{"id":48409,"date":"2026-03-31T12:30:39","date_gmt":"2026-03-31T10:30:39","guid":{"rendered":"https:\/\/www.lelo.com\/blog\/?p=48409"},"modified":"2026-04-01T12:17:42","modified_gmt":"2026-04-01T10:17:42","slug":"female-orgasmic-disorder","status":"publish","type":"post","link":"https:\/\/www.lelo.com\/blog\/female-orgasmic-disorder\/","title":{"rendered":"Understanding Female Orgasmic Disorder"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">Female Orgasmic Disorder is a surprisingly common condition clinically defined as a persistent reduction or complete inability to experience orgasm. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">While worldwide statistics vary, around 16-18% of women report some form of Female Orgasmic Disorder, though in reality these statistics may be higher, as female sexual conditions are chronically underreported due to social stigma. According to a <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33069622\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">2020<\/span><span style=\"font-weight: 400;\"> paper published in the <\/span><i><span style=\"font-weight: 400;\">International Society for Sexual Medicine<\/span><\/i><\/a><span style=\"font-weight: 400;\">, up to 28% of women in the United States and up to 46% in countries across Asia are affected by this disorder.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Symptoms and Signs of Orgasmic Disorder<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">The <\/span><i><span style=\"font-weight: 400;\">Diagnostic and Statistical Manual of Mental Disorders<\/span><\/i><span style=\"font-weight: 400;\"> (DSM-V) diagnostic criteria for Female Orgasmic Disorder includes:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Reduced intensity of orgasmic sensations\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Marked infrequency or complete absence of orgasm<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Experiencing significant distress due to these symptoms<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Symptoms not directly related to a physiological cause such as medication or other medical conditions<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><span style=\"font-weight: 400;\">Symptoms persisting for over 6 months<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">Female Orgasmic Disorder can be further classified as Primary and Secondary. <\/span><b>Primary Orgasmic Disorder<\/b><span style=\"font-weight: 400;\"> is a lifelong condition where the individual has never once experienced orgasm, and is sometimes referred to as \u201cpreorgasmic.\u201d <\/span><strong>Secondary Orgasmic Disorder<\/strong><span style=\"font-weight: 400;\">, or \u201cacquired\u201d FOD, is when a woman who has previously achieved orgasms suddenly loses her ability to do so, or experiences a marked reduction in her ability to do so.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">What is a Female Orgasm? (And How It Works)<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Before we dive into why orgasms may <\/span><i><span style=\"font-weight: 400;\">not<\/span><\/i><span style=\"font-weight: 400;\"> be happening, let\u2019s quickly explain what happens when they do. Research published by the <\/span><a href=\"https:\/\/www.bumc.bu.edu\/sexualmedicine\/physicianinformation\/biology-of-female-sexual-function\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Boston University Center for Sexual Medicine<\/span><\/a><span style=\"font-weight: 400;\"> breaks the female sexual response cycle into four parts: \u201cdesire, arousal, orgasm and resolution (both physiologic and psychologic).\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Leading up to the climax stage &#8211; what we call orgasm &#8211; is excitement and <a href=\"https:\/\/www.lelo.com\/blog\/men-vs-women-why-and-how-do-we-experience-sexual-arousal\/\">sexual arousal<\/a>. Blood flow increases to the genitals during the arousal phase, heightening sensitivity and causing the clitoris and vulva to swell. Glands secrete lubrication, which is why you get \u201cwet\u201d when aroused.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">The visible part of the clitoris becomes more prominent, and tension continues to mount in the body; your heart rate rises, respiration heightens, and muscles contract, building up to climax. Climax is the most intense phase of the female orgasm. The pelvic and uterine muscles contract rhythmically, potentially as a way to encourage sperm into the uterus, and the body floods with feel-good hormones like dopamine and oxytocin, which creates a sense of intense pleasure, warmth, and release. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Sometimes <a href=\"https:\/\/www.lelo.com\/blog\/female-ejaculation-squirt\/\">women can also ejaculate<\/a>, thanks to tiny glands called Skene\u2019s glands which secrete fluid through ducts near the urethra in a homologous way to the male prostate. Female orgasms can last from 13 to 51 seconds, compared to male orgasms, which average from 10 to 30 seconds.