Female Orgasmic Disorder (FOD) also known as Anorgasmia, is the persistent or recurrent delay or absence of orgasm (climax or sexual release) after a normal excitement phase of sexual arousal and sexual stimulation that is assessed as adequate in focus, intensity, and duration. To be considered FOD, the condition must cause personal distress or problems in a relationship.

Causes of Female Orgasmic Disorder

Unfortunately, the causes of female orgasmic disorder are still unknown. Despite the fact that psychological reasons are believed to be more responsible for a woman's inability to achieve an orgasm than are physiological reasons, so far there is no consistent evidence that psychological or psychosocial factors alone can explain why some women have difficulty reaching orgasm. When achieving an orgasm becomes the overriding aim of sexual intercourse, the psychological pressure itself becomes an inhibiting factor in achieving an orgasm.

Situational and psychological Causes:

1. Lack of knowledge and understanding about a woman's sexual anatomy and response by her or her spouse may result in ineffective stimulation and arousal, and consequently difficulty in achieving orgasm.

2. Lovemaking that consistently ends (as when the man ejaculates) before the woman is sufficiently aroused.

3. Insufficient foreplay can lead to lack of vaginal lubrication causing discomfort and irritation with sexual activity especially intercourse and may make orgasm more difficult to achieve.

4. Performance anxiety or feeling pressured to achieve orgasm either by her spouse or self-inflicted, may lead to more difficulty with orgasm.

5. Women who have guilt about sex or sexual pleasure or who are uncomfortable with the idea of becoming sexually aroused and thus fearing to let go, may have problems with orgasm.

6. Physically or emotionally traumatic experience like child sexual abuse can cause long-lasting problems in relationships, especially with sexual intimacy. This may result in decreased desire for sex or problems with orgasm.

7. Psychological disorders (such as depression) can also have an adverse effect on a woman's ability to achieve orgasm.

8. Problems in the relationship or interpersonal factors such as unresolved conflicts, anger, resentment or lack of trust may cause orgasmic problems.

9. Inadequate communication about sex (for example, about what sort of stimulation a person enjoys) and unreasonable expectations in a relationship also may play a role in achieving orgasm.

Physiological causes of FOD include:

1. Damage to the blood vessels of the pelvic region can cause insufficient blood flow into the pelvic region. This often results in the reduction of sensitivity of the female genital region, leading to possible vaginal dryness. Medical problems like heart diseases, diabetes and hardened arteries could also decrease blood flow.

2. Spinal cord lesions or damage to the nervous system especially around the pelvic region can cause loss of sensitivity and result in female orgasmic disorder.

3. Following menopause or hysterectomy, women have decreased lubrication and reduced elasticity of vaginal tissues resulting from hormonal imbalance (estrogen and progesterone) which are critical for women's sexual arousal and function.

4. Side effects of medications such as antipsychotic, antidepressant, and anti-hypertensive drugs may include interference with orgasm. Narcotics and illicit substance abuse can also cause reduced sexual arousal and orgasm.

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