There are various possible causes for not getting an orgasm, which are divided below into physical, psychological and social causes.

Physical causes:

• Damage to the central nervous system, the spinal cord and the peripheral nerves, for example, by injury, tumours or multiple sclerosis.
• Medication.
• Hormonal anomalies.
• Surgery.
• An inadequate learning process: little masturbation.
• Fatigue.
• Depression.
• Insufficient knowledge of one´s own body.

Psychological causes:

• Not being able to concentrate on and accept the physical sensations.
• Not giving enough attention to oneself while making love.
• Wanting to come by all means.
• Looking at oneself 'from a distance' and be distracted by this.
• Distraction by stress, certain thoughts, etc.
• Negative memories.

Social causes:

• Not getting the form of stimulation needed to get an orgasm.
• Insufficient safety, security, respect, communication, etc. More.
• Having experienced harmful events in the sexual field.
• Being too focused on the other person.