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Why It Happens: Physical, Psychological, and Social Factors<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">As the female orgasm involves an intricate symphony of physiological, mental, and emotional factors, the causes behind female orgasmic disorder are equally complex.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Physical reasons for Female Orgasmic Disorder<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Chronic health conditions:<\/b><span style=\"font-weight: 400;\"> Such as overactive bladder, diabetes, or multiple sclerosis may contribute to an inability to orgasm<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Gynecological issues<\/b><span style=\"font-weight: 400;\">: Gynecologic surgeries such as cancer surgery or hysterectomies may damage tissue and impact the ability to orgasm<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Medications:<\/b><span style=\"font-weight: 400;\"> Medications unrelated to sexual function, such as antipsychotic medicines and antidepressants may inhibit orgasm<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Lifestyle factors:<\/b><span style=\"font-weight: 400;\"> Alcohol and smoking can inhibit nervous system activity and blood flow, dulling orgasmic potential<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Hormonal changes:<\/b><span style=\"font-weight: 400;\"> Peri-menopause, menopause, and aging may all contribute to sexual dysfunction<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Psychological Reasons for Female Orgasmic Disorder<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.lelo.com\/blog\/using-sex-toys-to-reduce-anxiety-tc\/\"><b>Anxiety<\/b><\/a><span style=\"font-weight: 400;\"> surrounding body image, your partner, or losing control<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Past sexual or emotional abuse<\/b><span style=\"font-weight: 400;\"> triggering a body to shut down pleasure centers as a <a href=\"https:\/\/www.lelo.com\/blog\/sexual-healing-from-trauma-tc\/\">response to trauma<\/a><\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Intense stress or pressure<\/b><span style=\"font-weight: 400;\">, which can hamper the body\u2019s ability to be in the moment\u00a0<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Mental health conditions<\/b><span style=\"font-weight: 400;\"> such as depression or anxiety<\/span><\/li>\n<\/ul>\n<h3><span style=\"font-weight: 400;\">Social Reasons for Female Orgasmic Disorder (The Orgasm Gap)<\/span><\/h3>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.lelo.com\/blog\/why-do-i-feel-guilty-after-sex\/\"><b>Embarrassment or guilt about sex<\/b><\/a><span style=\"font-weight: 400;\"> due to upbringing and cultural or religious beliefs<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>A lack of knowledge<\/b><span style=\"font-weight: 400;\"> about sexual stimulation due to poor sexual education<\/span><\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>An inability to speak about what is pleasurable<\/b><span style=\"font-weight: 400;\"> due to societal constraints<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">There\u2019s a long history of female sexuality being repressed throughout many cultures, ranging from cultural and religious taboos against expressing desire to outright excision in the case of Female Genital Mutilation (FGM). Unfortunately, such taboos continue to contribute to an unequal orgasmic playing field for those with vulvas and those with penises. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">A rigorous 2017 study by the <\/span><a href=\"https:\/\/link.springer.com\/article\/10.1007\/s10508-017-0939-z?wt_mc=Affiliate.CommissionJunction.3.EPR1089.DeepLink&amp;utm_medium=affiliate&amp;utm_source=commission_junction&amp;utm_campaign=3_nsn6445_deeplink&amp;utm_content=deeplink\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">International Academy of Sexual Research<\/span><\/a><span style=\"font-weight: 400;\"> found that 95% of heterosexual men said they always or almost always orgasmed during sex, compared to 65% of straight women, 66% of bisexual women, and 86% of lesbian women. Known as \u201c <\/span><b>the orgasm gap<\/b><span style=\"font-weight: 400;\">,\u201d this disparity may be due to the prioritization of male pleasure (penetrative sex) in patriarchal societies and lowered expectations for female pleasure.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Female Orgasmic Disorder Treatment Options<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Directed Masturbation<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Directed Masturbation is a method of cognitive behavioral therapy used to assist women struggling with Female Orgasmic Disorder learn how to achieve orgasm. The process centers around creating a mind-body connection and increased awareness of sexual sensations, typically starting with touching non-genital zones and <a href=\"https:\/\/www.lelo.com\/blog\/edging-tips-for-better-orgasms\/\">edging<\/a> towards guided self-stimulation. Devices such as <a href=\"https:\/\/www.lelo.com\/blog\/sex-toys-as-tools-for-healing\/\">vibrators<\/a> may be recommended to enhance vulval or clitoral stimulation.