"The female orgasm is a variable, transient peak sensation of intense pleasure, creating an altered state of consciousness, usually with an initiation accompanied by involuntary, rhythmic contractions of the pelvic striated circumvaginal musculature, often with concomitant uterine and anal contractions, that resolves the sexually induced vasocongestion and myotonia, generally with an induction of well-being and contentment. Findings from surveys and clinical reports suggest that orgasm problems are the first or second most frequently reported sexual problems in women. Between 11 and 60% of adult women suffer from lack of orgasm, depending on factors such as culture and religion. On an individual level, self-insight and a positive attitude towards one’s own genitals and sexuality are important. Female anorgasmia is a significant sexual problem. The woman who lacks orgasm often also lacks desire and joy of sexuality, has low self-esteem, often feels like a sexual failure, and feels sexually wrong and ashamed of herself for not being the “woman she was meant to be”. Perceptions of not being fully able to satisfy her partner sexually are normal and quality of life is often low. The problem of female anorgasmia, from a psychodynamic perspective, often goes back to the parental lack of acceptance of the patient’s genitals, body, and sexuality, often leading to intense feelings of shame and guilt, which seem to be repressed by a denial of physical and sexual needs, and accumulate in the pelvic and genital area. Sexual abuse and sexual traumas from rape and incest often cause lack of orgasm. If self-esteem is low, it is our clinical observation that there can be lack of orgasm from the simple psychological reason that the patient feels she does not deserve such pleasure, or does not know how to get it. It is very likely that anorgasmia is a socially inherited sexual dysfunction, but this has never been investigated scientifically. It is generally believed that anorgasmia, as most other sexual dysfunctions, is caused by a disturbed psychosexual development."