Women with this condition can sometimes achieve a relatively low level of sexual excitement. Frustration, restlessness, and pelvic pain or a heavy pelvic sensation may occur because of vascular engorgement. On occasion, there may be no obvious reason why orgasm is unobtainable. In such cases, women report that they are unable to orgasm even if they have a caring, skilled partner, adequate time and privacy, and an absence of medical issues which would affect sexual satisfaction. About 15% of women report difficulties with orgasm, and 10% of women in the United States have never climaxed. 29% of women always have orgasms with their partner.Some social theorists believe that inability to orgasm may be related to residual psychosocial perceptions that female sexual desire is somehow wrong, and that this stems from the age of Victorian repression. It is thought that this view may impede some women – perhaps those raised in a more repressed environment – from being able to experience natural and healthy sexual feeling. Secondary anorgasmia
Secondary anorgasmia is the loss of the ability to have orgasms (as opposed to primary anorgasmia which indicates a person who has never had an orgasm) or loss of the ability to reach orgasm of past intensity. The cause may be alcoholism, depression, grief, pelvic surgery (such as total hysterectomy) or injuries, certain medications, death-grip, illness, estrogen deprivation associated with menopause, or rape. Prostatectomy
Secondary anorgasmia is close to 50% among males undergoing prostatectomy; 80% among radical prostatectomies.
Published reports have shown it to be effective in the treatment of orgasmic dysfunction in men.Cabergoline, an agonist of dopamine D2 receptors which inhibits prolactin production, was found in a small study to fully restore orgasm in one third of anorgasmic subjects, and partially restore orgasm in another third. Limited data has shown that the drug amantadine may help to relieve SSRI-induced sexual dysfunction. Cyproheptadine, buspirone, stimulants such as amphetamines (including the antidepressant bupropion), nefazodone and yohimbine have been used to treat SSRI-induced anorgasmia. Reducing the SSRI dosage may also resolve anorgasmia problems. See also
Dysorgasmia
Sexual anhedonia

References
The original text for this article is taken from public domain CDC text. Berman, J. Bumiller, E. and Berman L. (2005) For Women Only, Revised Edition: A Revolutionary Guide to Reclaiming Your Sex Life, Owl Books, NY

External links

Anorgasmia.net Anorgasmia: definition, causes, diagnosis and treatment
University of California, Santa Barbaras SexInfo includes statistics, causes, and treatments for anorgasmia
Definition of Anorgasmia, Mayo Clinic