Female orgasm disorder

Introduction to female orgasm disorders Female orgasm disorder is an independent syndrome that is different from libido or sexual arousal. Female orgasm disorder refers to women who have sexual interests and requirements, have normal or even strong sexual desires, but are stimulated by adequate intensity and effectiveness during sexual activity and have normal sexual excitatory reactions (such as genital swelling and adequate vaginal lubrication). Orgasm is still delayed or continually delayed or lacking, and they can only achieve low levels of sexual pleasure, so sexual satisfaction is rarely or difficult to achieve. People's current understanding of female sexual dysfunction is far behind the understanding of male sexual dysfunction. Women have extensive variations in the type or intensity of stimulating orgasm, and no association between specific personality traits or psychopathological conditions and orgasm disorders has been found based on current clinical studies and long-term observations. According to the control study, the orgasm ability has nothing to do with the size of the vagina and the position of the vaginal opening. The pelvic muscle strength generally does not affect the female orgasm ability. basic knowledge The proportion of sickness: 0.01-0.02% Susceptible people: women Mode of infection: non-infectious Complications: sexual dysfunction

Female orgasm disorder

Causes

There are many reasons for female orgasm disorders, mainly psychosocial factors. Foreign scholars have studied a large number of women with orgasm disorders and found that more than 95% of patients are caused by mental and psychological factors, only a few patients (<5 %) is an orgasm disorder due to an organic disease, such as a degenerative disease or tumor of the spinal cord that destroys the regulatory orgasm reflex, a defect in the clitoris or vaginal epithelial nerve endings, endocrine diseases such as diabetes, thyroid function Low, caused by hypothalamic-pituitary-gonadal insufficiency.

Psychosocial factors (30%):

(1) Social and environmental factors: Many sexual psychologists believe that women in modern civilized society usually have sexual restraints, but they cannot let sexual reactions be naturally and strongly exposed as in the primitive society. Therefore, womens sexuality Knowledge education is often lopsided and lacks scientific basis. In the youth, women are given the culture of negating sex life, so that many women are ignorant or misunderstood about sexual knowledge, especially in China, long-term influence of feudal ethics and male superiority, sexual knowledge. Poor education, women receive inhibition of sexual behavior throughout childhood, adolescence and adulthood, requiring women to suppress sexual feelings and sexual behavior. Over time, many women still intend to suppress themselves in their sexual life after marriage, in sexual activity Being ashamed and passive, it affects the emergence of orgasm.

Traditional society sometimes instills some negative and unreasonable sexual attitudes into women. For example, the purpose of sexual life is to pass on the ancestors, to have children, and to have serious sexual intercourse. Sex life is more than 7 days in the 20s. It is advisable to use it once every 30 days when it is 30 years old, once every 28 days when it is 40 years old, and once every 45 days when it is 40 years old, and when it is 60 years old, the weather is absolutely perfect, and it should be absolutely sinful (Sun Sizhen), should be "less greed, Old can know the ring, cherish the fine as gold, and cherish the body like a treasure, can extend the year. In the sexual activities, the woman obeys the male, intentionally suppresses sexual pleasure and orgasm, and abstinence is regarded as the virtue of women. Otherwise, it is "sexuality". Performance, women's pursuit of sexual pleasure and orgasm is regarded as "amorous", female sexual sexual fantasies are considered immoral, and some people think that sexual intercourse is an inferior thing, sexual desire is a normal phenomenon, sexual indifference is a prostitute Performance, sex is a man's business, giving birth to a child is a woman's business, husband and wife's sexual life should be kept secret, sexual intercourse must be carried out in the dark, not to communicate with each other or with others, and worry that the penis inserted into the vagina will cause damage, resulting in damage Pain discomfort Even bleed and so on.