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">These methods are particularly effective for those with primary (lifelong) FOD, with <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33069622\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">studies<\/span><\/a><span style=\"font-weight: 400;\">\u00a0 showing a significant majority of women with primary FOD achieving orgasm when treated. Directed masturbation can be facilitated either individually or as part of couples therapy, where psycho-social factors such as fear, guilt, and difficulties can be discussed.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Sensate Focus<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Sensate focus is a six-week process developed by seminal sex researchers <\/span><a href=\"https:\/\/health.cornell.edu\/sites\/health\/files\/pdf-library\/sensate-focus.pdf\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Masters &amp; Johnson<\/span><\/a><span style=\"font-weight: 400;\"> to help those with FOD achieve orgasm with their partners. Operating on the basis that the inability to orgasm with a partner may be (ironically) due to the pressure to achieve immediate orgasm, sensate focus allows couples to explore each others\u2019 bodies without the overt goal of orgasm. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">This method involves a period of non-genital touching building up to self-stimulation and mutual stimulation before introducing slow, caressing intercourse focused on sensation and mind-body connection.<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Medical Interventions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">For those with Secondary Orgasmic Disorder, certain medications may interfere with the ability to orgasm. Antidepressants such as SSRIs (Selective Serotonin Reuptake Inhibitors) in particular are a common culprit, with studies showing up to <\/span><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7182464\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">80% of patients taking SSRIs<\/span><\/a><span style=\"font-weight: 400;\"> reporting difficulties with sexual function. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">If you are concerned about medication-induced FOD, you should consult with your doctor about potentially switching medications as a treatment step.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">When to See a Professional<\/span><\/h2>\n<p><span style=\"font-weight: 400;\">Female Orgasmic Disorder can be highly distressing and negatively impact the sufferer\u2019s mental and emotional well-being. If you\u2019ve already tried individual treatment methods such as Directed Masturbation and consulted with your primary care physician regarding medications and hormonal testing to no avail, it may be time to seek professional help. Working with a professional <a href=\"https:\/\/www.lelo.com\/blog\/sex-therapy\/\">sex therapist<\/a> or psychologist can help provide guidance through sexual difficulties.\u00a0<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">FAQs<\/span><\/h2>\n<p><strong>Can you fix female orgasmic disorder?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Female Orgasmic Disorder is often treatable by tackling physical, psychological, and emotional components.<\/span><\/p>\n<p><strong>Is it common to never have an orgasm?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Yes! Studies show that <\/span><a href=\"https:\/\/www.uhhospitals.org\/blog\/articles\/2024\/06\/difficulty-reaching-orgasm-a-common-problem-for-women\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">up to 20%<\/span><\/a><span style=\"font-weight: 400;\"> of women have never experienced an orgasm<\/span><\/p>\n<p><strong>What is the difference between anorgasmia and low libido?<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Anorgasmia refers to having sexual desire but the inability to achieve orgasm, while low libido is a reduction or absence of sexual desire.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p style=\"text-align: center;\"><strong>Enjoy 15% off <a href=\"https:\/\/www.lelo.com\/\" target=\"_blank\" rel=\"noopener\">LELO.com<\/a> with code <span style=\"color: #800080;\">VOLONTE15<\/span><\/strong><\/p>\n<p style=\"text-align: center;\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Female Orgasmic Disorder is a surprisingly common condition clinically defined as a persistent reduction or complete inability to experience orgasm. While worldwide statistics vary, around 16-18% of women report some form of Female Orgasmic Disorder, though in reality these statistics may be higher, as female sexual conditions are chronically underreported due to social stigma. According to a 2020 paper published in the International Society for Sexual