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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!

What Our Patients Have to Say

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Testimonial by Julie T.

Femina PT (née Fusion Wellness & Physical Therapy) has honestly changed my life. Before receiving treatment at Femina, I was going doctor to doctor to try and find the answer to my pelvic pain. It has taken me YEARS to find someone that can help fix this. It wasn't until my gynecologist recommended your clinic that I finally felt relief. My pelvic pain is almost gone, and granted I still have a lot more to work on with Laureen (my PT), my original problem is nearly cured. I am so grateful to her.

What is even better is she gave me practical exercises to do at home that were not tedious and provided instant (and lasting) relief. Although I mainly work with Laureen, my interaction with the owner (Heather) has been great. She is very generous, kind, and committed to her business.

It hurts to know there are women out there suffering who will never know or have the opportunity to work with women like Laureen and Heather because this issue is hardly talked about and this field is so rare. I hope more doctors and physical therapists see the value in this work and can relieve more woman of their pain.

-- Julie T., 12/4/16 via Yelp!

Testimonial by T.C.

While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

-- T.C.

Testimonial by T.C.

While pregnant with my twins, Heather took care with keeping me on my feet and pain free. She saved my back, my sanity and the holidays! I would recommend her to every “mom” looking to stay on her feet during pregnancy and post-partum.

-- T.C.

Testimonial by Y.L. (mom of 2)

After having my second baby via C-section I searched for months to try to find help for my lower back pain and separated abdominal muscles. I finally came across Heather Jeffcoat via a mommy blog. I reached out to her via email and set my first appointment. My first appointment went amazing … she listened to what my symptoms, check my separation and explained to me in detail what the next steps would be. Not only did my abdominal separation go from 3 to about 1 -1/2 but my back has pain has significantly reduced. I’m personally recommending all my mommy friends to Heather!

Y.L. (mom of 2)

Testimonial by A.B.

Before I was referred to Heather Jeffcoat I was living in a nightmare. I had been married to my husband for three years and I was suffering from Vaginismus. That all changed when I visited my OBGYN and she said she knew of someone with a great success rate. To be honest I was hesitant at first because my first doctor had already told me that all I needed to do was order dilators from the internet and I should overcome my problem. She was wrong because I had followed the book on how to use the dilators with absolutely no advancements in my condition. However, that all changed when I went in for my first visit and Heather took the time to explain my condition and how we were going to work together to overcome it.

I remember leaving her office with a glimmer of hope that I could live a normal life. As my sessions continued I began to see immediate results. With only four sessions and a strict dedication to my home programs I was cured of Vaginismus. In the beginning of this process I was made aware that my health insurance company might not cover the costs, which was disappointing but today I can say one hundred percent that it was the best money I ever spent. Now thanks to Heather I am finally enjoying my life to the fullest with my husband. Thank you Heather, I can’t begin to tell you how much I appreciate all that you have done for me. I will never forget it. Those who are suffering from these types of conditions don’t be afraid because she makes you feel so comfortable and the end result is worth it. Good luck to you all and I hope you experience the success I have.
-- A.B.

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.

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