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What are causes of inability to reach orgasm (anorgasmia)?

Jan L. Shifren, MD
Reproductive Endocrinology
When assessing the problem of inability to reach orgasm (anorgasmia), one of the first things your healthcare provider will do is ask you which medications you take. Many antidepressants, blood pressure medications, and medications for obsessive-compulsive disorder can produce orgasm difficulties. To correct the problem, your healthcare provider may recommend reducing the dosage of the drug, changing the frequency at which you take it, or switching to a different drug altogether. Don't stop taking a medication or alter your dose without speaking to your healthcare provider first, though. Another possibility is to take bupropion or the herb yohimbine; both may counteract the sexual side effects of other medications.

Much more rarely, the inability of a man or woman to reach orgasm has a psychological origin. This may be the case if the problem has persisted throughout life. A sex therapist can explore the emotional issues at the core of your inability to have an orgasm. He or she can also help you relax and focus on letting go so you can fully experience pleasure during sex.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.