It is the persistent or recurrent delay or absence of orgasm after a normal phase of sexual arousal. When making this diagnosis, the woman's age, sexual experience and the adequacy of the sexual stimulation she receives are taken into consideration. If the problem is due to insufficient sexual
stimulation in terms of focus, intensity and duration, a diagnosis of orgasmic disorder in women cannot be made.
The clitoris is the most sensitive area with the highest density of nerve endings in the female external sexual organs. Every woman has an orgasm by direct stimulation of the clitoris
appropriately and for a sufficient period of time.
The distinction between vaginal and clitoral forms of orgasm is artificial. Orgasm has both vaginal and clitoral
components. Orgasm can even occur without clitoral or vaginal stimulation, with psychological stimuli such as fantasies, dreams, or physical stimulation of other erogenous zones. On the other hand, clitoral stimulation is important in female orgasm. Although vaginal stimulation is highly pleasurable, it is perhaps less helpful in initiating the orgastic reflex in most women. The intensity of clitoral stimulation varies depending on the type of sexual act
. The most intense is direct stimulation of the clitoris or applying pressure on it. Sexual intercourse
provides mild clitoral stimulation, which may not be enough to initiate orgasm. The most intense pressure on the clitoris occurs in the
position where the woman is on top.
The degree of arousal that requires the emergence of female orgasm varies from woman to woman, not only
does it vary between individuals, but the same woman at different times. She may feel the need for stimulation at different levels.
While a fully aroused and excited woman can reach orgasm with a couple of coital moves with a partner she desires, the same woman can reach orgasm with a partner she does not desire. She may need clitoral stimulation for a longer period of time when she makes love with her.
Women vary in their thresholds for reaching orgasm. Some women orgasm with any sexual
stimulation, while others require intense and prolonged clitoral stimulation. While some women feel satisfied with a single orgasm, others may feel the need for multiple orgasms.
The coexistence of sexual desire, arousal and orgasmic dysfunction is not uncommon in women. These
problems may exist from the beginning of a woman's sexual life, or they may develop later when there were no problems before.
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