Management of Anorgasmia (Female)

In primary anorgasmia, the woman usually has not learned the type and duration of stimulation that she requires. There are several good books that can help her do this. Almost all such books start with the premise that it is easier for her to learn to do this initially on her own. She can then teach her partner what she has learned. Women of certain religious faiths may feel that masturbation is wrong. Some may believe it is acceptable as a temporary measure if the long-term goal is improving their marriage, but others may find it unacceptable under any circumstances. In these cases, books written specifically for that particular group or referral to a sympathetic therapist who will work with the couple may help.

The treatment of secondary anorgasmia depends on the underlying cause. If the problem is SSRIs, possible things to try include changing the medication, giving something that will temporarily reverse the effect (drugs that have been tried include amantadine, cyproheptadine, and sildenafil with varying results). If the secondary anorgasmia is due to nerve damage from, for example, multiple sclerosis or surgery, orgasms are usually possible but more difficult to attain. One way to get around this is to provide stronger stimulation i.e. by using a vibrator.