2015
DOI: 10.1016/j.fertnstert.2015.09.029
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Delayed orgasm and anorgasmia

Abstract: Delayed orgasm/anorgasmia defined as the persistent or recurrent difficulty, delay in, or absence of attaining orgasm after sufficient sexual stimulation, which causes personal distress. Delayed orgasm and anorgasmia are associated with significant sexual dissatisfaction. A focused medical history can shed light on the potential etiologies; which include: medications, penile sensation loss, endocrinopathies, penile hyperstimulation and psychological etiologies, amongst others. Unfortunately, there are no excel… Show more

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Cited by 62 publications
(51 citation statements)
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“…Delayed orgasm or anorgasmia, however transient, may ultimately be at fault. Secondary orgasm dysfunction, resulting later in life, may be due to selective serotonin reuptake inhibitors, hyperprolactinemia, chronic penile stimulation, or psychogenic/situational reasons (Jenkins & Mulhall, 2015). This result underscores the importance of a sexual history intake during the couple's initial evaluation for infertility.…”
Section: Discussionmentioning
confidence: 97%
“…Delayed orgasm or anorgasmia, however transient, may ultimately be at fault. Secondary orgasm dysfunction, resulting later in life, may be due to selective serotonin reuptake inhibitors, hyperprolactinemia, chronic penile stimulation, or psychogenic/situational reasons (Jenkins & Mulhall, 2015). This result underscores the importance of a sexual history intake during the couple's initial evaluation for infertility.…”
Section: Discussionmentioning
confidence: 97%
“…The first consideration should be to discontinue any medications, such as SSRIs, that could be contributing. It is good practice to work with the physician prescribing the medication and have them coordinate a drug holiday, cessation, or substitution [65]. Cabergoline, a dopamine agonist, has been used off-label in the treatment of anorgasmia.…”
Section: Anorgasmia/anejaculationmentioning
confidence: 99%
“…Основной диагностический критерий -потеря удовольствия [16]. Различные симптомы данного состояния описаны многими авторами [15][16][17][18][19][20][21]. Ощущения, испытываемые пациентами, варьируют в широком диапазоне -от «нечувствительности, бесчувствия» до «отвращения».…”
Section: Introductionunclassified