Sexual desire is a sexual motive that has not been put into action, and sexual motive is the sexual desire in action, that is, the sexual physiology, the psychological need to generate sexual desire motives, and the sexual desire motivation to produce sexual intercourse behavior. Therefore, when women are long-term, "sexual activities are low-level and inferior. "Women should not take the initiative", "the traditional concept of "worship and obedience, abstinence is the virtue of women" in the traditional concept of education, the negative attitude of sexual activity or always in a state of poor mood, will inevitably lead to low sexual desire, the emergence of cold, and ultimately lead to The occurrence of orgasm disorders.

Interference from the external environment, such as housing congestion, bed discomfort, bright light or noise, the room is not tight, afraid of being seen by children or outsiders, stressful and stressful work environment such as long hours of work, poor work, interpersonal tension, family environment Lack of privacy, chores, and financial difficulties may make it difficult for women to fully invest in sexual activity until they are unable to obtain orgasm.

(2) Psychosocial factors: Psychological factors can lead to female orgasm suppression. For example, women who experience sexual trauma often tend to cause fear of sex. Some women are worried about painful intercourse, fear of pregnancy and miscarriage, or fear of experiencing pleasure. Or orgasm leads to emotional out of control, or because of emotional factors and mental illness (such as depression, anxiety and obsessive-compulsive disorder) can cause orgasm disorders, the former such as mental stress, work and life pressure, job competition is fierce, frightened , troubles, sorrows, or consciously looks mediocre, poor image, only learn from inferiority and inferiority, intentionally avoid sexual contact, some women are poor, or have other diseases, worry that they can not meet the husband's sexual requirements and there is anxiety, Some people with mental illness, such as depression, anxiety and schizophrenia, can also cause orgasm disorders themselves.

Some women have deep-rooted misconceptions that sexuality is dirty, inferior, disgusted with sexual activity and genitals or misunderstood, ashamed of sexual impulses, and some women lack sexual physiology and do not understand their own structure. I dont know anything about sex. I dont know the role of clitoris, labia, vaginal G, breast, lips, inner thigh and other sensitive areas (or estrus areas). I cant correctly treat sex life, and I dont understand the similarities and differences between men and women. Lack of understanding of the laws and variations of sexual behavior, contempt for the sexual requirements and sexual activities of middle-aged and older people, women in their sexual life never or rarely to their sexual partners to express their favorite touch and sexual intercourse, and no When women are less likely to have sexual intercourse, they are worried that they will not be able to climax. The more they worry, the harder it is to have a climax. Some women want to keep their purity, and they hate sex life from the bottom of their hearts. Those who have completed their reproductive tasks or have Women who have repeatedly performed abortions have been nervous and fearful because they fear that sexual activity will lead to pregnancy.

Childhood or adolescence has experienced sexual trauma or mental blows, such as incest, rape, loss of love and emotional trauma, women who have experienced traumatic experience may have depression, self-blame and suppress themselves, and some women even revenge males The psychology is no longer willing to contact men. In addition, there are reasons for homosexuality or sexual abuse that can cause female orgasm disorders.

Work is not good, people have disputes, economic difficulties, household chores, life boring, distraction, emotion and love, sexual partner's appearance, instrumentation and demeanor, alcoholism, smoking, etc. can all be the cause of orgasm obstacles Some women in their sexual life fear that their actions are hurtful, afraid of losing their husband's favor, and thus paying too much attention to their image, speech and husband's reaction, or constantly recalling past events, such distraction can be The development of the impact cycle hinders the arrival of orgasm.

Some women are reluctant to cope with each other in their sexual activities. They often regard it as an obligation. They are forced to do so. Some women who have grown up in a broken family are deeply impressed by their fathers cruelty and mothers bitterness and grief, so that they are still married to their husbands. There is fear or distrust, and some female sexual skills are poor and sexual communication is not enough, or do not understand basic sexual skills at all, and are also ashamed to propose or express their sexual requirements, do not dare to communicate the feelings and dissatisfaction of sex life, sex life Before the lack of caress, strokes and other flirting activities, sexual life monotony, these reasons may inhibit orgasm reflexes, leading to orgasm disorders.

