Orgasm, lack of

Inability to achieve orgasm during sexual activity. It may be due to inhibited sexual desire (see sexual desire, inhibited) or inability to become aroused or maintain arousal (see frigidity; impotence). In men, there may be a problem achieving orgasm despite normal arousal (see ejaculation, disorders of). The problem is common in women; some may achieve orgasm through masturbation but not during sexual intercourse. Sometimes it is due to pain during intercourse (see intercourse, painful). For both sexes, contributory factors include problems with technique or in the relationship, unfamiliarity with sexual responses, psychological problems (such as anxiety, early sexual trauma, or inhibitions), and fear of pregnancy. Sex therapy, relationship counselling, and psychotherapy are sometimes helpful.