Several factors can cause inhibited orgasm, including trauma, the use of some medications, including drugs prescribed for anxiety and depression, psychological problems, and physical and mental health problems. Inhibited orgasm often goes hand-in-hand with other sexual problems, including declining libido and impotence.
Inhibited orgasm is a persistent problem. Simply being unable to orgasm every time you have sex does not mean you have inhibited orgasm.
Inhibited orgasm can be a serious problem in relationships because it can undermine intimacy. Counseling can help couples talk through the issue and learn new sexual and communication techniques which may solve the problem. Masturbation can also help people struggling with inhibited orgasm feel more comfortable with their bodies and learn to have orgasms. If inhibited orgasm is caused by an underlying problem, medical experts may be able to help by resolving health concerns or prescribing different medications.