Self-treatment may be successful as well as coaching from one's physician, if that person is comfortable and knowledgeable about psychosexual functioning. Referral to a certified sex therapist is often the least costly and most effective course of action. Female Orgasmic Disorder involves either a delay in or absence of orgasm after normal sexual excitement is reached. Women have wide variability in their ability to reach orgasm. Some highly responsive women are able experience orgasm without direct stimulation of the clitoris while others require varying amounts of direct stimulation.
Some women are only able to attain orgasm through the use of an electric vibrator.
The presence of anorgasmia is only considered a disorder when marked distress or interpersonal difficulty are present. Because orgasmic capacity generally increases with age, Female Orgasmic Disorder is likely to be more prevalent among younger women. Once a woman learns how to reach orgasm, she will rarely lose that capacity unless relationship conflict or traumatic experience, depression, or a medical condition intervenes. As with the previously discussed disorders, Female Orgasmic Disorder may be subclassified as lifelong or acquired, generalized or situational, and due to psychological or combined factors. Sexual pain disorders are Dyspareunia and Vaginismus.