The relationship between husband and wife is not harmonious. The two sides lack emotional communication and close cooperation, mutual distrust, and even hostility. Some women have suspicions of resentment, disgust, etc., or disagreements about sex, which can cause female orgasm obstacles. It is mentioned that many newly-married couples have no emotional disharmony, often due to lack of sexual knowledge and sexual life experience, or sexual action is rude, and the running-in time is not enough, causing sexual disharmony and causing orgasm obstacles.

Organic factor (30%):

It is rare in clinical practice, mainly in diseases of the genitourinary system, such as vulva, vagina, uterus and appendages, bladder, urinary tract diseases, pelvic inflammatory disease, tumors, etc., which can cause pain and discomfort during sexual intercourse, thus inhibiting orgasm. The emergence of other systemic diseases, will inhibit and interfere with sexual intercourse to varying degrees, the acquisition of destructive orgasm, women with genital dysplasia, ovarian endocrine insufficiency, more severe neurasthenia, tuberculosis, liver and kidney function Incomplete, affecting the innervation of the spinal cord or peripheral pelvic organs (spinal cord injury or tumor, multiple sclerosis, diabetic peripheral neuropathy, amyotrophic lateral sclerosis, severe malnutrition and vitamin deficiency, polio, etc.), vaginal blood circulation Obstruction (thrombotic obstruction, severe atherosclerosis), or endocrine diseases such as diabetes, hypothyroidism or hyperthyroidism, hypothalamic-pituitary-gonadal insufficiency can cause orgasm disorders, Kolodny and other studies indicate diabetes About 35.2% of women have no orgasm, in addition to injury, Injury or surgery and drug castration, pelvic radiotherapy and long-term use of contraceptives, as well as neurological diseases such as mental illness, depression, anxiety, delusions and compulsive symptoms, and taking antidepressant drugs, under the dual influence, no doubt There will be female orgasm disorders.

(1) Vascular factors: The blood supply to the female reproductive system mainly comes from the internal iliac artery and its branches. The vasodilatation of the genital organs during sexual excitement increases, the blood flow increases, and the blood flow to the genitals is reduced for any reason, which may lead to sex. The occurrence of climactic disorders, such as hypertension, hypercholesterolemia, severe atherosclerosis, arteritis, diabetes, smoking, pelvic fractures, internal iliac artery injury, pelvic surgery and perineal crush injury can affect the sacral The blood flow of the arteries and their branches reduces the blood supply to the clitoris and vagina, which can lead to sexual dysfunction, which leads to the lack of orgasm, and the Leriches syndrome in men (the contralateral thrombus obstruction at the end of the abdominal aorta) , causing ischemia in the reproductive organs), sclerosing lesions of the internal iliac artery can lead to insufficient blood supply to the clitoris and vaginal blood vessels, vaginal wall and clitoris smooth muscle fibrosis.

(2) Neurological factors: such as destruction of diseases or injuries of the spinal cord or peripheral nervous system that regulate orgasm reflex, such as central nervous system disease, multiple sclerosis, Parkinson's syndrome, spinal cord injury, brain tumor, epilepsy, peripheral nerve Diseases such as diabetic neuropathy and clitoris and vaginal epithelial nerve ending defects, some diseases of the spinal cord can disrupt the orgasm reflex pathway, causing female orgasm disorders, female vaginal lubrication and orgasm through the nervous system mediated or reflected To complete, if the high spinal cord injury can cause vaginal dryness, the study confirmed that patients with complete upper motor neuron injury involving the pulpus have no psychological vaginal lubrication and no orgasm, and some injuries may still appear psychological. Vaginal lubrication, if the injury is only partial, these two functions can be retained or partially retained, and the low spinal cord (S2 ~ S5) injury can not obtain orgasm at all, the impact of spinal cord injury on female sexual response is under study, It is expected to explore the neurophysiological mechanism of normal female orgasm and clarify female orgasm The reason neurological systems hinder occur.

