What are They Conditions?
Arousal and orgasmic disorders are disorders of female sexual function. A woman with arousal disorder can’t experience sexual pleasure because she cants reach or maintain the physical responses of sexual excitement – vaginal lubrication, blood vessel congestion in the genital area, and swelling of external genitalia.
In orgasmic disorder, the woman becomes sexually excited but can’t reach orgasm or has a delayed orgasm. These problems are considered disorders only if they persist or recur.
The prognosis is good when these disorders are temporary or mild and result from misinformation or stress. However, when they’re caused by intense anxiety, relationship problems, psychological disturbances.
Or drug or alcohol abuse in either partner, the prognosis is less certain.
Arousal and Orgasmic Disorders Causes
Any of the following factors, alone or in combination, may cause arousal or orgasmic disorder:
- drugs (central nervous system depressants, alcohol, street drugs and, rarely, oral contraceptives)
- disease (illness of the body as a whole, endocrine or nervous system diseases, or diseases that impair muscle tone or muscle contraction)
- gynecologic factors (chronic vaginal or pelvic infection or pain, congenital abnormalities, and genital cancers)
- psychological factors (performance anxiety, guilt, depression, or subconscious conflicts about sexuality)
- relationship problems (poor communication, hostility toward the partner, fear of abandonment, or boredom with sex)
- stress and fatigue.
What are The Arousal and Orgasmic Disorders Symptoms?
The woman with an arousal disorder has slight sexual desire and responds poorly to stimulation. Typically, she lacks vaginal lubrication and signs of congested blood vessels in the genital area.
In an orgasmic disorder, the main symptom is an inability to achieve an orgasm, either totally or under certain circumstances.
Many women experience orgasm through masturbation or other means but not through intercourse alone. Others achieve orgasm with some partners but not with others.
How are The Arousal and Orgasmic Disorders Diagnosed?
To rule out physical causes of arousal or orgasmic disorders, the doctor performs a thorough physical exam, orders lab tests, and takes a medical history. When physical causes are absent, a complete psychoÂsexual history is the most important tool.
How are The Arousal and Orgasmic Disorders Treated?
An arousal disorder is hard to treat, especially if the woman has never experienced sexual pleasure. Therapy aims to help her relax and become aware of her feelings about sex, as well as to eliminate guilt and fear of rejection.
Specific measures usually include sensate focus exercises, which emphasize touching and awareness of sensual feelings all over the body – not just in the genital area – and minimize the importance of intercourse and orgasm.
In orgasmic disorder, the goal is to help the woman overcome her inhibition of the orgasmic reflex. Treatment may include experiential therapy, psychoanalysis, or behavior modification.
The therapist may teach the woman self-stimulation and distraction techniques, such as focusing attention on fantasies, breathing patterns, or muscle contractions to relieve anxiety.
Gradually, the therapist involves the woman’s sexual partner in the treatment sessions; some therapists treat the couple as a unit from the outset.
What can a Woman with Arousal or Orgasmic Disorder do?
Consult a doctor, nurse, psychologist, social worker, or counselor trained in sex therapy. The therapist should be certified by the American Association of Sex Educators, Counselors, and Therapists or by the Society for Sex Therapy and Research. If not, ask about the therapist’s credentials.
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