Chloé has been feeling growing frustration, an inability to reach the sexual fulfilment she longs for. She wonders if she is the only one experiencing this and whether solutions exist.
But what exactly is an orgasm? How does it work in men and women, and what are the possible causes of difficulties in achieving it?
Hello, this is Dr Joy!
In this article, we will explore the mystery of orgasm, its various aspects, the disorders that may be associated with it, and the ways to regain a fulfilling sex life.
I – Orgasm: A Symphonic Blend of Body and Mind
Orgasm is the peak of sexual arousal, a moment of intense pleasure accompanied by physical and psychological manifestations.
In both men and women, it involves:
- An increased heart and respiratory rate
- Generalised muscle tension
- Involuntary contractions of the perineal muscles
At the brain level, it is a true fireworks display. The nucleus accumbens, the centre of the reward circuit, and the amygdala, the seat of emotions, are highly stimulated, while a zone of the orbitofrontal cortex, responsible for control and inhibition, is put on standby.
According to the Masters and Johnson model, sexuality unfolds in five phases:
- Desire
- Excitement
- Plateau phase
- Orgasm
- Resolution phase
It is important to note that in men, orgasm is not always synonymous with ejaculation.
II – Anorgasmia: When Orgasm Is Elusive
Anorgasmia, or orgasmic disorder, is characterised by difficulty, delay, or even absence of orgasm despite sufficient sexual arousal. This is a common disorder in women, affecting nearly one in three women.
III – Possible Causes of Anorgasmia
The causes of anorgasmia can be multiple:
- Psychological factors: stress, anxiety, lack of self-confidence or confidence in one’s partner, sexual trauma
- Relational factors: communication problems within the couple, lack of foreplay, premature ejaculation of the partner
- Medical factors: certain neurological diseases, spinal cord injuries, hormonal disorders, side effects of medications (antidepressants, contraceptive pills)
- Contextual factors: lack of intimacy, an environment not conducive to relaxation
- Lack of knowledge about one’s own body: difficulty identifying erogenous zones and types of stimulation that bring pleasure
- Cultural factors: lack of recognition or attention given to female sexual pleasure
It is important to remember that everyone is unique and that the path to orgasm may be different for each person. The key is to listen to your body, your sensations, and not hesitate to seek help if needed. Orgasm is a right, not an obligation.
To go further and benefit from personalised support, do not hesitate to book an appointment with Melissa Taylor, a sexologist at the Alegria Medical Centre. She will be there to listen and guide you towards a more fulfilling sex life.
This information is not a substitute for medical advice.
You must seek the advice of your doctor or another qualified health professional with any questions you may have regarding your health condition.
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