(3) Endocrine factors: Hormones play an important role in the regulation of female sexual function. The thickness of vaginal wall, wrinkles and lubricity are estrogen-dependent. Estrogen can promote the development and sensitivity of female perineum and external genital nerve endings. Enhance the libido and sensitivity of the clitoris, increase the secretion of the uterus, vaginal, reduce the pain and discomfort caused by sexual intercourse, when the estrogen is insufficient or lacking, the sexual central excitability and libido decrease, the external genital nerve endings shrink, the feeling is dull, the vaginal wall becomes Thin, elevated pH, vaginal dryness, causing difficulty in sexual intercourse and sexual intercourse, can also lead to orgasm disorders.

Experimental studies have found that estrogen can increase the expression of nitric oxide synthase (NOS), restore vaginal mucosal function, reduce apoptosis, estrogen also prevent atherosclerosis and increase arterial blood flow, so that sexual response can Maintenance, some studies suggest that low levels of estrogen (<50pg / ml) can also cause sexual dysfunction, on the contrary, while female estrogen > 50pg / ml, the incidence of sexual dysfunction is greatly reduced.

Diseases or dysfunctions in any part of the hypothalamic-pituitary-gonadal axis can cause female orgasm disorders such as thalamic tumors, pituitary adenomas, bilateral ovariectomy, drug castration, pelvic radiotherapy, menopause, premature ovarian failure or long-term Taking contraceptives can be an endocrine cause of sexual dysfunction. The main manifestations of such women are loss or lack of sexual desire, difficulty in sexual arousal, decreased secretion of vaginal synovial fluid or dryness of the vagina, resulting in difficulty in penile insertion or painful intercourse, eventually leading to Female orgasm is lacking.

Androgen (mainly testosterone) also plays a role in stimulating female sexual desire. Many postmenopausal women have a significant decline in sexual desire, which may be related to the lower levels of androgen and estrogen. Therefore, some people advocate the combination of androgen and estrogen. Improve problems such as loss of libido or lack of sexual desire in postmenopausal women.

Others such as diabetes, hypopituitarism, hypothyroidism or hyperthyroidism, Cushing's syndrome, Edison's disease, brain dysfunction, depression, etc. can cause endocrine dysfunction, leading to the occurrence of orgasm disorders.

Drug factors (20%):

Some women suffer from mental illness. Long-term treatment with antidepressants can lead to female orgasm disorders. Some scholars have pointed out that serotonin (5-HT) reuptake inhibitors (SSRIs) such as fluoxetine and paroxetine, Sertraline and other drugs are commonly used in the treatment of schizophrenia. The mechanism of action is to block the reuptake of 5-HT by the pre-trigone membrane of 5-HT nerve endings, increase the 5-HT in the brain, and have anti-depression effect. However, it can cause orgasm suppression, manifested as decreased libido or lack of orgasm, and can return to normal after stopping the drug. Recently, it has been reported that sildenafil can successfully treat female orgasm disorders caused by SSRIs.

Other drugs that can change the patient's mental state, nerve conduction, genital blood supply and sex hormone levels may lead to loss of libido, sexual dysfunction, or orgasm disorders. Many drugs have potential inhibitory and damaging effects on female orgasms. The use of certain drugs may inhibit female orgasm. The use of conventional doses generally has no effect. Drugs that may cause female orgasm disorders include: 1 drugs for the treatment of schizophrenia: serotonin reuptake inhibitors (SSRIs) ( Fluoxetine, paroxetine, sertraline, flufenacetate, cisplatin, etc.), tricyclic antidepressants (tradazole, imipramine, amitriptyline, doxe equality); 2 sedative hypnosis Drugs: benzodiazepines (diazepam, triazolam, chlordiazepoxide, etc.), barbiturates (luminamine, pentobarbital, etc.), others such as chlorhexidine, chloral hydrate, etc.; 3 treatment high Blood pressure drugs: beta blockers (propranolol, betaloc, etc.), thiazide diuretics (hydrochlorothiazide, etc.), calcium channel blockers (norformin), others such as hydralazine, Sheping (reserpine), guanethidine, etc.; 4 treatment Ulcerative drugs: H2 receptor blocker (cimetidine), proton pump inhibitor (Losick), gastric motility drug (gastric ampoules), cholinergic drugs (Prubensin, anisodamine) 5; anti-epileptic drugs: phenytoin sodium; 6 drugs: marijuana, cocaine, diacetate morphine (heroin) and so on.

