by myself. Most times I tried I just ended up frustrated and in tears. I felt really alone, like I was broken and didn't have the energy to keep trying. When I got engaged a few months ago though, I realized I needed to get answers so i wasn't dreading my honeymoon.

Read more: Testimonial by Lauren B.

Testimonial by Mary L.

I started seeing Heather to treat my Interstitial Cystitis in November 2016. At this time, I was extremely miserable, in constant pain, and felt as though no one was listening or understood what was going on with my body. I have just finished my last appointment and I can honestly say that my life has completely changed for the better because of Heather and her team of PTs! I live almost completely pain free, and when I do have flare ups, I am able to treat them at home on my own. I am so grateful that this office was recommended to me a honestly cannot recommend them enough!

Read more: Testimonial by Mary L.

Testimonial by M.M.

A personal journey and testimonial from one of my patients:

My husband and I were married for 5 years before we were able to have intercourse due to my vaginismus. There was nothing traumatic in my past but for some reason, even though I wanted sex, I mentally avoided "that area" of my body and didn't even admit to myself that there was a problem for a long time, even though I was never able to put tampons in. Once I finally opened my eyes up to the fact that I had a problem, I had a surgery that was supposed to fix the issue.

Read more: Testimonial by M.M.

Testimonial by Lauren B.

Femina PT (née Fusion Wellness & Physical Therapy) has been such an answer to prayer, i'm so glad I found them! I've been struggling with vaginismus my whole life, but didn't have a name for it until about 6 or 7 months ago. Even once I did have a name for it though, I didn't know where to begin in getting help. My OB/GYN had me get a set of dilators, but I couldn't even insert the smallest one by myself. Most times I tried I just ended up frustrated and in tears. I felt really alone, like I was broken and didn't have the energy to keep trying. When I got engaged a few months ago though, I realized I needed to get answers so i wasn't dreading my honeymoon.

Read more: Testimonial by Lauren B.

Testimonial by M.M.

My husband and I were married for 5 years and unable to have intercourse, but I never knew why. After numerous awful experiences at doctor’s offices (where many doctors told me I “just needed to relax”), a surgery that didn’t fix the problem, and a year of owning dilators that didn’t get me anywhere, someone finally referred me to Heather for Physical Therapy. I finally had answers and information from someone who knew exactly what I was dealing with!

Read more: Testimonial by M.M.

Testimonial by Jackie W.

I was in multiple car accidents a decade ago, and I have been to many physical therapists through the years without success. They found the root of my lower back pain problems and after nearly a decade of barely being able to walk I finally can again without pain. They are also the best pelvic floor pts and the only ones who found the connection between my pelvic floor and lower back problems. If you need help with physical pain, they are your answer.

-- Jackie W., 1/19/17 via Yelp!

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