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Weibliche Orgasmusstörungen

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Sexualtherapie

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Zusammenfassung

Orgasmusschwierigkeiten sind das zweithäufigste Sexualproblem der Frau, aber verglichen mit den Lust- und Schmerzstörungen erheblich seltener Anlass, professionelle Hilfe zu suchen. In den großen repräsentativen Erhebungen zur Sexualität berichtet deutlich weniger als die Hälfte der Frauen mit Orgasmusproblemen über einen signifikanten Leidensdruck. Zudem schwanken auch die Zahlen zur Prävalenz von Orgasmusproblemen je nach Stichprobe und Definition (v. a. bezogen auf Dauer und Durchgängigkeit der Schwierigkeiten) in einem großen Bereich, der von 3–34 % reicht (Graham 2010), wenngleich die Vorkommenshäufigkeit in kaum einer Studie unter 15 % liegt (s. Abschn. 10.4). Diese markante Heterogenität in Prävalenz und Leidensdruck setzt sich bei einer Reihe weiterer Merkmale des weiblichen Orgasmus fort, der gekennzeichnet ist durch ein variantenreiches Spektrum von subjektivem Erleben, Art und Ort seiner Auslösung, Quantität und Qualität der erforderlichen Reize sowie vieler weiterer Faktoren. Den weiblichen Orgasmus gibt es demnach nicht, was entsprechende Konsequenzen für Definition und Klassifikation, Diagnostik und Behandlung nach sich zieht, da es äußerst schwierig ist, Normen und Kriterien festzulegen, die Diversität von Dysfunktion trennt.

Mit einem Fallbeispiel von Monika und Norbert Christoff

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  1. Leiter des Arbeitsbereichs Klinische Psychologie und Sexualmedizin, Medizinische Hochschule Hannover, Carl-Neuberg-Str. 1, 30625, Hannover, Deutschland

    Uwe Hartmann

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    Uwe Hartmann

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Hartmann, U. (2018). Weibliche Orgasmusstörungen. In: Hartmann, U. (eds) Sexualtherapie. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-54415-0_10

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