Can bladder neck dysfunction cause anorgasmia (inability to achieve orgasm)?

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Last updated: February 25, 2025View editorial policy

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From the Guidelines

Bladder neck dysfunction can indeed contribute to anorgasmia, as pelvic floor dysfunction, which includes bladder neck issues, can affect sexual function, including orgasm, as noted in the NCCN guidelines for survivorship 1. The relationship between bladder neck dysfunction and anorgasmia is complex and involves both physical and psychological factors. Pelvic floor dysfunction, which can include bladder neck issues, is known to impact sexual health, including the ability to achieve orgasm. According to the NCCN guidelines for survivorship, many survivors with sexual dysfunction may have associated pelvic floor dysfunction, which can be treated with pelvic physical therapy, such as pelvic floor muscle training, to improve sexual function, including orgasm 1. Key points to consider include:

  • Pelvic floor dysfunction, including bladder neck issues, can lead to sexual dysfunction, including anorgasmia.
  • Treatment of pelvic floor dysfunction with pelvic physical therapy can improve sexual function, including orgasm.
  • Other treatments, such as vaginal estrogen or androgens, may also be considered for sexual dysfunction, but their effectiveness for anorgasmia specifically related to bladder neck dysfunction is less clear.
  • The safety and efficacy of these treatments can vary, and their use should be guided by a healthcare provider, taking into account the individual's specific condition and medical history, as noted in the guidelines 1. It's essential for individuals experiencing anorgasmia and bladder issues to consult with a healthcare provider, such as a urologist or urogynecologist, for proper diagnosis and treatment, as the approach may vary depending on the underlying cause of the bladder neck dysfunction and the individual's overall health status, as recommended in the NCCN guidelines 1.

From the Research

Bladder Neck Dysfunction and Anorgasmia

  • There is no direct evidence in the provided studies to suggest that bladder neck dysfunction causes anorgasmia (inability to achieve orgasm) 2, 3, 4, 5, 6.
  • The studies focus on the diagnosis and treatment of bladder neck dysfunction, primarily in children and adolescents, and its effects on voiding dysfunction, rather than its impact on sexual function or orgasm 2, 3, 4, 5.
  • One study discusses female bladder neck dysfunction and its diagnosis using video-urodynamic study, but it does not mention anorgasmia or sexual dysfunction as a symptom or consequence of the condition 6.
  • Overall, there is a lack of research on the potential relationship between bladder neck dysfunction and anorgasmia, and more studies would be needed to investigate this possible connection.

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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