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Symptoms

By Mayo Clinic staff

An orgasm is a feeling of intense physical pleasure and release of tension, accompanied by involuntary, rhythmic contractions of your pelvic floor muscles. But it doesn't always look — or sound — like that famous scene from "When Harry Met Sally." Some women actually feel pelvic contractions or a quivering of the uterus during orgasm, but some don't. Some women describe fireworks all over the body, while others describe the feeling as a tingle.

By definition, the major symptoms of anorgasmia are inability to experience orgasm or long delays in reaching orgasm. But there are different types of anorgasmia:

  • Primary anorgasmia. This means you've never experienced an orgasm.
  • Secondary anorgasmia. This means you used to have orgasms, but now experience difficulty reaching climax.
  • Situational anorgasmia. This means you are able to orgasm only during certain circumstances, such as during oral sex or masturbation. This is very common in women. In fact, about 80 percent of women experience orgasm only from stimulation of the clitoris.
  • General anorgasmia. This means you aren't able to orgasm in any situation or with any partner.

When to see a doctor
Talk to your doctor if you have questions about orgasm or concerns about your ability to achieve orgasm. You may find that your sexual experiences are normal. Or your doctor may recommend strategies to reduce your anxiety and increase your satisfaction.

References
  1. Frank JE, et al. Diagnosis and treatment of female sexual dysfunction. American Family Physician. 2008;77:635.
  2. Kammerer-Doak D, et al. Female sexual function and dysfunction. Obstetrics and Gynecology Clinics of North America. 2008;35:169.
  3. Kingsberg SA, et al. Female sexual disorders: Assessment, diagnosis and treatment. Urologic Clinics of North America. 2007;34:497.
  4. Giustozzi AA. Sexual dysfunction in women. In: Ferri FF. Ferri's Clinical Advisor 2010. St. Louis, Mo.: Mosby; 2009. http://www.mdconsult.com/das/book/body/169332872-5/912912390/2088/600.html#4-u1.0-B978-0-323-05609-0..00028-9--s2040_12318. Accessed Nov. 6, 2009.
  5. Becker JV, et al. Sexual desire disorders. In: Hales RE, et al., eds. The American Psychiatric Publishing Textbook of Psychiatry. 5th ed. Arlington, Va.: American Psychiatric Association; 2008. http://www.psychiatryonline.com. Accessed Nov. 6, 2009.
  6. Ginsberg TB. Aging and sexuality. The Medical Clinics of North America. 2006;90:1025.
  7. Shifren JL. Sexual dysfunction in women: Management. http://www.uptodate.com/home/index.html. Accessed Nov. 6, 2009.
  8. Shifren JL. Sexual dysfunction in women: Epidemiology, risk factors, and evaluation. http://www.uptodate.com/home/index.html. Accessed Nov. 6, 2009.
  9. Gallenberg MM (expert opinion). Mayo Clinic, Rochester, Minn. Nov. 7, 2009.
DS01051 Dec. 23, 2009

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