Alterations in Orgasm
Anorgasmia male
In disorders of the male orgasm should consider the physical aspects (biological or medical) and psychological.
Physiology of the male orgasm
Of the physiology of the male orgasm phase of interest to emphasize that consists of three sub-phases: issuance sperm, formation of the pressure chamber and seminal expulsion. In the release, muscle contraction internal genital (deferens, seminal vesicles, prostate glands and assistants) carries the whole sperm (sperm and other components of seminal plasma) to the posterior urethra. Then, by stimulating sympathetic shrink the internal and external urethral sphincters, while the urethra relax inframontanal form the so-called pressure chamber, which contains the semen secreted there.
Finally contraction tonic-clonic seizure of the perineal muscles periurethral and increases pressure sperm accumulated in the posterior urethra, which would force the opening and relaxation of the external urethral sphincter sperm stripe and projected to the outside between 3 and 5 strokes. During the broadcast, most men experience a sense of immediacy squirting or subjective point of no return. The consciousness or not this sensation is an interesting aspect to consider in the treatment of premature ejaculation.
Psychological aspects to take into account
The lack of male sexual physiology and false beliefs about control squirting can lead to some men autocalifiquen of eyaculadores early. For this reason many of the men who arrive in consultation expressing complaints about the speed of their response will not respond to a diagnosis of sexual dysfunction, but that may have inflated expectations about its control squirting. The symptoms show a degree of sexual intensity quite different, and different circumstances in which they can manifest itself in greater or lesser extent. For this must assess the extent to which the man or the couple have one or more sexual dysfunction or just need information, clarification reassuring. In particular, to premature ejaculation can we meet with couples or young boys, with little experience and inflated expectations about sexual performance.
Consideration to the sexual orientation of the desire of man
Like the rest of the sexual dysfunctions, disorders of orgasm occur in relationships and / or heterosexual and homosexual couples. Learning to read and to have influence over one's body lets enjoy sex and implies responsibility for their own sexuality In the male orgasmic dysfunction or premature ejaculation is delayed or, refers basically to the intrusion intravaginal (heterosexual) for being the most frequent complaint, both as the majority heterosexual population and because the practice of anal intercourse is not so widespread within the same heterosexual relations, and we may even find that the dysfunction is present only to vaginal intercourse, but not in the anal or oral. In the gay male homosexual relations, the dysfunction of the male orgasm comes before the anal intercourse. We may also find that, without the possibility or the vaginal or anal penetration, the man feels that his response was too quick to interfere in the sexual encounter, but it does not involve penetration. The keys to the diagnosis and treatment are the same whether it is heterosexual or homosexual, as if dysfunction is brought before vaginal intercourse, the anal, is widespread in all forms of coition or occurs in other sexual practices.
Failure of the sequence-ejaculation-orgasmic pleasure
It is generally identified with ejaculation orgasm, although it can not produce pleasurable ejaculations without any medical explanation. It is believed that the main reason is that the brain does not perceive the sensation of ejaculation, and if the recipient does not translate as pleasure. The control of ejaculation is one of the concerns of the man when it faces the amorous encounter. We use the word "facing" because in many cases is the one that best reflects the initiation of romantic relationships, to be living more like a challenge than a pleasure to find Share. Thus, the precise time of ejaculation, or very soon, premature ejaculation, or too late, delayed ejaculation, becomes a predominant concern, which can lead to distress. Interference in this process impacting negatively on the man, undermining their self-esteem and often coming to deteriorate the whole of the couple relationship
Anorgasmia female 
The female orgasm is a complex process that has biological, psychological and social. The latter are key to such an extent that anthropological studies show that in those cultures where women are allowed to enjoy sex as it does men, women have orgasms while in cultures that censorship female pleasure, the Women have many more difficulties to reach orgasm. Not surprisingly, the human mind receives sexual stimulation of the body, but the process is not something mechanical. The response to those stimuli is processed according to rules of custom and usage learned and practiced. If women have positive feelings toward sex, enjoy it. Conversely, if a conscious or unconscious considers sex as something dangerous and dirty, you'll have it very difficult to enjoy. The Anorgasmia is the absence of orgasm after an appropriate stage of arousal in sexual activity. This is a problem that can be diagnosed and treated, and in most cases, cured.
Causes of Anorgasmia
The lack of orgasm can last a lifetime if they are not means to remedy it. At the moment there has been a very important step: the women claimed their need, their taste and their right to sexual pleasure. Therefore, at present, the female orgasm has become a cause recurrent when talking about sex. However, they have been so many years that have been denied their existence or their right that is not strange that a guy as a minority of women do not make it very difficult to get an orgasm on a regular basis or even has not experienced any occasion .
This sexual dysfunction is related to the ignorance of one's own genital anatomy and function, in particular the role of the clitoris and the effectiveness of the stimulation. In the traditional way has been considered the man responsible for pleasure, an approach that has harmed female sexuality and the couple, because, besides offering a vision of male sexuality, sex limited to intercourse. However, according to studies, sexual intercourse is not the most effective way to bring about the female orgasm. The direct stimulation of the clitoris and the surrounding area could lead to an orgasm without penetration of the vagina.
This is what happens with masturbation and in the manual and oral with a partner. Since then, the orgasm can also occur during intercourse, because at the moment the clitoris is stimulated in an indirect way: the movement into and out of the penis are a drag on the cap of the clitoris, thereby stimulating the body. In addition, with the movements of the couple, the area clitórica comes into contact with the man's pubic bone. Anyway, the woman does not live an orgasm during intercourse does not mean that they enjoy no penetration. Vaginal penetration is often a very enjoyable and fulfilling experience, though not reach orgasm through it.
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