Women exhibit a huge variability in orgasm frequency and type of stimulation needed to experience an orgasm. Therefore, it is quite difficult for a female to experience orgasm at different times and report the difficulty in achieving orgasm.
The difficulty in experiencing orgasm can be presented as: the presence of marked delay in, marked infrequency of, or absence of orgasm, and/or markedly reduced intensity of orgasmic sensations.
Causes
medical and chronic
conditions, as well as pharmacological treatments –
1. Medical – Cardiovascular Diseases, Diabetes, Fibroids, Cysts and tumors, Hypothyroidism, Hyperprolactinemia
2. Biological – Genetic, Hormonal changes, Pregnancy, Menopause
3. Psychological – Age, Education, Cultural Background, Religion, Negative sexual attitudes, Sexual violence and abuse, Relationship problems, Fear of pain during penetration, Anxiety, Distress, Poor body image, Poor self-esteem.
4. Drugs – Cardiovascular and Antihypertensive drugs, Antipsychotics, Narcotics, Marijuana, Alcohol.