2023-10-13 17:45:00
Dysorgasmia is a unknown sexual disorder which affects both men and women. Often confused with anorgasmia, it can impact sex life of the people concerned and have a considerable impact on their self-esteem. What exactly does it consist of? How does it manifest? What are its possible causes and how to overcome it? reconnect with pleasure ? We take stock with Pauline Schillaci, state-certified nurse, clinical sexologist in Oise and member of the National Union of Clinical Sexologists (SNSC).
Definition: what is dysorgasmia?
As a reminder, orgasm refers to a feeling of intense pleasure causing an altered state of consciousness, accompanied by contractions of the pelvic and vaginal muscles and a hormonal discharge which leads to an feeling of well-being. According to the French Association of Urology, we consider that there is an orgasm disorder when “despite significant sexual arousal, we note either an absence of orgasm, or a markedly reduced intensity of orgastic sensationsi.e. a significantly delayed orgasm, regardless of the type of stimulation” (source 1).
Dysorgasmia, discussed in this article, is a sexual disorder characterized by difficulty reaching orgasm or to feel a satisfying orgasm. We sometimes speak of a dysfunctional orgasm. The prefix dys, borrowed from Greek, literally means “difficult” and “bad”, notes Pauline Schillaci. “Dysorgasmia can therefore sometimes be associated with pain that occurs during orgasm or just following orgasm “, she says. And to specify: “this pain does not appear systematically and occurs well following penetration”.
What is the difference with anorgasmia?
You will have understood, anorgasmia and dysorgasmia are two sexual disorders which limit access to orgasm. Dysorgasmia refers to difficulty achieving orgasm, while anorgasmia refers to the total impossibility of achieving this, regardless of the intensity of sexual stimulation. According to Pauline Schillaci, anorgasmia is rather linked to psychosomatic causes, while dysorgasmia more often results of a mechanical problem.
Both can be primary (the people concerned have never experienced an orgasm) or secondary (affected people have already experienced an orgasm, but can no longer achieve it). They can also be generalized (manifest yourself whatever the situation) or situational (only manifest in certain contexts).
Causes: why am I having trouble feeling pleasure and having an orgasm?
Dysorgasmia can be caused by several physiological or psychological factors:
- and lack of sexuality education ;
- of the medical problems (diabetes, hypertension, hormonal disorder, etc.);
- and stressa anxiety or a depression ;
- of the self-confidence issues ;
- of the mental health disorders ;
- of the previous trauma ;
- of the relationship problems ;
- the taking certain medications ;
- and recent birth ;
- a recent surgery in the genital area;
- etc.
Painful orgasm: why does it hurt when I cum?
As noted above, dysorgasmia can cause pain at the time of orgasm or just following orgasm (whether penile, prostate, anal, clitoral, vaginal, cervical, etc.). This pain can vary in intensity and location, but it is usually felt in the genital area, lower abdomen, or pelvis. There are many possible causes of pain:
- of the inappropriate or too rough sexual practices ;
- of the urinary tract infectionsof the pelvic infections or some inflammation of the genitals ;
- a endometriosisa condition that involves the tissue lining the uterus migrating outside the uterus;
- a pelvic myositisa muscle condition that can cause pelvic pain during orgasm;
- of the scars or some adhesions in the pelvic area which follow a previous surgery;
- and lack of lubrication adequate, leading to excessive friction and causing pain;
- not to mention stress, anxiety or trauma which can lead to physical blockages.
Anyway, feel free to consult a professional : sexologist, gynecologist or urologist, to determine the underlying cause of the pain and develop an appropriate treatment plan.
What solutions once morest dysorgasmia? Are there any treatments?
Management of dysorgasmia varies depending on many factors. The first thing to do is to discuss with your partnerbefore turning to professional care. Solutions exist:
- individual explorationto have a good knowledge of your body, your desires, and maximize your pleasure;
- the masturbation practice(alone or in pairs) can help you know and understand your body better;
- a sex therapy individual, or couples therapy makes it possible to detect and resolve certain relational or psychological problems;
- meditation, relaxation and stress management can also be useful to overcome certain problems;
- practicing certain exercises, such as Kegel exerciseswhich strengthen the pelvic floor muscles and can improve the orgasmic response in some people, especially if the dysorgasmia is linked to muscle weakness;
- tester different sexual positions and practical to find what suits you best;
- etc.
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