Orgasm is the culmination of intense sexual pleasure, it is accompanied by rhythmic contractions of the muscles of the genitals. As a result, sexual tension is relieved. There are many processes going on in the brain at this time.: the amygdala, responsible for memory and emotions, the hypothalamus, which regulates the unconscious control of the body, the anterior cingulate cortex and the nucleus accumbens are activated — they are responsible for impulsivity, empathy and feelings of euphoria. Oxytocin, dopamine, prolactin and serotonin are released. This creates a sense of trust, pleasure, and affection. Changes also occur in the body: involuntary muscle contractions begin, blood pressure, heartbeat and breathing are at their highest levels. A rash or “genital redness” may occur. During orgasm, a man ejaculates — the release of seminal fluid from the urethra. The longer the period of sexual abstinence, the sooner the finale comes. Things are more complicated with female discharge.

There are many myths surrounding the female orgasm. For example, about the number of its types: in some sources, you can find a classification of orgasm into vaginal, clitoral, and even uterine. The vaginal orgasm has generally caused a cult around itself — in popular culture it is often recognized as full-fledged, vivid and conditionally “real.” At the same time, about 75% of women do not orgasm from vaginal stimulation, and two thirds of the vagina are not sensitive at all. What is the reason for such popularity? It all started with Sigmund Freud’s work “Three Essays on the Theory of Sexuality.” In it, he calls the clitoral orgasm “infantile and immature,” while the vaginal orgasm is characterized as “full-fledged, mature and healthy.” But modern research shows that this is not the case. The vaginal orgasm is not the most important thing, moreover, it simply does not exist. The main source of pleasure in the female body is the clitoris. It is a large organ located both inside and outside the female body. The smaller part is the head, located in the upper part of the vulva, the inner parts cover the urethra and vagina. Due to their stimulation during sexual intercourse, a “vaginal” orgasm occurs. Why doesn’t everyone have it? There are two main reasons. The first is that our brain gets used to what is simpler. Most often, when masturbating, women caress the head of the clitoris. This guarantees a quick and regular orgasm. Accordingly, the inner parts of the clitoris simply do not develop their sensitivity and do not give such a return. In such a situation, the sensitivity of these zones can be developed. The second reason is a physiological feature. Some women simply don’t have enough nerve endings to enjoy vaginal stimulation. But that doesn’t make them inferior.

Nevertheless, it is possible to divide an orgasm into types. But only by the method of receipt. Orgasms can be coital (obtained during sexual intercourse) and non-coital (obtained outside of sexual intercourse, respectively). Any discharge obtained from direct stimulation during sexual intercourse can be classified as coital. It can be an orgasm from anal or vaginal sex, or from additional stimulation of the clitoral glans. An extra-coital orgasm can be obtained during sleep, during masturbation, or during sports. Corgasm is an orgasm resulting from physical exercise. It occurs unintentionally and is not a sexual practice. The mechanisms of coregasm have not yet been studied, but it is assumed that it may be associated with tension in the muscles of the cortex (a complex of muscles responsible for the stabilization and normal functioning of the spine, pelvis and hips), as well as with blood flow to the pelvic organs.

The problem of achieving orgasm is called orgasmic dysfunction or anorgasmia and is in the international classification of diseases of the tenth revision under the code F52.3. There are somatic and psychological factors that influence the occurrence of this disorder. Somatic factors:

• hormonal disorders;
• pain during sex (dyspareunia);
• unsuccessful sexual intercourse;
• postpartum vaginal enlargement;
• premature ejaculation of a partner;
• gynecological dysfunctions and their complications.

Psychological factors:

• disharmony in a relationship with a partner;
• sexual trauma;
• distorted view of one’s own genitals;
• rejection of one’s own body;
• negative attitudes;
• experienced violence;
• inability to get fully aroused;
• fear of getting pregnant;
• depressive state, various neuroses and stresses.

You can get rid of anorgasmia with the help of psychotherapy, which takes into account the personal interests and individual characteristics of the partners. Positive dynamics is also achieved through autogenic training — they are based on the use of muscle relaxation, auto-suggestion and autodidactics (self-education). Physiotherapy is widely used to solve the problem: massage, electrical stimulation, and water treatments.