Medicine, up to 28% of women in the United States and up to 46% [&hellip;]<\/p>\n","protected":false},"author":1033,"featured_media":48410,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[17,1244],"tags":[137,669,1242],"coauthors":[1262],"class_list":["post-48409","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sexual-health","category-womens-health","tag-health","tag-sexual-health","tag-womens-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v24.8.1 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Understanding Female Orgasmic Disorder<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.lelo.com\/blog\/female-orgasmic-disorder\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Understanding Female Orgasmic Disorder\" \/>\n<meta property=\"og:description\" content=\"Female Orgasmic Disorder is a surprisingly common condition clinically defined as a persistent reduction or complete inability to experience orgasm. While worldwide statistics vary, around 16-18% of women report some form of Female Orgasmic Disorder, though in reality these statistics may be higher, as female sexual conditions are chronically underreported due to social stigma. According to a 2020 paper published in the International Society for Sexual Medicine, up to 28% of women in the United States and up to 46% [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.lelo.com\/blog\/female-orgasmic-disorder\/\" \/>\n<meta property=\"og:site_name\" content=\"Volont\u00e9\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/LELO.Official\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-03-31T10:30:39+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-01T10:17:42+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.lelo.com\/blog\/wp-content\/uploads\/2026\/03\/orgasmic-disorder.png\" \/>\n\t<meta property=\"og:image:width\" content=\"850\" \/>\n\t<meta property=\"og:image:height\" content=\"425\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Clara Wang\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@Lelo_Official\" \/>\n<meta name=\"twitter:site\" content=\"@Lelo_Official\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Clara Wang\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"6 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.lelo.com\/blog\/female-orgasmic-disorder\/\",\"url\":\"https:\/\/www.lelo.com\/blog\/female-orgasmic-disorder\/\",\"name\":\"Understanding Female Orgasmic Disorder\",\"isPartOf\":{\"@id\":\"https:\/\/www.lelo.com\/blog\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\/\/www.lelo.com\/blog\/female-orgasmic-disorder\/#primaryimage\"},\"image\":{\"@id\":\"https:\/\/www.lelo.com\/blog\/female-orgasmic-disorder\/#primaryimage\"},\"thumbnailUrl\":\"https:\/\/www.lelo.com\/blog\/wp-content\/uploads\/2026\/03\/orgasmic-disorder.png\",\"datePublished\":\"2026-03-31T10:30:39+00:00\",\"dateModified\":\"2026-04-01T10:17:42+00:00\",\"author\":{\"@id\":\"https:\/\/www.lelo.com\/blog\/#\/schema\/person\/17f2bb890fbd634955cc7c1bc82aaf2e\"},\"breadcrumb\":{\"@id\":\"https:\/\/www.lelo.com\/blog\/female-orgasmic-disorder\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/www.lelo.com\/blog\/female-orgasmic-disorder\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.lelo.com\/blog\/female-orgasmic-disorder\/#primaryimage\",\"url\":\"https:\/\/www.lelo.com\/blog\/wp-content\/uploads\/2026\/03\/orgasmic-disorder.png\",\"contentUrl\":\"https:\/\/www.lelo.com\/blog\/wp-content\/uploads\/2026\/03\/orgasmic-disorder.png\",\"width\":850,\"height\":425,\"caption\":\"female orgasmic disorder\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/www.lelo.com\/blog\/female-orgasmic-disorder\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Volonte\",\"item\":\"https:\/\/www.lelo.com\/blog\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Health\",\"item\":\"https:\/\/www.lelo.com\/blog\/sexual-health\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Women's Health\",\"item\":\"https:\/\/www.lelo.com\/blog\/sexual-health\/womens-health\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Understanding Female Orgasmic Disorder\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/www.lelo.com\/blog\/#website\",\"url\":\"https:\/\/www.lelo.com\/blog\/\",\"name\":\"Volont\u00e9\",\"description\":\"A Pleasure Project by LELO\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/www.lelo.com\/blog\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/www.lelo.com\/blog\/#\/schema\/person\/17f2bb890fbd634955cc7c1bc82aaf2e\",\"name\":\"Clara Wang\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/www.lelo.com\/blog\/#\/schema\/person\/image\/936e5d85d9f74ea082beb84499c9bb77\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/c623908cc3df33350c4328c11d6d8f84?s=96&d=mm&r=pg\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/c623908cc3df33350c4328c11d6d8f84?s=96&d=mm&r=pg\",\"caption\":\"Clara Wang\"},\"description\":\"Clara Wang is a freelance writer based in Nashville, TN but often found abroad. 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