explain the orgasmic difficulties.
Another medical condition. If the disorder is due to an other medical condition (e.g.,
multiple sclerosis, spinal cord injury), then a diagnosis of female orgasmic disorder would
not be made. 
Interpersonal factors. If interpersonal or significant co ntextual factors, such as severe
relationship distress, intimate partner violen ce, or other significant stressors, are associ-
ated with the orgasmic difficulties, then a diagnosis of female orgasmic disorder would
not be made.
Other sexual dysfunctions. Female orgasmic disorder may occur in association with other
sexual dysfunctions (e.g., female sexual intere st/arousal disorder). Th e presence of another
sexual dysfunction does not rule out a diagnosi s of female orgasmic disorder. Occasional or-
gasmic difficulties that are short-term or infreq uent and are not accompanied by clinically sig-
nificant distress or impairment are not diagno sed as female orgasmic disorder. A diagnosis is
also not appropriate if the problems are the result of inadequate sexual stimulation. 
Comorbidity
Women with female orgasmic disorder may have co-occurring sexu al interest/arousal
difficulties. Women with diagnoses of other no nsexual mental disorder s, such as major de-
pressive disorder, may experience lower sexu al interest/arousal, and this may indirectly
increase the likelihood of  orgasmic difficulties.