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Suggest Treatment For Anorgasmia

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Posted on Wed, 21 Sep 2016
Question: It has always been very difficult for me to have an orgasm. When I say difficult I mean extremely difficult. I can have an orgasm with my vibrator most of the time however during sex with my husband maybe 1 out of 10 times. We have seriously tried every position known to man. What is wrong with me?
doctor
Answered by Dr. Chintan Solanki (1 hour later)
Brief Answer:
need more information and requires evaluation, likely situational problem

Detailed Answer:
Hello Lady,

Thanks for writing to us. I can understand your concern.

You are suffering from anorgasmia and that is with your husband.
Even with your husband sometime you can enjoy. Problem is not consistent. This means there is no major physical problem likely and problem is more psychological. However still we need to rule out physical cause if any.

There are many causes of anorgasmia:
Physical causes: medical diseases ( diabetes and neurological diseases), gynecologic issues, medications ( blood pressure medications, antihistamines and antidepressants), alcohol and smoking.

Psychological causes: mental health problems, such as anxiety or depression, stress, guilt about enjoying sexual experiences, past sexual or emotional abuse, relationship issues.

Let me know,

- Do you feel is there any cause from above explanation in your case?

- What about your menstrual history?

- How is overall relationship with your husband?

- What about his orgasm during sex?

- With vibrator you stimulate vagina or clitoris?

- Is your husband aware about this problem?

- During sex with husband can you enjoy foreplay?

- During sex are you thinking about orgasm(fear of not able to achieve the same) or can you just enjoy the process?

- Do you feel any pain during sex?

- Is there sufficient lubrication after foreplay?

I also recommend thyroid hormone profile and testosterone level (free and total) assessment.

I will be happy to help further after your response.
Regards,
Dr.Chintan Solanki.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
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Answered by
Dr.
Dr. Chintan Solanki

Psychiatrist

Practicing since :2007

Answered : 2406 Questions

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Suggest Treatment For Anorgasmia

Brief Answer: need more information and requires evaluation, likely situational problem Detailed Answer: Hello Lady, Thanks for writing to us. I can understand your concern. You are suffering from anorgasmia and that is with your husband. Even with your husband sometime you can enjoy. Problem is not consistent. This means there is no major physical problem likely and problem is more psychological. However still we need to rule out physical cause if any. There are many causes of anorgasmia: Physical causes: medical diseases ( diabetes and neurological diseases), gynecologic issues, medications ( blood pressure medications, antihistamines and antidepressants), alcohol and smoking. Psychological causes: mental health problems, such as anxiety or depression, stress, guilt about enjoying sexual experiences, past sexual or emotional abuse, relationship issues. Let me know, - Do you feel is there any cause from above explanation in your case? - What about your menstrual history? - How is overall relationship with your husband? - What about his orgasm during sex? - With vibrator you stimulate vagina or clitoris? - Is your husband aware about this problem? - During sex with husband can you enjoy foreplay? - During sex are you thinking about orgasm(fear of not able to achieve the same) or can you just enjoy the process? - Do you feel any pain during sex? - Is there sufficient lubrication after foreplay? I also recommend thyroid hormone profile and testosterone level (free and total) assessment. I will be happy to help further after your response. Regards, Dr.Chintan Solanki.