Situational anorgasmia: This means you are able to orgasm only during certain circumstances, such as during oral sex or with a certain partner. Most women can't reach orgasm through vaginal penetration alone. In fact, most women don't consistently have orgasms with vaginal penetration alone. Plus, orgasms often change with age, medical issues or medications you're taking.
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sympathomimetics (eg, ephedrine or a combination of chlorpheniramine maleate and phenylpropanolamine hydrochloride [withdrawn from the US market]) have been used successfully in patients with retrograde ejaculation