Female Orgasmic Disorder

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Female Orgasmic Disorder

Medically reviewed · Ratel Health editorial team · Sunday, 16 August 2026

A sexual dysfunction involving marked delay in, infrequency of, or absence of orgasm, or markedly reduced intensity of orgasmic sensation.

Overview

Female orgasmic disorder involves marked delay in, infrequency of, or absence of orgasm, or markedly reduced intensity of orgasmic sensations, occurring on almost all occasions of sexual activity for at least six months, causing significant distress.

Signs and Symptoms

Symptoms can include consistent difficulty reaching orgasm despite adequate stimulation, along with associated distress or relationship concerns. Experiencing one or more of these symptoms does not necessarily mean that a person has this condition. Diagnosis requires an appropriate clinical evaluation.

Causes and Risk Factors

Causes can include psychological factors, relationship dynamics, certain medications, and a range of medical conditions; often more than one factor contributes.

Diagnosis

A diagnosis should be made by a qualified healthcare professional following a comprehensive clinical assessment. Clinicians may use established diagnostic frameworks such as DSM-5-TR and/or ICD-11 as part of a comprehensive assessment.

Treatment

Treatment depends on the individual’s symptoms, clinical history, severity, age, co-occurring conditions, and other relevant factors.

Psychotherapy

Sex therapy, including education and directed masturbation or sensate-focus techniques, has evidence supporting its use.

Living With Female Orgasmic Disorder

Open communication with a partner and reducing performance-related pressure can support treatment progress.

When to Seek Professional Help

Professional evaluation may be appropriate if symptoms persist, worsen, cause significant distress, or interfere with work, school, or relationships.

Emergency Situations

If a person may be in immediate danger, is experiencing a medical or psychiatric emergency, or may harm themselves or another person, seek immediate assistance through appropriate local emergency services.

Outlook

Many individuals experience improvement with a combination of education, therapy, and addressing contributing medical factors.

Related Conditions

Female Sexual Interest/Arousal Disorder

A sexual dysfunction involving markedly reduced or absent sexual interest or arousal, causing significant distress.

Genito-Pelvic Pain/Penetration Disorder

A sexual dysfunction involving persistent difficulties with vaginal penetration, pelvic or vulvovaginal pain, or fear of pain associated with penetration.

Medical Information Disclaimer

Ratel Health provides general educational information and does not provide medical diagnosis, treatment, or individualized medical advice. Information on this page is not a substitute for evaluation or care from a qualified healthcare professional. Do not use this information to diagnose yourself or another person, or to start, stop, or change treatment or medication without consulting an appropriately qualified healthcare professional.

References

  • American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR).
  • National Institute of Mental Health.
  • World Health Organization. International Classification of Diseases, 11th Revision.