Secondary orgasmic dysfunction. I. Analysis and strategies for treatment.

Area of Science:

• Sexology
• Clinical Psychology
• Behavioral Therapy

Background:

• Orgasmic dysfunction presents as either primary (never experienced orgasm) or secondary (experienced orgasm previously).
• Pre-treatment sexual behaviors were largely similar between primary and secondary orgasmic dysfunction groups.
• Secondary orgasmic dysfunction was associated with marital distress, unlike primary orgasmic dysfunction.

Purpose of the Study:

• To analyze assessment and outcome data for primary and secondary orgasmic dysfunction.
• To evaluate the effectiveness of a behavioral treatment program.
• To inform treatment strategies for secondary orgasmic dysfunction.

Main Methods:

• A cohort of 12 participants (6 primary, 6 secondary orgasmic dysfunction) underwent treatment.
• Treatment involved anxiety reduction and sexual skill training.
• Assessment of sexual behavior and orgasm attainment was conducted pre- and post-treatment.

Main Results:

• No significant differences in most pre-treatment sexual behaviors between the two groups.
• Secondary orgasmic dysfunction correlated with marital relationship issues.
• Primary orgasmic dysfunction group achieved orgasm in coitus post-treatment; secondary group did not.

Conclusions:

• Behavioral treatment focusing on anxiety and skills was effective for primary orgasmic dysfunction.
• The ineffectiveness in secondary orgasmic dysfunction suggests distinct underlying factors.
• Tailored treatment approaches are recommended for secondary orgasmic dysfunction.