Anorgasmia is regular difficulty reaching orgasm after ample sexual stimulation, causing personal distress. This is much more common in women than men. The physical structure of the act of coitus favors penile stimulation over clitoral stimulation. The location of the clitoris then often necessitates manual stimulation in order for the female to achieve orgasm. About 15 percent of women report difficulties with orgasm, and as many as 10 percent of women in the United States have never climaxed. Even women who orgasm on a regular basis only climax about 50 to 70 percent of the time.
Some males suffer from erectile dysfunction (ED), or impotence, at least occasionally. For those whose impotence is caused by medical conditions, prescription drugs such as Viagra, Cialis, and Levitra are available. However, doctors caution against the unnecessary use of these drugs because they are accompanied by serious risks such as increased chance of heart attack. Moreover, using a drug to counteract the symptomimpotencecan mask the underlying problem causing the impotence and does not resolve it. A serious medical condition might be aggravated if left untreated.
Butea superbaA more common sexual disorder in males is premature ejaculation (PE). The U.S. Food and Drug Administration is examining the drug dapoxetine to treat premature ejaculation. In clinical trials, those with PE who took dapoxetine experienced intercourse three to four times longer before orgasm than without the drug. Another ejaculation-related disorder is delayed ejaculation, which can be caused as an unwanted side effect of antidepressant medications such as Fluvoxamine.
Butea superbaThe American Urological Association (AUA) estimates that premature ejaculation could affect 27 to 34 percent of men in the United States. The AUA also estimates that 10 to 12 percent of men in the United States are affected by erectile dysfunction. Vaginismus is involuntary tensing of the pelvic floor musculature, making coitus distressing, painful, and sometimes impossible. Dyspareunia is a medical term signifying painful or uncomfortable intercourse, but does not specify the cause.
Although disability-related pain and mobility impairment can hamper intercourse, in many cases the most significant impediments to intercourse for individuals with a disability are psychological. In particular, people who have a disability can find intercourse daunting due to issues involving their self-concept as a sexual being, or partner's discomfort or perceived discomfort.
Temporary difficulties can arise with alcohol and sex as alcohol initially increases interest (through disinhibition) but decreases capacity with greater intake.
Text Available under Creative Commons license.