Female Orgasmic Disorder is a recognized sexual dysfunction detailed in the DSM, characterized by persistent difficulties in experiencing orgasm or markedly reduced orgasmic sensations in nearly all sexual encounters.

Female Orgasmic Disorder is diagnosed when the following conditions are met

• Consistent delay, infrequency, or absence of orgasm, or a markedly reduced intensity of orgasmic sensations during approximately 75–100% of sexual activity.
• Symptoms must persist for at least six months.
• These difficulties cause clinically significant distress to the individual.
• The dysfunction cannot be better explained by other mental disorders, medical conditions, severe relationship distress, or the effects of substances/medications.

Specifiers

The diagnosis can be further described by the following:

• Onset: Lifelong (present since the individual became sexually active), or Acquired (developed after a period of normal sexual function).
• Type: Generalized (not limited to certain types of stimulation, situations, or partners) or Situational (only during specific conditions or with certain partners).
• Severity: Mild (mild distress), Moderate (moderate distress), or Severe (extreme distress). It can also be specified if the individual has never experienced an orgasm under any circumstances.

Diagnostic Features

• Symptoms vary widely among women and can differ for the same individual on different occasions.
• The diagnosis should only be made when symptoms are persistent, occur in the majority of sexual experiences, last for six months or more, and lead to significant personal distress.
• The criteria help distinguish between transient, situational orgasmic difficulties and more persistent, generalized dysfunction.

This structured and compassionate approach ensures holistic, confidential care for individuals seeking help for Female Orgasmic Disorder, with diagnostic standards informed by DSM guidelines and clinical expertise.​