Sexual Dysfunctions – Difficulties with Orgasm

Typically, sexual intercourse ends with orgasm—a phase that is usually associated with the greatest pleasure.

In women, orgasm is not strictly linked to sexual satisfaction, and difficulties in reaching it are more often associated with a lack of sexual interest.

In men, delayed or premature ejaculation can lead to feelings of frustration and avoidance of further sexual encounters.

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Female Orgasmic Disorder is characterized by:

• In most sexual encounters, there is an absence, significant delay, or marked reduction in the intensity of orgasm.
• Symptoms persist for at least 6 months and cause clinically significant distress.
• The symptoms cannot be better explained by another condition.

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Delayed Ejaculation is characterized by:

• In most sexual encounters, there is a marked delay in ejaculation or absence of ejaculation.
• Symptoms persist for at least 6 months and cause clinically significant distress.
• The symptoms cannot be better explained by another condition.

According to the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Premature (Early) Ejaculation is characterized by:

• In most sexual encounters, ejaculation occurs within one minute of penetration and before the individual wishes it to happen.
• Symptoms persist for at least 6 months and cause clinically significant distress.
• The symptoms cannot be better explained by another condition.

Sources:

• American Psychiatric Association (2013) – Diagnostic and Statistical Manual of Mental Disorders (5th ed.)
• Bernhill, J. W. (2014) – DSM-5 Clinical Cases

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