Assoc. Prof. Süleyman Eserdağ, MDCosmetic Gynecologist & Sexual Therapist
Fellow of European Committee of Sexual Medicine (FECSM)
Editor of the Book ‘Female Aesthetic and Functional Genital Surgery’



Anorgasmia is a common problem especially in women. As can be seen in some periods of sexual life, orgasm may never be experienced. Today, it is possible to be treated.

If anorgasmia is not treated, it can lead to loss of self-confidence, concentration problems and psychological problems leading to depression. It may cause unhappiness, despair and couple problems both in women and men.

What is orgasm?

The stage during which the sexual pleasure reaches the peak and muscles around uterus, vagina and anus involuntarily and rhythmically contract during sexual activity is called the ‘orgasm’. If sexual arousal continues, women may experience multiple orgasms.

Orgasm is the highest point of pleasure in women during sexual intercourse, a moment of spiritual ejaculation, satisfaction and relaxation.

What is the function of orgasm?

Orgasm provides the spiritual integration of the connection between male and female bodies during sexual intercourse. In this way, it strengthens partner relations and marriage bonds. It has positive effects on marriage, social life and even in business life. It also facilitates conception due to the vacuum effect that occurs during intercourse.

What is anorgasmia?

Brain and genital area function simultaneously with sexual stimulations. The sexual stimulation we have acquired with our five perceptions increases the blood flow and sensitivity of the genital area and realizes the process. Orgasm, as can be understood from the definition, is realized with the brain but the sensitivity of genital organs also facilitates the orgasm.

Anorgasmia is an inability to have an orgasm or reaching orgasm quite difficultly during sexual activities such as sexual intercourse and masturbation despite having adequate sexual stimulation.

Anorgasmia Types

Clitoral Anorgasmia: Clitoris is the core organ which provides the most intense sexual stimulation and orgasm function in women. Inability to reach clitoral orgasm in any way, during masturbation and intercourse is called as ‘clitoral anorgasmia’.

Coital Anorgasmia: It’s the problem to have orgasm by masturbation, but not to have it during sexual intercourse by partner. It is also known as ‘vaginal anorgasmia’. Majority of women have coital anorgasmia problem.

Random Anorgasmia: It is anorgasmia type where women can have orgasm only sometimes or very difficultly.

Early Orgasm: It is the situation where orgasm happens earlier than expected. This early orgasm which occurs at the beginning of intercourse can be seen together with sexual desire problem. It is seen quite rarely.


It is composed of initials of ‘Persistent Sexual Arousal Syndrome’. In this problem, a continuous sexual stimulation and involuntary orgasms occur in the person in daily life. It is a very annoying situation which negatively affect life.

Reasons of Anorgasmia

Anorgasmia reasons can be dependent on physical, psychological and spousal problems. The detailed gynecological examination is required in order to determine its physical aspect.

Physical reasons

Such complaints as ‘vulvar vestibulitis syndrome’ which are the reason of infection, vaginal dryness and painful sexual intercourse should be treated. Chronic alcoholism, diabetes, hypertension, heart diseases and some neurological diseases may cause anorgasmia.

Psychological reasons

The most common reason of anorgasmia is people’s lack of information about their genital organs and sexuality. Especially in early ages, the lack of knowledge and experience is much more.

On the other hand, sexual traumas like harassment or rape during childhood, problematic adolescence, traumatic experiences in the first sexual experience may cause anorgasmia.

There is also a high incidence of anorgasmia in women with advanced control (high auto-control) and perfectionist character structure.

Anorgasmia in vaginismus

Vaginismus problem can lead to sexual desire loss and anorgasmia problems over time. This is a kind of ‘learned helplessness’ or so-called ‘negative conditioning’.

Spousal reasons

Attitudes of spouses are also important factors in anorgasmia. The inability of the male partner to adequately stimulate his partner and prepare her for intercourse and his inexperience are among other factors. In addition, early ejaculation, sexual anorexia and erectile dysfunction problems in men can cause anorgasmia in women.

Orgasm imitation

It is the behaviors of some women who have anorgasmia problem to make their partners happy during sexual intercourse. Contracting herself, making different sounds are among the most commonly used orgasmic imitation methods.

Anorgasmia Treatment Methods

Psychiatric sexual therapies and some genital area procedures are involved in the treatment of anorgasmia problem.

The first step in the treatment of anorgasmia is the gynecological examination performed by a gynecologist. With this examination, an accurate diagnosis will be made and if there are physical problems that prevent orgasm, it should be treated firstly.

Psychological procedures, sexual therapies

The psychological process begins after receiving a detailed personal and sexual history. Person’s characteristics, first sexual experience, upbringing, family structure, traumas and some important events etc. are examined in detail. Problems that may arise during this process can be resolved with general therapy. Then, sexual therapy starts.

Sexual therapy starts with a person’s becoming acquainted with sexuality, orgasm, G spot, clitoris, vagina and their functions (cognitive sexual therapy). After that, behavioral sexual therapy process including to teach how to reach orgasm with a few exercises is started. Sexual therapy can be supplemented with hypnotherapy and some medications such as pills or gels.

Sexual therapies usually last about 6-12 sessions, which includes about a period of one month. Some DVD or books are also recommended to patients (Bibliotherapy). If anorgasmia problem in women depends on early ejaculation or erectile dysfunction problem in men, sexual therapy should be applied to male partner as well.

Marriage problems are also the reason or anorgasmia. In this case, marriage therapy may become necessary.

Procedures applied to the genital area in order to provide and facilitate orgasm

Some genital procedures can also be performed to increase genital area sensitivity, tighten vaginal canal, increase blood circulation and enhance sexual pleasure.

Laser vaginal rejuvenation, genital PRP (Platelet Rich Plasma) injections, G spot enlargement and genital radiofrequency applications are some of these methods. All these procedures are non-invasive (noninvasive) medical applications. Therefore, they have almost no risks.

In our own clinic, we combine both these simple medical procedures and sexual therapies for higher success in our patients. In this way, the best results can be obtained. Sexuality is a function that can be learned and developed at any age and at any time! Anorgasmia in women is a treatable sexual problem.


In this section, you will find some of the hands-on aesthetic genital surgery (cosmetic gynecology) courses, trainings and meetings given by Assoc. Prof. Süleyman Eserdağ.

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Assoc. Prof. Süleyman Eserdağ, MDAssoc. Prof. Süleyman Eserdağ, MDCosmetic Gynecologist & Sexual Therapist
Fellow of European Committee of Sexual Medicine (FECSM)
Editor of the Book ‘Female Aesthetic and Functional Genital Surgery’
+90 (530) 763 34 00
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