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Recently, it has been proposed to add a subtype of FOD, called reduced orgasmic intensity, and field trials are underway to assess the suitability of this proposal.Just as with erectile dysfunction in men, lack of sexual function in women may be treated with hormonal patches or tablets to correct hormonal imbalances, clitoral vacuum pump devices and medication to improve blood flow, sexual sensation and arousal. showed a complete or very significant reversal of their sexual dysfunction upon taking sildenafil one hour prior to sexual activity.In the case of women suffering from psychological sexual trauma or inhibition, psychosexual counselling might be advisable and could be obtained through general practitioner (GP) referral.Women suffering from anorgasmia with no obvious psychological cause would need to be examined by their GP to check for absence of disease.They would then need to be referred to a specialist in sexual medicine.The specialist would check the patient's blood results for hormonal levels, thyroid function and diabetes, evaluate genital blood flow and genital sensation, as well as giving a neurological work-up to determine the degree (if any) of nerve damage.This is significantly more common in women, although it can occur in men who lack the gladipudendal (bulbocavernosus) reflex.Women with this condition can sometimes achieve a relatively low level of sexual excitement.
Some social theorists believe that inability to orgasm may be related to residual psychosocial perceptions that female sexual desire is somehow 'wrong,' and that this stems from the age of Victorian repression.
In the relatively common case of female situational anorgasmia during penile-vaginal intercourse, some sex therapists recommend that couples incorporate manual or vibrator stimulation during intercourse, or using the female-above position as it may allow for greater stimulation of the clitoris by the penis or pubic symphysis or both, and it allows the woman better control of movement.
Effective treatment for anorgasmia depends on the cause.
Frustration, restlessness, and pelvic pain or a heavy pelvic sensation may occur because of vascular engorgement.
On occasion, there may be no obvious reason why orgasm is unobtainable.