Orgasmic Disorders in Women

Effect of Premature Menopause on Sexuality

“…Comorbidity of FSD is frequent; more so in PM women, especially after surgical menopause, as the loss of testosterone may impair both the future science group future science group www.futuremedicine.com central and peripheral mechanisms leading to orgasm [109]. Orgasmic difficulties after PM may also be treated with a combined medical and psychosexual approach.…”

“…As previously mentioned, androgen's ability to restore orgasmic response is now under more intense investigation, with an increasing body of evidence supporting a positive restorative role of testosterone [34][35][36]47,[52][53][54]. Pelvic floor rehabilitation is indicated when hypotonia is diagnosed as contributing to reduced orgasmic sensations [109]. Comorbid urge or stress incontinence with fear of leakage with orgasm should be appropriately addressed [109].…”

“…Sexual pain is no exception [39,87]. Attention to biological etiologies of dyspareunia is mandatory also in PM patients, when loss of sexual hormones may be complicated by factors more related to a specific PM etiology, such as vaginal shortening after radical surgery for cervical cancer and/or vaginal narrowing after pelvic or vaginal radiotherapy [22,23,109]. Again, the clinical approach should consider the two, usually interacting, components.…”

“…Pelvic floor rehabilitation is indicated when hypotonia is diagnosed as contributing to reduced orgasmic sensations [109]. Comorbid urge or stress incontinence with fear of leakage with orgasm should be appropriately addressed [109].…”

Significado de la sexualidad y el orgasmo en un grupo de mujeres profesionales

“…Una definición clásica de orgasmo femenino lo refiere como un pico sensorial, variable y transitorio, que crea un estado alterado de conciencia, de intenso placer, que inicia usualmente con salvas de contracciones involuntarias, rítmicas, de la musculatura pélvica estriada circumvaginal, a menudo con la presencia concomitante de contracciones uterinas, anales y miotonía; dichas contracciones resuelven parcial o totalmente la vaso congestión regional que ha sido sexualmente inducida, para devenir todo ello en una sensación ulterior de bienestar y contento. [7][8][9][10][11][12][13][14][15][16][17][18][19][20][21] La posibilidad de que algunas mujeres finjan el orgasmo convierte ese tema en un asunto que vale la pena seguir investigando, ya que en la literatura las cifras varían desde el 20% hasta el 50% y que es completamente diferente, como era de esperarse, si es juzgado por las mujeres a si lo es por sus parejas. En nuestra investigación con estudiantes universitarias de la ciudad de Medellín, 4 de cada 10 manifestaron fingir el orgasmo, un 37,54% señaló diversas razones para ello, mientras un 7,09% sin razón alguna.…”