Lack of female orgasm (anorgasmia)
One of the main problems of presentation of women in cabinet psihosexologie is anorgasmia or total or partial lack of orgasm.
What is anorgasmia?
Anorgasmia is the inability to achieve orgasm, even after appropriate stimulation.
What causes anorgasmiei?
Anorgasmiei causes are considered to be 90% psychological. However there are some medical problems that can lead to orgasm and possible medical causes should be investigated before beginning psychotherapy, considered to be the treatment of choice of female anorgasmiei. Such health problems include diabetes mellitus, multiple sclerosis, pelvic trauma, hormonal disorders, total hysterectomy, some cardiovascular disease, spinal cord injuries, use of medications such as certain antidepressants or amantadine.
For this reason the initial medical examination must include a series of blood tests that indicate diabetes if there is a lack of ovulation, hypothyroidism or hormonal imbalances. In general doctor making blood counts indicate, liver tests, thyroid and ovarian hormonal analysis, blood sugar. If medical causes are removed, as occurs in almost 90% of cases, it is a matter anorgasmia psychotherapy / psihosexologiei.
Lack of female orgasm (anorgasmia)
Since the cause is psychological in nature anorgasmia?
Of medically anorgasmia is of several types: primary anorgasmia, secondary anorgasmia, and situational anorgasmia anorgasmia random, each with its specific psychological causes.
Primary anorgasmia
Primary anorgasmia is characterized by the absence of orgasm and low sexual arousal, although sexual intercourse or other sexual activities are perceived as pleasant. 10 to 15% of women undergoing psychotherapeutic treatment have primary anorgasmia. Possible causes of primary anorgasmiei are socio-cultural inhibitions, unresolved feelings about past traumatic sexual experience (sexual abuse, rape, etc.), lack of knowledge about sexuality, lack of opportunity to have sexual acts in a socially acceptable atmosphere the existence of a partner erection difficulties, the pain during intercourse. Quite often it happens that none of these reasons are not present.
Anorgasmiei primary therapy include maximizing communication with partner, communication is often poor. Frequently incorporate clitoral stimulation in sexual intercourse is sufficient to reach orgasm, and in the absence of masturbation lead to successful partner often.
Lack of female orgasm (anorgasmia)
Secondary anorgasmia
Secondary anorgasmia is the loss of ability to reach orgasm, after a period when the woman reached orgasm consistently. Secondary anorgasmiei possible causes: alcoholism, depression, feelings of sadness, various somatic diseases, lack of female hormones menopause, events interfered with women's sexual value system.
Secondary anorgasmia but most commonly occurs due to existing problems in the couple so that the exercise program is centered psychotherapy torque and improved communication global relationship partner. Hypnotherapy is useful for exploring and overcoming unconscious conflicts and reducing anxiety.
Situational anorgasmia
Situational anorgasmia is when a woman reaches orgasm in a form of stimulation but not in another, or with a partner but not with another partner, or only under certain circumstances, or only a certain type of foreplay. Many times there are some causes that inhibit orgasms, such as fatigue, emotional concerns, feeling of pressure in order to have intercourse when the woman does not want this, sexual dysfunction partner.
Therapy includes the recommendation of certain positions for intercourse, so that the body "learn to associate" orgasm with a certain technique. For example, if a woman has an orgasm from manual stimulation but not vaginal orgasm can learn how to combine them to associate high levels of arousal and orgasm with penis intromisiunea.
Lack of female orgasm (anorgasmia)
Random anorgasmia.
Is the female orgasm, orgasm intensity but not enough to be satisfying.
The most common cause of accidental anorgasmiei is the inability to give up control to respond fully to what our partners.
Psychotherapy in this case is directed primarily towards learning abandoning permanent control of sexual feelings.
Complications anorgasmiei
Anorgasmiei persistence often leads to a decrease in sexual desire and frequency due to decreased sexual acts. The first consequence is the conflict in the relationship. For this reason anorgasmiei therapy has two goals: to improve the quality of sexual life of women and conflict prevention that couple. Primary anorgasmia dysfunction type of therapy success rate is 75-90%, and secondary anorgasmia of 65-85%.
Lack of female orgasm (anorgasmia)
What happens in psychotherapy sessions?
In psychotherapy sessions primarily discuss the causes that led to the installation anorgasmiei to detect falls in the category diagnose lack of orgasm: primary, secondary, situational or accidental. Often it turns out that anorgasmia is due to a global dysfunction couple realized or not.
Depending on the therapist may propose discussed couple or individual psychotherapy, or a combination of these. The most commonly used methods are cognitive-behavioral psychotherapy and hypnotherapy.
During psychotherapy depends so anorgasmiei causes and treatment of evolution.
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