Fake orgasm implying commitment (monogamy) and in order to detect the true satisfaction levels of the female partner. The idea that men place great importance on female mate orgasm lends support to this theory. The 1989 American film "When Harry Met Sally..." is well known for a scene in which the character Sally, played by Meg Ryan, fakes an orgasm while sitting in a crowded deli in order to demonstrate how persuasive a fake orgasm can be. In "The Mango" episode of the American sitcom television program "Seinfeld", the main characters Elaine and Kramer admit to faking orgasms, and another main character,
Orgasm them. This delay can lead to frustration of not reaching orgasmic sexual satisfaction. 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 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. Menopause may involve loss of hormones supporting