Anorgasmia is a persistent, distressing difficulty reaching orgasm despite stimulation that would be enough for most people. It can be lifelong or it can arrive after years of ordinary climaxes. Medication, surgery, trauma, pelvic-floor tension, and relationship freeze all show up in the history.

Women and people with vulvas are diagnosed more often, in part because a lot of sex still treats penetration as the main event and the clitoris as optional. Men can have the same complaint, sometimes as delayed ejaculation that never quite arrives. The distress clause matters. A person who is content without orgasm does not need the label.

Workup looks at drugs (SSRIs are frequent suspects), hormones, pain, and what stimulation is actually happening. A vibrator, more time, and less spectatoring in one’s own head help some people. Others need pelvic-floor therapy or a medication change. Sex therapy addresses the loop where trying harder makes climax recede.

Partners should drop the project-manager energy. Curiosity beats a stopwatch.