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Pleasure Dissociative Orgasmic Disorder: a case report and literature review

Barata, BC1; Ribeiro, B1; Gamito, AO1

1: Centro Hospitalar de Setúbal, Portugal

Objectives: to report a case of a female patient with the diagnostic hypothesis of orgasmic anhedonia / pleasure dissociative orgasmic disorder (PDOD) and to review the available evidence on this disorder.

Material and Methods: we describe a clinical case of a women which denies any sensation of pleasure with orgasm and summarize evidence found on the subject.

Results: A 18-year-old woman from Setubal (Portugal) presented for psychiatric evaluation with complaints compatible with social anxiety and symptoms of the dissociative sphere. In addition, she mentioned that her boyfriend was dissatisfied with the sexual relationship because he considered that she did not reach orgasm. The patient, in turn, claims to achieve orgasm, but denies any pleasure from it. The situation caused great distress between the couple, with feelings of inadequacy in both. During the interview, it was described a personal history of complex trauma and alexithymia was noted in the psychopathological examination. In addition to treatment for anxiety disorder, a trial of oxytocin during sexual intercourse was suggested. During our literature review, few case reports of PDOD were found. The unique case concerning a woman resolved with pelvic musculature relaxation. Since available evidence suggests that women who administer oxytocin feel more relaxed and more able to share emotional / sexual desires, we do admit that this neuropeptide may bring therapeutic benefit in the case described.

Conclusions: To our knowledge, this is the first reported case of a woman with the diagnostic hypothesis of PDOD approached with oxytocin. We hypothesize that the administration of this neuropeptide may be particularly useful in alexithymic patients with PDOD.


Work supported by industry: no.

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