The British Journal of Psychiatry 140: 351-356 (1982)
© 1982 The Royal College of Psychiatrists
Men and women who do not have orgasms
GS Brindley and P Gillan
In the well-known condition of primary complete anorgasmia in women, the
glandipudendal ('bulbocavernosus') reflex is often absent, and this is
strongly correlated with failure of treatment. From these facts, and from
properties of the glandipudendal reflex, we argue that organic
abnormalities in the spinal cord contribute to causing the condition in
some cases. We report nine cases of complete primary anorgasmia in men, two
of whom lacked glandipudendal reflexes. The condition need not imply
sterility; in all these nine (as also in three incomplete cases) we were
able to obtain semen by electroejaculation or vibratory stimulation, and
the wife of one patient is now pregnant.