Treatment of female orgasmic disorder
- Andrea Bradford, PhD
Andrea Bradford, PhD
- Baylor College of Medicine
- Department of Medicine - Section of Gastroenterology
Female orgasmic disorder is characterized by a persistent or recurrent delay in or absence of orgasm following sexual arousal and adequate sexual stimulation. To diagnose female orgasmic disorder, the symptoms must cause marked distress or interpersonal difficulty .
Treatment for female orgasmic disorder consists principally of education and psychosocial interventions; clinical trials of their efficacy are limited.
This topic discusses the treatment of female orgasmic disorder. The epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis of female orgasmic disorder are discussed separately. The assessment of patients with sexual dysfunction is also discussed separately. The epidemiology, risk factors, evaluation, and an overview of treatment of women with sexual dysfunction are also discussed separately. The prevalence and management of sexual dysfunction due to serotonergic antidepressants is also discussed separately. (See "Female orgasmic disorder: Epidemiology, pathogenesis, clinical manifestations, course, assessment, and diagnosis" and "Sexual dysfunction in women: Epidemiology, risk factors, and evaluation" and "Sexual dysfunction in women: Management" and "Sexual dysfunction caused by selective serotonin reuptake inhibitors (SSRIs): Management", section on 'Assessment'.)
Female orgasmic disorder may be lifelong or acquired, generalized (occurring in all situations) or situational (occurring in select situations). An example of the situational type of the disorder is a woman who has orgasms through masturbation but not during partnered sexual activity
Primary female orgasmic disorder — Women with primary female orgasmic disorder have not previously experienced orgasm in any situation. Other terms used synonymously include:
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- Primary female orgasmic disorder
- Secondary female orgasmic disorder
- GENERAL PRINCIPLES
- PATIENT EDUCATION
- PSYCHOSOCIAL INTERVENTION STRATEGIES
- Directed masturbation
- - Efficacy
- Sensate focus exercises
- - Efficacy
- Cognitive-behavioral sex therapy
- - Efficacy
- Systematic desensitization and exposure therapy
- - Exposure therapy
- - Efficacy
- Other psychosocial interventions
- OTHER INTERVENTIONS
- Kegel exercises
- Genital cosmetic procedures
- TREATMENT SELECTION
- SUMMARY AND RECOMMENDATIONS