In addition, the age factor can also affect female orgasm. Generally speaking, after 40 years old, people's physical strength will gradually decline, internal organ function will gradually decline, and reproductive organs are no exception. Women in this period, especially after menopause, sex The physiological response intensity becomes slow and weak, and menopausal women are not as sexually attractive as they were when they were young. These sexual changes caused by ageing are also likely to lead to female orgasm disorders.

Pathogenesis

Female sexual excitement is similar to male erectile response, and is also caused by psychological and reflexive mechanisms. Psychological mechanisms refer to sexual centers that generate sexual excitement and psychology through sexual fantasies, sexual desires, and erotic stimulation. The mechanism is easily suppressed by psychological factors such as sexual repression in the subconscious, nervousness, anxiety, fear, depression, and irrational beliefs. Sexual central excitability can increase the release of estradiol (E2), and electrical signals cause the medullary pulp (S2~ S4) Side sympathetic sympathetic center excitability, sympathetic sub-abdominal plexus (L1 ~ L3) and parasympathetic pelvic plexus (S2 ~ S4) and genital nerves are transmitted to the reproductive organs, releasing nitric oxide (NO) through the pelvic nerves and Vasoactive intestinal polypeptide (VIP), NO and VIP are involved in the regulation of vaginal relaxation and secretion processes, and NO can also cause systemic vasodilation. In addition, sexual central excitatory inhibition of the thoracic, lumbar sympathetic neurons, via norepinephrine Neurotransmitters (NA) mediate sexual excitatory reactions such as swelling of the breast, nipple erection, flushing of the chest and abdomen, and recent studies have found human vaginal vascular smooth muscle and clitoral sponge Smooth muscle cells can express nitric oxide synthase (NOS) and V-type phosphodiesterase (PDE5). NOS decomposes L-arginine to produce NO and NO acts as non-adrenergic non-cholinergic (NANC) neurotransmitter. It is associated with vasculature and non-vascular smooth muscle relaxation in the reproductive system. NO is released by the clitoris corpus cavernosum and endothelial cells during sexual stimulation. NO activates cytoplasmic guanylate cyclase, the latter guanosine triphosphate ( GTP) is converted to cyclic guanosine monophosphate (cGMP). As a second messenger cGMP, its concentration increases and the amount increases, causing the concentration of Ca2+ in smooth muscle cells to decrease, thereby causing smooth muscle relaxation, and the phosphodiesterase is regulating the second messenger. (cAMP and cGMP) play a key role in the signaling pathway, PDE5 in vivo can degrade cGMP, produce guanosine monophosphate (GMP) and lose the relaxation effect on smooth muscle, PDE5 can be highly selective phosphodiesterase inhibitor - West Inhibition by sildenafil (Sildenafil), so that cGMP is not degraded, if combined with the NO produced by the clitoris corpus cavernosum and endothelial cells during sexual stimulation, it can enhance the degree of vasodilation, causing swelling and swelling of the labia, clitoris erection, will The appearance of heat, increase the secretion of vaginal synovial fluid, greatly enhance the female sexual response, similar to NO, NANC neurotransmitter VIP can also cause relaxation of the corpus cavernosum smooth muscle and vaginal smooth muscle, increase the blood flow of the pelvic and vaginal and vaginal lubrication And secretion, there are reports that the combination of VIP and NO can significantly enhance the blood flow of the vagina and clitoris, increase vaginal secretions, and significantly improve the degree of vaginal lubrication.

