This film is the first part of a trilogy that also includes Si douces, si perverses (1969) and Formule un (1970).
After its Italian premiere in February 1969, Orgasmo was released in the United States under the alternative title Paranoia later that same year. It was one of the first films to carry an X rating in the United States under the newly established Motion Picture Association film rating system, and this fact was sensationalized for its American promotional materials.