Orgasmic disorder, now referred to as female orgasmic disorder, is the difficulty or inability for a woman to reach orgasm during sexual stimulation. This disturbance must cause marked distress or interpersonal difficulty for it to be diagnosed. The diagnosis for men is erectile dysfunction, premature ejaculation, or delayed ejaculation.
As cataloged by the DSM-5, female orgasmic disorder is characterized by difficulty experiencing orgasm and/or markedly reduced intensity of orgasmic sensations. Women show wide variability in the type or intensity of stimulation that elicits orgasm. Similarly, subjective descriptions of orgasm are varied, suggesting that it is experienced in different ways.
For a woman to have a diagnosis of female orgasmic disorder, clinically significant distress must accompany the symptoms. If interpersonal or significant contextual factors, such as severe relationship distress, intimate partner violence, or other significant stressors, are present, then a diagnosis of female orgasmic disorder would not be made.
Many women require clitoral stimulation to reach orgasm, and a relatively small number of women report that they always experience orgasm during intercourse. It's also important to consider whether orgasmic difficulties are the result of inadequate sexual stimulation and not related to female orgasmic disorder.