It has been experimentally confirmed that the donors of NO, sodium nitroprusside and L-arginine, can enhance the relaxation of isolated rabbit clitoris smooth muscle, and whether it can enhance the relaxation of human clitoris and vaginal smooth muscle. Further research is needed.

The reflex excitatory mechanism refers to the stimulation of the vulva, the genitals, the whole body skin, the olfactory, the hearing, the visual, the tactile sensation, the sexual excitatory reaction caused by the reflex, the sensation impulse from the brain sensation and the clitoris, the haze, the labia, Peripheral touch pressure stimulation at the nipple, etc., spread to the respiratory center (shortness of breath) through various levels of central nervous system, cardiovascular center (increased heart rate, elevated blood pressure, skin flushing), muscle tension center (increased muscle tone) ), the last excitement will gather in the hypothalamus, brain stem, and then pass through T12 ~ L2, S1 ~ S4 segment, causing the ischial cavernosal muscle, bulbous muscle, perineal striated muscle rhythmic contraction.

Female vagina has almost no receptors, while male tactile receptors are mainly concentrated on the penis head and penile ligament. This is different from males. External genital sensory stimulation is transmitted through the pudendal nerve, the inferior epigastric nerve, the reproductive femoral nerve, and the iliac groin nerve. In the lateral angle of T12L2, the sympathetic center of this area is inhibited, while the S1S4 side angle parasympathetic center is excited, and then the pelvic nerve (parasympathetic fiber), the inferior epigastric nerve (sympathetic fiber), and the genital motor nerve fiber are generated. Excitatory reaction, when the cerebral sensation is lacking, the clitoral nipple and nipple are not stimulated by the pressure, the brain is not focused or in a state of consciousness, and the rhythmic contraction of the perineal muscle is slow, and there is a reflex orgasm disorder. .

Women's unreasonable sexual attitudes, subconscious sexual coldness, sexual trauma memories, disharmony between husband and wife, fear of pregnancy or miscarriage, stress in work and life, depression, anxiety, nervousness, fear, inevitably through the emergence of high-level central reflexive mechanisms Excitement disorder, in addition, the man lacks caress in sexual activities, does not know how to touch sensitive areas such as nipples, skin, haze, labia, clitoris, lack of necessary flirting activities before sex, only through the penis insertion twitch, but no vaginal Sensors, women are naturally difficult to excite, which will inevitably lead to orgasm obstacles.

Hormones also play an important role in regulating female sexual function. Estrogen (mainly estradiol) affects the function and nerve signaling of central and peripheral nerve cells. In 1966, Masters et al reported that menopausal women with orgasm disorders occurred. The cause of physiological changes is related to the decrease of estrogen level. When estradiol is lower than 50pg/ml, it is directly related. The supplement of estrogen can be significantly improved. Estrogen can regulate the NOS of vagina and clitoris, which can promote NO production and enhance The blood flow of the vagina and clitoris, and NO has a protective and dilating effect on the blood vessels in the iliac, which can delay the process of hardening of the blood vessels. In addition, estrogen can promote the conduction of the central and peripheral nerves, enhance the sensation of the genital nerve, and maintain the vagina by estrogen. Mucosal folds and smooth muscle thickness, an important role in increasing vaginal smoothness, estrogen can also improve vaginal, clitoris and urethral arterial blood supply through vasodilation, studies found that women after menopause or oophorectomy, due to decreased estrogen levels, resulting in Decreased NO in the vaginal wall, increased apoptosis, atrophy or fibrosis of the vaginal wall smooth muscle, resulting in Vaginal dryness, decreased acidity, decreased genital sensation, painful intercourse and other symptoms, eventually causing orgasm disorders. For postmenopausal women, estrogen supplementation can restore the functional characteristics of the clitoris and vagina, and is close to the premenopausal level, except In addition, lower levels of blood androgens (mainly testosterone) are also associated with changes in female sexual desire, sexual arousal, genital tract sensation and orgasm. It has been reported that testosterone preparations can improve libido in premenopausal and postmenopausal women. .

