1. A variety of factors – inability to relax,
inconvenient timing of sexual activity, lack of
communication, limited sexual knowledge,
fatigue, body image distortions, absence
of sufficient foreplay, and lack of sexual
interest – have been associated with orgasmic
problems in women.
2. At the same time, many women have been
socialized to view sex as a duty, not as an act to be
enjoyed or considered pleasurable. Sexual scripts,
such as the good girl image, may contribute to
orgasmic difficulties.
3. Primary care physicians can assist their patients
by education and referral to appropriate
therapists.
4. Treatment usually includes assessment of body
image and introduction to masturbation. Self-help
books can be adjunct to treatment.
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