Orgasmsfunktionsnedsättning

Orgasmsfunktionsnedsättning, also known as anorgasmia, refers to the persistent difficulty or inability to achieve orgasm. This condition can affect both men and women and can be a source of significant distress. It is not a disease but rather a symptom that can have various underlying causes.

Causes of anorgasmia can be broadly categorized as physical and psychological. Physical causes may include certain medical conditions such as diabetes, multiple sclerosis, or hormonal imbalances. Medications, particularly antidepressants and blood pressure medications, can also contribute to difficulties with orgasm. Age-related changes and surgical interventions, especially those affecting the pelvic area, can also play a role.

Psychological factors are often significant contributors. Stress, anxiety, depression, and past traumatic experiences, including sexual abuse, can profoundly impact sexual response. Relationship issues, such as lack of communication or unresolved conflicts, can also lead to anorgasmia. Negative attitudes towards sex, body image issues, and performance anxiety are further psychological elements that can interfere with reaching orgasm.

Diagnosis typically involves a thorough medical history and physical examination to rule out any underlying physical causes. A discussion about psychological factors and sexual history is also crucial. Treatment approaches are tailored to the individual and the identified causes. For physical causes, addressing the underlying medical condition or adjusting medications may be recommended. Sex therapy and counseling can be highly effective for addressing psychological factors, helping individuals to explore their sexuality, manage anxiety, and improve communication. Mindfulness and specific sexual techniques may also be suggested.