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If orgasm is desired, anorgasmia may be attributed to an inability to relax. It may be associated with performance pressure and an unwillingness to pursue pleasure, as separate from the other person's satisfaction; often, women worry so much about the pleasure of their partner that they become anxious, which manifests as impatience with the delay of orgasm for them. This delay can lead to frustration of not reaching orgasmic sexual satisfaction.<ref name="Carroll 2" /> Psychoanalyst [[Wilhelm Reich]], in his 1927 book ''[[Die Funktion des Orgasmus]]'' (published in English in 1980 as ''Genitality in the Theory and Therapy of Neurosis'') was the first to make orgasm central to the concept of mental health, and he defined [[neurosis]] in terms of blocks to having [[orgastic potency]]. Although orgasm dysfunction can have psychological components, physiological factors often play a role. For instance, delayed orgasm or the inability to achieve orgasm is a common side effect of many medications.
Specifically, with simultaneous orgasm and similar practices, many sexologists claim that the problem of [[premature ejaculation]]<ref>{{cite web |url = http://www.sexarchive.info/IES/italy.html |title = The International Encyclopedia of Sexuality: Italy |publisher = .hu-berlin.de |date = January 1, 1999 |access-date = October 15, 2010 |url-status = dead |archive-url = https://web.archive.org/web/20160305193730/http://www.sexarchive.info/IES/italy.html |archive-date = March 5, 2016 }}</ref> is closely related to the idea encouraged by a scientific approach in the early 20th century when mutual orgasm was overly emphasized as an objective and a sign of true sexual satisfaction in intimate relationships. [[Menopause]] may involve loss of hormones supporting sexuality and genital functionality. Vaginal and clitoral atrophy and dryness affect up to 50–60 percent of postmenopausal women.<ref>{{cite journal |pmid = 10022110 |volume = 281 |issue = 6 |title = Sexual dysfunction in the United States: prevalence and predictors |date = February 1999 |journal = JAMA |pages = 537–44 |vauthors = Laumann EO, Paik A, Rosen RC |doi = 10.1001/jama.281.6.537 |doi-access = }}</ref> Testosterone levels in men fall as they age. Sexual dysfunction overall becomes more likely with poor physical and emotional health. "Negative experiences in sexual relationships and overall well-being" are associated with sexual dysfunction.<ref>Laumann EO, Paik A, Rosen RC, "Sexual dysfunction in the United States: prevalence and predictors", ''JAMA'', 2007 August, {{cite web |url = http://www.medscape.org/viewarticle/561934 |title = Vaginal Atrophy: The 21st Century Health Issue Affecting Quality of Life |access-date = May 25, 2011 |url-status = live |archive-url = https://web.archive.org/web/20110101113135/http://www.medscape.org/viewarticle/561934 |archive-date = January 1, 2011 }}. Retrieved May 24, 2011</ref><ref>{{cite journal |vauthors = Yee LA, Sundquist KJ |date = 2003 |title = Older women's sexuality |url = https://www.mja.com.au/journal/2003/178/12/older-womens-sexuality#i1082816 |journal = The Medical Journal of Australia |volume = 178 |issue = 12 |pages = 640–643 |doi = 10.5694/j.1326-5377.2003.tb05393.x |pmid = 12797854 |s2cid = 33581540 |url-status = live |archive-url = https://web.archive.org/web/20170112032713/https://www.mja.com.au/journal/2003/178/12/older-womens-sexuality#i1082816 |archive-date = January 12, 2017 |df = mdy-all |url-access = subscription }}</ref>
== Theoretical biological and evolutionary functions in females ==
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