How is premature female orgasm managed?

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Last updated: May 31, 2025View editorial policy

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From the Research

Premature female orgasm can be managed through a combination of behavioral techniques, therapy, and medication, with the most recent and highest quality study suggesting that psychological and behavioral treatment approaches, such as directed masturbation, sensate focus, and psychotherapy, are effective in helping women gain or regain the ability to have orgasms 1.

Management Approaches

  • Behavioral approaches: mindfulness techniques, edging (approaching orgasm then stopping stimulation), and pelvic floor physical therapy to address underlying muscle tension
  • Therapy: cognitive behavioral therapy (CBT) to address psychological aspects
  • Medication options: selective serotonin reuptake inhibitors (SSRIs) like fluoxetine or sertraline, which can delay orgasm as a side effect, and topical anesthetics containing lidocaine to reduce sensitivity

Treatment Considerations

  • Treatment should be individualized based on symptoms, underlying causes, and patient preferences
  • Women experiencing premature female orgasm should first consult with a healthcare provider who specializes in sexual health
  • Addressing psychological factors, reducing genital sensitivity, or modulating the neurological pathways involved in arousal and orgasm can be effective in managing the condition

Relevant Studies

  • A 2021 study published in Sexual Medicine Reviews found that psychological and behavioral treatment approaches are effective in helping women with female orgasmic disorder gain or regain the ability to have orgasms 1
  • Other studies, such as those published in 2015 and 2013, provide additional guidance on the management of premature ejaculation and disorders of orgasm and ejaculation, but are not directly applicable to premature female orgasm 2, 3

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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