Female orgasm prevention

Active prevention, scientific guidance, and correct treatment of female orgasm disorders are indispensable components of marriage and family, social stability, and spiritual civilization. In recent years, human attention to sexual health and sexual harmony has reached an unprecedented level, and sexual ignorance Sexual superstition will seriously affect people's overall quality of life. Therefore, it is necessary to do a good job in the promotion and guidance of sex education, and to correct and treat the corresponding diseases for women with organic diseases.

Female orgasm complication Complications

Female orgasm disorders are different from other types of sexual dysfunction, but may also incorporate low sexual desire or sexual arousal disorders.

Symptoms of female orgasm disorders Common symptoms Increased muscle tone in the limbs Increases vaginal discharge

Female orgasm disorder refers to women who do not have persistent sexual excitement after receiving adequate sexual stimulation, pelvic organ congestion, increased vaginal secretions, increased muscle tone and vaginal involuntary rhythm, spasmodic contraction, and ultimate acquiredness. The process of tension being completely released.

In female sexual activity, there must be sufficient time and intensity of sexual stimulation, so that sexual excitement and sexual tension can reach a certain level in order to have an orgasm. Therefore, only when there is a certain intensity and time to stimulate the effectiveness, there is still no orgasm. In order to be diagnosed as orgasm disorder, it is difficult to quantitatively evaluate female sexual reactions in clinical work. The various changes that occur during the process are difficult to measure and difficult to observe and recognize. The methods for evaluating physiological changes in female sexual response mainly come from psychotherapists. And physiologists measure vaginal congestion and internal diameter swell.

Female orgasm barrier examination

Related laboratory tests such as blood levels of hormones (FSH, LH, testosterone and estradiol) and thyroid hormone levels, blood glucose and blood lipids, etc., can help identify organic factors that cause female orgasm disorders, and possible sex hormones Low levels, hypothyroidism or diabetes can be detected as early as possible.

Female genital tract blood flow, vaginal pH, vaginal compliance and genital tract vibration sensing threshold, etc., were measured before and after the implementation of stimulation, color Doppler ultrasound measurement of clitoris, labia, urethra, vagina and uterus blood flow rate (maximum systolic flow rate) and Venous pool (end diastolic flow rate), vaginal pH is an indirect indicator of vaginal lubrication, which can be measured with a digital pH measuring probe. Vaginal pressure/flow changes can be measured with a compliance meter. The clitoral and labial vibration thresholds can be measured using standard bioseismic thresholds. Record, before sexual stimulation and after watching 15min porn videos and using vibrators, to diagnose female orgasm disorders, both to assess abnormalities in sexual response and to diagnose organic diseases such as vascular insufficiency, endocrine abnormalities and neurological disorders The measurement of the temperature and vibration threshold of the vagina and clitoris can be used as a means to diagnose neurogenic female orgasm disorders.

Diagnosis and identification of female orgasm disorders

Diagnosis: In female sexual activity, there must be sufficient time and intensity of sexual stimulation to make sexual excitement and sexual tension reach a certain level in order to have orgasm. Therefore, an orgasm disorder can only be diagnosed if the stimuli of a certain intensity and time persist and there is still no orgasm. In clinical work, it is difficult to quantitatively evaluate female sexual reactions. The various changes that occur during the process are difficult to measure and difficult to observe and recognize. The methods for evaluating physiological changes in female sexual response mainly come from psychotherapists and physiologists on vaginal congestion. Measurement of inner diameter expansion.

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