Anorgasmia is a female sexual orgasmic disorder in which there is persistent and consistent inability to achieve orgasm after adequate stimulation that causes personal distress. Approximately 15% of women report difficulties with orgasm, and approximately 10% of women in the United States have never climaxed.
Many women who orgasm regularly only have orgasm about half to three-quarters of the time. Anorgasmia is more common in women than in men. Anorgasmia is more common in younger women compared to younger men. Primary anorgasmia is used to define the condition of never having experienced orgasm while secondary anorgasmia is used to describe a woman who once experienced orgasm but lost the ability.
Adjunctive therapies should be considered. Alpha sympathomimetics (eg, ephedrine or a combination of chlorpheniramine maleate and phenylpropanolamine hydrochloride [withdrawn from the US market]) have been used successfully in patients with retrograde ejaculation