{"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":"2026-06-28T22:06:27","modified_gmt":"2026-06-28T20:06:27","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><a href=\"https:\/\/www.lelo.com\/blog\/author\/lauriemintz\/\"><img decoding=\"async\" class=\"doctor-banner alignnone wp-image-49166 size-full\" src=\"https:\/\/www.lelo.com\/blog\/wp-content\/uploads\/2025\/12\/lelo-dr-laurie-mintz-medical-review.png\" alt=\"dr laurie mintz lelo doctor review\" width=\"350\" height=\"90\" srcset=\"https:\/\/www.lelo.com\/blog\/wp-content\/uploads\/2025\/12\/lelo-dr-laurie-mintz-medical-review.png 350w, https:\/\/www.lelo.com\/blog\/wp-content\/uploads\/2025\/12\/lelo-dr-laurie-mintz-medical-review-300x77.png 300w\" sizes=\"(max-width: 350px) 100vw, 350px\" \/><\/a><\/p>\n<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;\">Difficulty with orgasming is the second most common concern women bring to health providers. We don\u2019t really know how many women suffer from this, as statistics vary widely and indeed, one source compiling data said that the range varies from eight to 72%. 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><span style=\"font-weight: 400;\">International Classification of Diseases, Tenth Revision<\/span> <span style=\"font-weight: 400;\">defines female orgasmic disorder as \u201ca persistent or recurrent delay in or absence of orgasm despite normal sexual excitement and adequate stimulation.\u201d\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">It also says that for a diagnosis, psychological factors should be a prominent cause of the problem. <\/span><b>\u00a0<\/b><\/p>\n<p>However, many women come to clinicians with orgasm problems that don\u2019t meet these criteria but who still need help. For example, a woman may come to a sex therapist for lack of orgasm and the cause may be inadequate stimulation.\u00a0 Likewise, someone may have a lack of orgasm due to a medical condition.<\/p>\n<p>Likewise, some women come to clinicians having never had an orgasm and others come because they used to orgasm and no longer do.<\/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 an orgasm is. It is the <\/span><span style=\"font-weight: 400;\">peak of sexual arousal. An orgasm involves an automatic body response. It includes many\u00a0 physical changes (e.g., changes in pupil size and increased blood pressure) and the release of feel-good messengers in the brain (neurotransmitters) like dopamine and oxytocin. \u00a0 <\/span><\/p>\n<p><span style=\"font-weight: 400;\">It also involves the erectile tissue in our genitals (which are mainly on the inner clitoris) engorging with blood. This buildup feels great. Orgasm includes the trapped blood being released by contractions of the pelvic floor muscles. <\/span><\/p>\n<p><span style=\"font-weight: 400;\">Importantly, these contractions feel fantastic. Sometimes, women also ejaculate and squirt during orgasm. <\/span><span style=\"font-weight: 400;\">\u00a0Female orgasms can last from about 13 to 51 seconds, compared to male orgasms, which average from 10 to 30 seconds. <\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Why It Happens: Physical, Psychological, and Social Factors<\/span><\/h2>\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 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. Likewise, vulvar skin issues can impact 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 some birth control pills may inhibit orgasm. Additionally, 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><\/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 problems including weakened orgasms.<\/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><\/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><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><b style=\"font-size: 16px;\">A lack of knowledge<\/b><span style=\"font-weight: 400;\"> about sexual stimulation due to poor sexual education<\/span><\/li>\n<li><b style=\"font-size: 16px;\">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\"><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 is mainly due to the prioritization of male pleasure (penetrative sex) and the cultural silence around women\u2019s most orgasmic organ, the clitoris.