A persistent absence of the climax phase during sexual activity despite adequate sexual stimulation. Lack of orgasm is also known as anorgasmia, and it can affect both men and women. The condition may be lifelong or it may arise only in certain situations. Causes can be physical or psychological. Physical causes include diseases such as diabetes and multiple sclerosis, cancer in the pelvic region, tumors of the spinal cord, surgery to the genitals, and drugs (alcohol or sedatives).
Difficulty attaining orgasm during sexual engagement is referred to as anorgasmia. This issue is more prevalent in females than in males. In either gender, the inability to achieve orgasm can stem from inhibited sexual desire or the incapacity to become sexually aroused or sustain arousal. For males, the challenge might involve achieving orgasm despite experiencing regular arousal.
Among women, the most prevalent sexual issue is the absence of orgasm, impacting as many as 50 percent of women at certain points in their lives. While some are incapable of attaining orgasm in any situation, others only encounter orgasm infrequently.
In both genders, factors that can contribute to this issue encompass difficulties with sexual technique or within a relationship, limited understanding of sexual responses, psychological challenges (like anxiety, past sexual trauma, or inhibitions), and the apprehension of potential pregnancy.
Sexual therapy, couples counseling, and psychotherapeutic approaches can offer assistance.