<![CDATA[Background: Female orgasmic disorder (FOD) is a common form of female sexual dysfunction characterized by delayed, reduced, or absent orgasm despite adequate sexual stimulation. Although its prevalence is high, current clinical approaches remain largely symptom-oriented and often fail to address the multifactorial nature of the condition. Method: This study employed a narrative literature review design. Relevant articles were obtained from PubMed, Scopus, and Google Scholar using keywords related to female orgasmic disorder, sexual dysfunction, and treatment. The selected literature was analyzed descriptively, focusing on physiological mechanisms, pathophysiology, etiological factors, diagnostic approaches, and management strategies. Result: The findings indicate that FOD is a multifactorial condition involving the interaction of biological, psychological, pharmacological, and relational factors. The diagnostic approach based on DSM-5 and instruments such as the Female Sexual Function Index (FSFI) allows a more comprehensive evaluation. Current management includes pharmacological and non-pharmacological interventions; however, their effectiveness varies depending on the underlying etiology.Implication: These findings highlight the importance of adopting a more comprehensive and individualized clinical approach. An etiology-based strategy integrating the biopsychosocial model may improve treatment accuracy, patient satisfaction, and overall sexual well-being.Novelty: This review emphasizes an etiology-based management framework that integrates multiple contributing factors, offering a more targeted and personalized approach compared to conventional generalized treatment strategies.]]>
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