Female orgasm disorder (FOD)

What is a female orgasm disorder(FOD)?

Orgasm is an intense feeling of release during sexual stimulation. It can vary in intensity, duration and frequency. Orgasm can occur with little sexual stimulation, but sometimes more stimulation is needed.

A female orgasm disorder (FOD) refers to the difficulty of reaching orgasm. A woman with DOF may take longer to have an orgasm or she may not reach orgasm at all. This problem occurs even if the woman is sexually excited.

A FOD is persistent and it causes significant distress in the woman. It can also cause conflict in one’s relationships.

Female Orgasm disorder (FOD) is the second most common cause of sexual dysfunction in women. It is estimated that 16% to 28% of women are affected by FOD in the United States, Europe, Central America and South America. In Asia, rates range from 30% to 46%. It is more common as you get older.

What are the causes of female orgasm disorder (FOD)?
The causes are often multifactorial. Physical, emotional and psychological factors may contribute to the female orgasmic disorder. Medical conditions such as diabetes, vascular disease, multiple sclerosis, spinal cord injury and certain pelvic conditions can affect a woman's ability to reach orgasm. FOD has also been associated with arthritis, thyroid problems and asthma.

A history of gynaecological surgeries, such as a hysterectomy. Certain medications such as antidepressants, antipsychotics and drugs used against cancer, high blood pressure and heart disease can have sexual side effects that affect orgasm.

The sexual inexperience of some women who have not yet learned the types of stimulation that lead them to orgasm. They may also not know how to talk to their partner about what gives them pleasure.

A woman may be so anxious about sexual activity that she is unable to relax enough to have an orgasm. Other women can focus so much on negative events that she is unable to enjoy the moment and enjoy the stimulation. For some women, poor body image causes anxiety. Others fear losing self-control during orgasm.

Cultural or religious beliefs can be contributory. A conflict with her partner can make a woman less likely to reach orgasm. This may be due to sexual problems in the relationship, general relationship problems, anger, mistrust or inability to communicate.

Women who have been physical, psychologically or sexually abused often have orgasm problems.
What are the symptoms of female orgasm disorder (FOD)?
The main symptom of female orgasm disorder (FOD) is the inability to reach the sexual climax. Other symptoms include unsatisfactory orgasms and a longer than normal delay to reach its climax.

Women with FOD may have difficulty reaching orgasm during sex or masturbation.
What are the types of female orgasm disorder (FOD)?
Primary anorgasmia is a condition in which you have never had an orgasm. Secondary anorgasmia is the difficulty in reaching orgasm, even if you have had one before.

Situational anorgasmia is the most common type of female orgasmic dysfunction. This occurs when you can reach orgasm only in specific situations, such as during an oral sequelae activity or during masturbation.

General anorgasmia is the inability to reach orgasm in all circumstances, even when you are very excited and that sexual stimulation is sufficient.
How to make a diagnosis of female orgasm disorder (FOD)?
- A medical questionnaire on sexual history

- Number of partners the previous year, MTS

- A questionnaire about medical conditions that can affect sexual function

- pregnancy, menopause, surgery, cancer, arthritis, medications

- A questionnaire about the sex life

- Sexual orientation, Contraceptive use, Sexual pain, During masturbation

- Satisfaction of sexual responses, Desire (is there too much, too little, or is the level too different from that of the partner?), Awakening (adequacy of lubrication, subjective excitation), Orgasm (frequency, ease of fulfilment) History of sexual abuse now and in the past.

- A physical examination

- A reference in gynaecology is sometimes
What are the treatments for female orgasm disorder (FOD)?
- The treatment of orgasmic disorder depends on the cause of the disease. The treatment is usually multi modal

- Treat all underlying medical conditions

- Change antidepressant drugs

- Follow a sexual therapy alone and in a couple

- Increase clitoral stimulation during masturbation and intercourse.

- An adjustment of the coitus technique aimed at improving the ability of male superior coitus to produce female orgasm. Intimate face-to-face contact position with a male position in height so that the body of the penis is more in contact with the clitoris with a mutual rocking movement (rather than pushing).

- In some cases, estrogen hormone therapy may be used in postmenopausal women. Estrogen can help increase sexual desire or the amount of blood in the genitals for increased sensitivity.

- The intimate injection of platelet-rich plasma for female orgasmic or sexual disorders, also known as "O-Shot®", is a simple and painless injection that aims to increase blood circulation and orgasmic response in regions clitoral, periurethral and vaginal anterior.
What are the other physical treatments for female orgasm disorder?
- Injection of Platelet Rich Plasma (PRP) - Vaginal tightening

Quels sont les traitements du trouble de l'orgasme?

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