Orgasm is defined as the peak of pleasure experienced through rhythmic contractions of the muscles and genital organs surrounding the genital area, accompanied by changes in heart rate, breathing, and the release of sexual tension. Orgasmic disorders are seen in 30-40% of the population. While orgasmic inability may not always be perceived as a major issue by the woman, it can be a more significant concern for her partner.

Even if women do not feel the need for orgasm, their partners may consider it necessary and bring them for treatment against their will. The underlying cause of such behavior may be the "male syndrome" of being unable to achieve orgasm rather than the woman’s lack of orgasm.
This attitude may indicate an attempt to eliminate the man's performance and success anxiety, and such behavior can negatively affect the woman's sexual enjoyment.
The situation falls into a vicious cycle, and at this stage, seeking help from a specialist is essential. When addressing orgasmic inability, it is important to distinguish between primary and secondary disorders. In primary orgasmic dysfunction, the woman has been unable to achieve orgasm since her first sexual experience. In secondary orgasmic dysfunction, the inability to orgasm develops later.
When a patient presents with orgasmic inability, a physical examination and pelvic exam are performed as the first step. Chronic illnesses and medications that may contribute to the issue are investigated. Treatment for orgasmic inability involves some behavioral therapies, sex therapy, and marriage counseling to address the problem.