The physical and mental response as a result of intense pleasure felt as a result of intense and long-lasting sexual stimulus is called ORGASM. The fact that the feeling of physical pleasure does not reach its peak despite sexual stimuli is also called ANORGASMI. Masters and Johnson conducted long researches on this subject in the 1950s and 60s and divided the orgasm process into four phases. The first of these phases; excitement is the phase. It occurs with the initiation of sexual stimuli by the person’s physical or fantasy fictions. With the continuation of these stimuli, plateau phase passes. In the plateau phase, physical changes are experienced in the erogenous regions in the face of sexual stimulus and the sense of pleasure is quite high. With the continuation of the sexual stimulus, the sense of pleasure rises and ejaculation in men, manifested by rhythmic contractions of a few seconds felt in the vagina in women. orgasm enters the phase. After this stage, the physical differences in the body gradually begin to return to normal (pulse, clitoris, inner lips, nipples, etc.). In this phase thaw called phase. Disruption in any of these phases causes anorgasmia.
Anorgasmia is one of the sexual dysfunctions with the highest incidence in our society and its treatment is possible.
CAUSES OF ANORGASMIA
Not being able to orgasm is a common problem faced by many women today. Unlike male sexuality, female sexuality develops through learning. Due to social judgments and misconceptions about sexuality, women have difficulty in finding an area to improve themselves in this regard. Lack of knowledge and experience is one of the biggest causes of anorgasmia.
Relationship dynamics, the meaning that partners/partners attribute to sexuality and the time they spare are important factors in anorgasmia. However, relationship problems, cheating, anger or resentment towards the spouse also trigger anorgasmia.
Although it is not very common, it is possible to encounter physical factors. Untreated vaginal infection, structural anomalies in the vagina, low sensitivity and sensitivity, and deformations experienced after vaginal delivery also trigger anorgasmia.
TYPES OF ANORGASMIA
Coital Anorgasmia:It is the state of not having an orgasm through intercourse.
Clitoral Anorgasmia:It is the inability to have an orgasm despite masturbation or the partner’s stimulation of the clitoris.
With the onset of an active sexual life, there is no orgasm primary type anorgasmia is called. In case of not being able to orgasm for any reason from a period of sexual life secondary type anorgasmia is called. Anorgasmia that develops depending on the partner or the conditions. situational type anorgasmiais called.
The main organ needed for orgasm, whether coital or clitoral, is the clitoris. The clitoris is a woman’s main pleasure organ. However, the brain is another major factor directing this process.
Anorgasmia, the inability to orgasm, is a sexual dysfunction that can be treated. The first stage of anorgasmia treatment is a detailed gynecological examination. A detailed gynecological evaluation is essential in order to understand intravaginal sensitivity, questioning structural anomalies and whether there is any physical cause. If there is no physical factor after this evaluation, the therapy process begins. In the treatment of anorgasmia, taking a detailed anamnesis/history is the first step to reveal the patient’s causes. An active therapy process should be started, which should be determined according to the causes of the person. Here, the sexual structure of the person, the images created, sexual myths and beliefs, relationship dynamics should be examined one by one and reconstructed. After this process, which we call cognitive therapy, the active therapy process, that is, the behavioral sexual therapy process, begins. In this process, practice is provided with individual and paired homework studies. If there is an element that needs to be intervened in the relationship dynamics, family/spouse therapy should definitely be included. After these studies, hypnotherapy is added to motivate the person’s consciousness level and to provide reinforcement about the process.
Anorgasmia treatment is an enjoyable process that requires patience and is full of discoveries. Although it varies from person to person, it takes 10-12 sessions on average.