<\/span><\/p>\n<h2><span style=\"font-weight: 400;\">Female Orgasmic Disorder Treatment Options<\/span><\/h2>\n<h3><span style=\"font-weight: 400;\">Self-Help<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">Research shows that when it comes to learning to orgasm, self-help works. Two books with evidence for their effectiveness are the older \u201c<\/span><a href=\"https:\/\/www.amazon.com\/Becoming-Orgasmic-Sexual-Personal-Program\/dp\/0671761773\/ref=sr_1_1?adgrpid=190132561367&amp;dib=eyJ2IjoiMSJ9.qIRjC7_cHfns4HDyXSEd6I4ZstrhjHR9oSKtBBctNbp7Dinsz0t4u7aexNpcgJm8h3JuthdrpztonbVe9mfT1lQJ8KG6-bE8VTZAJ8dOvUK5fSre5Fe511wa4dvourtuSfBtVTxFqXVymdc-Qic2gHs0CuTWa5Ppab3BWNPLG1VW_UcXh3w5JZY-N8Rj7xZzgTM6L98upSfETYBrIRo_9HgCAy-iECZB7yQ-bo9iDaY.CJvlQvHJSa0APRzSRYq-YQtEUE_I2dLunSacHaLg978&amp;dib_tag=se&amp;hvadid=792925678721&amp;hvdev=c&amp;hvexpln=0&amp;hvlocphy=9012344&amp;hvnetw=g&amp;hvocijid=10121172915838912722--&amp;hvqmt=e&amp;hvrand=10121172915838912722&amp;hvtargid=kwd-518983101015&amp;hydadcr=8413_13869418_2448599&amp;keywords=becoming+orgasmic+book&amp;mcid=1807c12cc3613d45a8298780e0814389&amp;qid=1782676883&amp;sr=8-1\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Becoming Orgasmic<\/span><\/a><span style=\"font-weight: 400;\">\u201d and the more recent \u201c<\/span><a href=\"https:\/\/www.amazon.com\/Becoming-Cliterate-Orgasm-Equality-Matters\/dp\/0062664557\/ref=tmm_pap_swatch_0?_encoding=UTF8&amp;dib_tag=se&amp;dib=eyJ2IjoiMSJ9.ww5LLIoMpqmsMagq7qNTzb-ElYOewy5rH9XQ9DF4DGtBS-ALuXAArRZEG9N-VUSdmKCUViXEWxIsp9R35lfFJ0fV4Auyd_VYieg-8taQsy9Rb1S9tE3Fks-WZLxCwmUYQVJsEt5E0FOkQxl4vfmyMaT0j-SzzVqrUsTfY7JNXLS4wWYMZoySTNRuokvlc2RCox5vZ8j9KCYhN1jwGbshVHpt52kzwj33qWogLBLVdBA.OFDrrlTqhIeMDtfzgSQp3OpMX9kQHjycgq-pZPehXe8&amp;qid=1782475604&amp;sr=8-1\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Becoming Cliterate<\/span><\/a><span style=\"font-weight: 400;\">.\u201d\u00a0 Other great books are \u201c<\/span><a href=\"https:\/\/www.amazon.com\/Sex-One-Selfloving-Betty-Dodson\/dp\/0517886073\/ref=sr_1_1?crid=3JHCDYUTVHB2R&amp;dib=eyJ2IjoiMSJ9.0nMQzabA-0c_KZotwkUCnSuFxF4QtOGDo0lSq550NMR2ehtieo9kMN-9c7dx6S4IcP3z9E4uRojpbvRxjM-QtWVxNWX9Y6MrKq2VTYizeRLKsU4KP8iQqJ39XzDY8bleMLzG5Crk1Dr4XNOzBHeHZL1UNuFAlEAQvzAVUPjrHrT2R84PPukjH-dvs4SxAylCHxWgNkWsx0vQWAaNr32QXF15BUybXFZL5cECiBvlIKA.yY5yn4A3V1xpoV6n9pv93rsvm51Z528y2KkNmd1zuK4&amp;dib_tag=se&amp;keywords=Sex+for+One&amp;qid=1782475629&amp;sprefix=sex+for+on%2Caps%2C190&amp;sr=8-1\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Sex for One<\/span><\/a><span style=\"font-weight: 400;\">\u201d and \u201c<\/span><a href=\"https:\/\/www.amazon.com\/Yourself-Fulfillment-Female-Sexuality\/dp\/0451202007\/ref=sr_1_1?crid=1PBA66RK3DJIZ&amp;dib=eyJ2IjoiMSJ9.XDjdjJftLxpok46Ud8We4tuoeY39zrxUcv2ZnFnXRpRCsSupsLXtQtgLoys5sh7Wi7vbXzW2J2UFsByqepRO7IOtYksfvLufPKC_ELzEVIZ8565Secuduj03HpFEGRM0qaFgC2BAReI8UORvt5mBKduAHsDaK40gLjOSO7kWjIMtxdC8JGZ7WWOLPDK65AohaY7xMbPjfgdu9Lt8q7KWkB68MAQElquYl4Fpp3YEino.rTXt9NWBGSUT3Lj8Vxi_zf2E3r8pm5me-IdxtkGyoIQ&amp;dib_tag=se&amp;keywords=for+yourself+lonnie+barbach&amp;qid=1782475670&amp;sprefix=For+you%2Caps%2C180&amp;sr=8-1\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">For Yourself<\/span><\/a><span style=\"font-weight: 400;\">.\u201d\u00a0 Likewise, <\/span><a href=\"http:\/\/mymojo.com\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">mymojo.com<\/span><\/a><span style=\"font-weight: 400;\"> offers guided courses based in sexual science and sex therapy for <\/span><a href=\"https:\/\/mymojo.com\/courses\/find-your-orgasm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">women who\u2019ve never orgasmed<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/mymojo.com\/courses\/rebuild-your-orgasm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">those who used to but lost their orgasm<\/span><\/a><span style=\"font-weight: 400;\">.