Exploring Attention-Deficit/Hyperactivity Disorder (ADHD) Symptomatology in Relation to Women’s Orgasmic Consistency

This well-powered, pre-registered online study examined differences in orgasmic consistency among women both with and without ADHD symptomatology while controlling for sexual assertiveness and sexual attitudes, constructs yet to be explored in this context. A convenience sample of 815 (<i>M</i>_<i>age</i> = 28.93, <i>SD</i>_<i>age</i> = 9.23) cisgender females, at least 18 years of age and sexually active with at least one partner over the last 6 months, completed this study online through the survey platform Qualtrics. No preexisting ADHD diagnosis was required. Study hypotheses were confirmed, revealing that ADHD symptomatology predicted orgasmic consistency, and most notably, that greater inattentive ADHD symptomatology was associated with lower consistency of orgasm. Exploration of medication use for ADHD symptom management revealed only a significant effect of medication use on orgasmic consistency in women who did not currently meet the criteria for ADHD symptomatology. Finally, when comparing women of sexual minority orientations to the sexual majority, results indicated only a significant difference in orgasmic consistency rates among women who did not meet the ADHD symptomatology criteria. Given that women who struggle with difficulties in consistently achieving orgasm are more likely to experience negative relationship satisfaction, self-esteem, and sexual satisfaction outcomes - as well as increased rates of emotional distress - our results have significant implications for the sexual health and well-being of women with ADHD symptomatology. This is particularly true for those with the inattentive ADHD symptomatology subtype.