ORGASM DISORDERS
One of the sexual dysfunctions in women is the problem of not being able to orgasm. Although the physiology of orgasm is now known in detail, not being able to orgasm can be based on extremely complex reasons for the person and the partner.
Studies have shown that the problem of not having an orgasm is around 40% in our country. These data show that orgasm occupies an important place in women’s sexual life. So what is orgasm? In fact, it is difficult to define orgasm because of its subjectivity and because of the uniqueness of each woman’s orgasm experience. With an average definition, orgasm is a strong physical and spiritual state that people experience at the peak of sexual arousal. During orgasm, breathing becomes frequent and deep, heartbeat accelerates, contraction of the muscles in the genital area, especially in the outer 1/3 of the vagina, which is controlled by the pubococcygeal muscles.
Some women experience a single orgasm, while others experience multiple orgasms with a reaction resulting from stimulation of more than one region. Various types of orgasms have been reported for women. These can be classified as clitoral orgasm, vaginal orgasm, anal sex-induced orgasm, and other types.
We can examine orgasm problems under various titles such as primary, secondary, situational and total. Primary orgasmic disorder is used to describe the situation since the beginning of the activation of sexual life, while secondary orgasmic disorder is used to express problems that develop later. This is what is meant if a woman who can ejaculate by masturbation has problems with partner ejaculation or if she lives with her partner while not having orgasm problems with another partner. Total orgasm disorder describes the inability of the person to have orgasm both with masturbation and with different partners. This classification helps us to distinguish difficult cases. Primary orgasmic disorder in women is frequently observed.
Coming to the reasons for not being able to ORgasm, we can divide them into organic causes (spinal cord traumas, vaginal surgeries and some chronic diseases) and psychological causes.
1.)Sexual myths; good lovemaking should result in orgasm, it is shameful to talk and think about sexuality, known false beliefs and expectations about sexuality such as that both parties should have an orgasm at the same time.
2.) Low self-esteem and lack of sexual self-confidence, such as excessive self-criticism, dislike of body, thinking that you are not good in bed.
3.) Insufficient stimulation, such as not knowing his own body and pleasure points and not being able to talk to his partner about it, having sex without providing the appropriate environment and without foreplay.
4.) Problems related to couple relationship, such as spousal rejection, anger towards spouse and communication problems.
5.) Extremely controlling women, such as being afraid of losing control emotionally and physically.
6.) Fears and anxieties about sexuality, such as fear of men, fear of pain, fear of pregnancy and sexually transmitted diseases.
7.)Partner’s sexual dysfunction, such as male premature ejaculation and erectile dysfunction.
8.)Sexual traumas, such as guilt and self-punishment or not ejaculation after a sexual trauma in childhood or later.
9.)Sociocultural reasons, such as growing up in a morally strict family, prohibitions and prejudices about being a woman.
10.) Negativities in the father-daughter relationship, such as the oppressive father figure or, on the contrary, the problems with a dynamic background that can be seen in women with an idealized father figure.
Despite all these reasons, orgasm is a skill that can be learned and its problems can also be treated. For some women, the logic of orgasm is still valid whether it happens or not. Sexual pleasure and being one and whole with your partner. It is an art and a better quality and satisfying sexual life can be possible by learning the details of this art.
