The word "orgasm" in Japanese is typically expressed as オーガズム (oogazumu), a direct transliteration from English, commonly used in medical, casual, or media contexts. A more native term is 絶頂 (zetchou), meaning "climax," which can be used in both literal and figurative senses, often in more formal or poetic contexts. Another term, エクスタシー (ekusutashii), derived from "ecstasy," is occasionally used, especially in romantic or intimate settings. These terms vary in nuance, with オーガズム being more clinical, 絶頂 carrying a deeper or emotional tone, and エクスタシー adding a sense of heightened pleasure or passion. As with many sensitive topics in Japanese, the tone, audience, and context dictate the appropriateness of each term.