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Heather Jeffcoat at O.School
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Learn the difference between an intentional vs. unintentional ruined orgasm and what it all means.

My office frequently receives calls and emails about orgasm function. "Can you help my orgasms be more intense? Can you help me if I've never had an orgasm? Does my pelvic pain affect my orgasm? I can't orgasm, I can only get aroused-can you help with this, too?"

What all our patients receive after their thorough history and physical examination is education. The clitoris is so much more than what you see peeking out of the hood. It's a large structure that extends underneath the hood and has 'legs" (medically termed "crura") that extend along the pubic ramus and bulbs that lie on either side of the vaginal opening. Understanding your own anatomy is key to figuring out what your next steps are.

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 can last from seconds to minutes to several hours.

Read here for more information on anorgasmia and dysorgasmia.

From the article: Though a ruined orgasm might sound like it has a simple definition — an orgasm that is ruined or halts before full climax – it can have multiple meanings. Some ruined orgasms are intentional, while others are not and can leave one feeling sexually frustrated. Those that are unintentional can also have multiple causes, both physical and emotional, which vary from person to person.

To get to the bottom of what is a ruined orgasm, the difference between an intentional and unintentional ruined orgasm, and how to stop having unintentional ruined orgasms, we reached out to healthcare providers and experts to get professional advice on everything to do with ruined orgasms. 

Physical causes of an unintentional ruined orgasm: 

Dr. Jeffcoat tells O.school that those who experience pain during sex often deal with ruined orgasms. They may often be dismissed by medical providers with statements such as “It’s all in your head,” or “It’s a normal part of aging.” However, Dr. Jeffcoat states that a ruined orgasm can be caused by the following physical conditions: 

  1. Vaginismus (involves muscle spasms in the pelvic floor muscles)
  2. Vulvodynia (chronic, unidentified vulvar pain)
  3. Vestibulodynia (chronic, unidentified pain in the vestibule area of the vulva
  4. Endometriosis (a painful disorder caused by tissue that lines the uterus growing outside of the uterus) 
  5. Interstitial cystitis (a chronic, painful bladder condition, now called painful bladder syndrome.
  6. Dysorgasmia (painful orgasms) 
  7. Dyspareunia (painful intercourse)
  8. Postcoital pain
  9. Nerve entrapment (in more severe cases) 

The full article is here.

Call or write to us with your own questions or comments, we would love to hear from you and we are here to help!

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