Conclusions

We conclude that DM is an empirically valid and efficacious treatment for lifelong female orgasmic disorder. To date, there are no empirically validated treatments for acquired female orgasmic disorder. Anxiety reduction techniques such as sensate focus and systematic desensitization have not been shown to be efficacious for treating either lifelong or acquired female orgasmic disorder. Anxiety reduction techniques may serve as beneficial adjuncts to therapy if the woman is experiencing a high level of anxiety. There is no direct empirical evidence to suggest that sex education, communication skills training, or Kegel exercises alone are effective for treating either lifelong or acquired female orgasmic disorder. Of the few studies examining the effects of pharmacological agents for female orgasmic disorder, none have been shown to be more effective than placebo. Placebo-controlled research is essential to examine the effectiveness of agents with demonstrated success in case series or open-label trials

(i.e., sildenafil, testosterone) on orgasmic function in women.

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