Female Orgasmic Disorder

Female Orgasmic Disorder (FOD) is when a woman either can't reach orgasm (sexual climax), has difficulty reaching orgasm, or has unsatisfying orgasms.

Many factors can affect a woman's desire and sexual function including physical and psychological causes. Medications, illnesses, surgery, age, pregnancy and menopause can affect sex.

Treatment varies depending on the cause. Occasional sexual problems are not uncommon. If problems don't go away, or cause anxiety for you or your partner, you should see your healthcare provider.

Many things can affect desire and function and lead to FOD including:

• A history of sexual abuse or past negative sexual experiences
• A history of rape
• Poor body image
• Fear of losing control
• Certain prescription drugs, examples include fluoxetine (Prozac), paroxetine (Paxil), and sertraline (Zoloft)
• Excessive alcohol use
• Hormonal disorders
• Hormonal changes due to menopause
• Aging
• Physical causes such as diabetes, heart disease, nerve disorders, or hormone problems
• Vaginal infections
• Pregnancy, childbirth, and breastfeeding
• Extreme tiredness 
• Work-related stress and anxiety
• Negative attitudes toward sex (usually learned in childhood or adolescence)
• Shyness or embarrassment about asking for whatever type of stimulation works best
• Problems within the relationship between partners
• Boredom with sexual activity
• Depression

Talk with your doctor if difficulty reaching orgasm persists and causes distress for you or your partner. Many physical and emotional causes are treatable.