\u00a0 Additionally, for those for whom anxiety is getting in the way, the book <\/span><a href=\"https:\/\/www.amazon.com\/Better-Sex-Through-Mindfulness-audiobook\/dp\/B07KGN899T\/ref=sr_1_1?crid=1EVOKP6XGELNY&amp;dib=eyJ2IjoiMSJ9.Dm2sBAPOtUW35I_GiZe3nBO9xhfWaBasP8uSdiuOt8p4zTTrfv_aqA9Cus2zUPKxjz4yoyU7ULIQJ5ezFTi0TAqy6hx8TPLlIZ01s66QJ0rLdnXGQxn_beukZLfxP4xhi1QcNn8HQUDro6mrDV3GYeK1Yo917Nyc_240T_TLMKmEl5Ja9Xntol86tr93Su3PDVssOvR0MXQ85SWeOt0zlmT4shKMok3cS4wg_sRCLsM.dOfrHgEZvsVrgZDGtcnoLE0qswtN6f0nFMlWQb1yK4c&amp;dib_tag=se&amp;keywords=better+sex+through+mindfulness+lori+brotto&amp;qid=1782475829&amp;sprefix=Better+sex+through%2Caps%2C225&amp;sr=8-1\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">Better Sex Through Mindfulness<\/span><\/a><span style=\"font-weight: 400;\"> (and its similar <\/span><a href=\"https:\/\/www.amazon.com\/Better-Sex-Through-Mindfulness-Workbook\/dp\/1771648376\/ref=zg_bs_g_6511979011_d_sccl_38\/132-4823916-5549955?psc=1\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">handbook<\/span><\/a><span style=\"font-weight: 400;\">) is quite useful.\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Sex Therapy<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">If self-help doesn\u2019t work, it\u2019s best to see a therapist, who can offer more individualized treatment. You can find a provider at the websites of the<\/span><a href=\"https:\/\/www.aasect.org\/referral-directory\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\"> American Association of Sex Therapists Counselors and Educators<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/sstarnet.org\/find-therapist\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">The Society for Sex Therapy and Research.<\/span><\/a><span style=\"font-weight: 400;\">\u00a0<\/span><\/p>\n<h3><span style=\"font-weight: 400;\">Medical Interventions<\/span><\/h3>\n<p><span style=\"font-weight: 400;\">There are many things that sexual medicine physicians can do to assess if a lack of orgasm is due to a medical issue, and many \u201coff label\u201d treatments that can be provided.\u00a0 <a href=\"https:\/\/app.v1.statusplus.net\/membership\/provider\/index?society=isswsh\" target=\"_blank\" rel=\"noopener\">The International Society for the Study of Women\u2019s Sexual Health<\/a> can help you find a provider.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For those who used to orgasm and no longer do, potentially due to SSRIs, stress, or menopause, one medical option is a topical cream made with sildenafil and other vasodilators applied to the clitoris.\u00a0 You can get a medical consultation <\/span><a href=\"https:\/\/mymojo.com\/courses\/rebuild-your-orgasm\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400;\">here<\/span><\/a><span style=\"font-weight: 400;\">.<\/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 indeed 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. However, again, this is something that can be changed with interventions such as those discussed above.<\/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 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. Difficulty with orgasming is the second most common concern women bring to health providers. We don\u2019t really know how many women suffer from this, as statistics vary widely and indeed, one source compiling data said that the range varies from eight to 72%. According to a 2020 paper published in the International Society for Sexual Medicine, up to 28% of [&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":[909,137,669,1242],"coauthors":[1262,943],"class_list":["post-48409","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sexual-health","category-womens-health","tag-fact-checked-by-doctor","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. Difficulty with orgasming is the second most common concern women bring to health providers. We don\u2019t really know how many women suffer from this, as statistics vary widely and indeed, one source compiling data said that the range varies from eight to 72%. 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