If the onset of the problem coincided with the use of a medication, this should be discussed with the prescribing physician. Interviewing of the couple by a qualified sex therapist is a helpful way to elicit useful information about the situation.
Treatment through education about these principles is helpful. In the treatment of primary anorgasmia, the initial objective is to obtain an orgasm under any circumstance. Incorporating clitoral stimulation into sexual activity may be all that is necessary for a woman to achieve orgasm. Masturbation when the partner is not present (which could cause inhibition) usually results in success. Working with a partner to decrease performance anxiety and maximize communication make it possible for a person to achieve orgasm with a partner.
In secondary dysfunction, marital difficulties sometimes play a role, so treatment may sometimes need to include communication training and relationship enhancement work. It is also important to ascertain that the problem is only one of anorgasmia, and not a coexisting problem with inhibited sexual desire. Sometimes hypnosis and women's therapy groups may help with increasing concentration, exploring and overcoming subconscious conflicts, and minimizing performance anxiety.
