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​Symptoms and Signs – Differential Diagnosis of Orgasm Dysfunction
• Spinal cord trauma
• Spinal cord lesion or injury
• Spinal cord accident
• Radical pelvic surgery
• Psychogenic
• Pharmacologic agents (e.g., selective serotonin reuptake inhibitors [SSRIs], β-blockers)
• Peripheral nerve damage
• Multiple sclerosis (MS)
• Hypothyroidism
• Hypopituitarism
• Herniated lumbar disk
• Cushing’s disease
• Anorgasmia: inadequate stimulation or learning
• Amyotrophic lateral sclerosis (ALS)
• Alcoholic neuropathy
• Addison’s disease
• Acromegaly
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