Tags

Type your tag names separated by a space and hit enter

Disorders of orgasm in women.
J Sex Med. 2004 Jul; 1(1):66-8.JS

Abstract

INTRODUCTION

Orgasm is a sensation of intense pleasure creating an altered consciousness state accompanied by pelvic striated circumvaginal musculature and uterine/anal contractions and myotonia that resolves sexually-induced vasocongestion and induces well-being/contentment. In 1,749 randomly-sampled U.S. women, 24% reported an orgasmic dysfunction.

AIM

To provide recommendations/guidelines concerning state-of-the-art knowledge for management of orgasmic disorders in women.

METHODS

An International Consultation in collaboration with the major urology and sexual medicine associations assembled over 200 multidisciplinary experts from 60 countries into 17 committees. Committee members established specific objectives and scopes for various male and female sexual medicine topics. The recommendations concerning state-of-the-art knowledge in the respective sexual medicine topic represent the opinion of experts from five continents developed in a process over a 2-year period. Concerning the Disorders of Orgasm in Women Committee, there were four experts from two countries.

MAIN OUTCOME MEASURE

Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation and debate.

RESULTS

Female Orgasmic Disorder, the second most frequently reported women's sexual problem is considered to be the persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase that causes marked distress or interpersonal difficulty (DSM-IV). Empirical treatment outcome research is available for cognitive behavioral and pharmacological approaches. Cognitive-behavioral therapy for anorgasmia promotes attitude and sexually-relevant thought changes and anxiety reduction using behavioral exercises such as directed masturbation, sensate focus, and systematic desensitization treatments as well as sex education, communication skills training, and Kegel exercises. To date there are no pharmacological agents trials (i.e., bupropion, granisetron, and sildenafil) proven to be beneficial beyond placebo in enhancing orgasmic function in women diagnosed with Female Orgasmic Disorder.

CONCLUSIONS

More research is needed in understanding management of women with orgasmic dysfunction.

Authors+Show Affiliations

Department of Psychology, University of Texas, Austin, TX 78712, USA. meston@psy.utexas.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Review

Language

eng

PubMed ID

16422985

Citation

Meston, Cindy M., et al. "Disorders of Orgasm in Women." The Journal of Sexual Medicine, vol. 1, no. 1, 2004, pp. 66-8.
Meston CM, Hull E, Levin RJ, et al. Disorders of orgasm in women. J Sex Med. 2004;1(1):66-8.
Meston, C. M., Hull, E., Levin, R. J., & Sipski, M. (2004). Disorders of orgasm in women. The Journal of Sexual Medicine, 1(1), 66-8.
Meston CM, et al. Disorders of Orgasm in Women. J Sex Med. 2004;1(1):66-8. PubMed PMID: 16422985.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Disorders of orgasm in women. AU - Meston,Cindy M, AU - Hull,Elaine, AU - Levin,Roy J, AU - Sipski,Marca, PY - 2006/1/21/pubmed PY - 2006/2/17/medline PY - 2006/1/21/entrez SP - 66 EP - 8 JF - The journal of sexual medicine JO - J Sex Med VL - 1 IS - 1 N2 - INTRODUCTION: Orgasm is a sensation of intense pleasure creating an altered consciousness state accompanied by pelvic striated circumvaginal musculature and uterine/anal contractions and myotonia that resolves sexually-induced vasocongestion and induces well-being/contentment. In 1,749 randomly-sampled U.S. women, 24% reported an orgasmic dysfunction. AIM: To provide recommendations/guidelines concerning state-of-the-art knowledge for management of orgasmic disorders in women. METHODS: An International Consultation in collaboration with the major urology and sexual medicine associations assembled over 200 multidisciplinary experts from 60 countries into 17 committees. Committee members established specific objectives and scopes for various male and female sexual medicine topics. The recommendations concerning state-of-the-art knowledge in the respective sexual medicine topic represent the opinion of experts from five continents developed in a process over a 2-year period. Concerning the Disorders of Orgasm in Women Committee, there were four experts from two countries. MAIN OUTCOME MEASURE: Expert opinion was based on grading of evidence-based medical literature, widespread internal committee discussion, public presentation and debate. RESULTS: Female Orgasmic Disorder, the second most frequently reported women's sexual problem is considered to be the persistent or recurrent delay in, or absence of, orgasm following a normal sexual excitement phase that causes marked distress or interpersonal difficulty (DSM-IV). Empirical treatment outcome research is available for cognitive behavioral and pharmacological approaches. Cognitive-behavioral therapy for anorgasmia promotes attitude and sexually-relevant thought changes and anxiety reduction using behavioral exercises such as directed masturbation, sensate focus, and systematic desensitization treatments as well as sex education, communication skills training, and Kegel exercises. To date there are no pharmacological agents trials (i.e., bupropion, granisetron, and sildenafil) proven to be beneficial beyond placebo in enhancing orgasmic function in women diagnosed with Female Orgasmic Disorder. CONCLUSIONS: More research is needed in understanding management of women with orgasmic dysfunction. SN - 1743-6095 UR - https://www.unboundmedicine.com/medline/citation/16422985/Disorders_of_orgasm_in_women_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1743-6095(15)30047-3 DB - PRIME DP - Unbound Medicine ER -