Orgasm is defined as the process that manifests itself with rhythmic contractions of the uterus and vagina after reaching the peak of intercourse. During this period, sexual pleasure is experienced in the most intense and enjoyable way.
In fact, our brain is “our biggest and most important sexual organ.” A woman can experience orgasm even without having sexual intercourse, only through her own erotic thoughts or by stimulating her clitoris.
Anorgasmia is the inability to have an orgasm.
Anorgasmic individuals have the problem of “not being able to have an orgasm” despite sexual arousal, and this problem can cause some internal distress in women.
Feeling bad, decreased self-confidence, and depression are the most common accompanying complaints.

Frequency of Orgasm Disorders
In a study on the frequency of sexual dysfunction in normal couples, difficulty reaching orgasm was reported in 63% of women, inability to relax in 47%, and lack of interest in sexuality in 35%. In women, difficulty with sexual arousal is the dysfunction most closely associated with sexual dissatisfaction.
In a study conducted among middle-class couples, sexual desire problems or difficulty with orgasm were found in 40% of women.
Moreover, 83% of women and men described their marriages as happy or very happy, and most couples did not express their current sexual dissatisfaction as a complaint about their marriages.
Causes of Not Being Able to Have an Orgasm (Anorgasmia);
- Incorrect beliefs about sexuality, lack of sexual knowledge, and exaggerated expectations about sexuality (thinking that both partners must orgasm at the same time, thinking that good lovemaking should end with an orgasm, believing that penis size is important for sexual performance can be given as examples of incorrect beliefs and exaggerated expectations.)
- Insufficient sexual stimulation; most often occurs as a result of foreplay not being kept long.
- Problems experienced in the partner/marital relationship
- Feeling worry, fear, and anxiety; adrenaline secreted during this time leads to not being able to have an orgasm.
- If the man has premature ejaculation or erection problems
- Sociocultural reasons; feelings of guilt and sinfulness becoming dominant in the person as a result of society’s beliefs and value judgments
- Fear of making mistakes and losing control
- Focusing on details instead of pleasure; does he/she like me? can I satisfy him/her? what should I do now? In situations where they cannot relax and unwind while thinking about details
- In cases where feelings of worthlessness and inadequacy are very dominant
- Sexual traumas experienced in childhood and having traumatic sexual experiences
- Fear of not succeeding (performance anxiety)
- Not being able to see the man as strong and someone who is respected
- Fear of becoming pregnant
- Lack of a healthy family life, authoritarian parents

In less than 5% of orgasm disorders, there is an underlying organic cause. These causes include diabetes, chronic alcoholism, certain neurological disorders, and the use of certain medications (some antidepressants and antihypertensives).