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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Lack Of Orgasm Be Treated?

I am 49 years old. 5ft 7in, 11 stone. i have never ever had any sensation on my cliterous and had never experienced an orgasm, I have tried masterbating over the years but still noting. I have no problems with lubrication inside my vagina and I kind of enjoy sex but I do not appear to ever feel the sensation I guess most women do. I did onceask my doctor but he said he had no idea as he'd never been asked before. I do not beleive this is a mental thing and having read a bit over the years wonder if its to do with a lack of blood flow? I've even tried viarga but noting happened.....
Mon, 2 May 2016
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OB & GYN Specialist 's  Response
Hello,

Thanks for writing to us. I am trying to solve your problem.

According to your history, you are suffering from LOW libido and unable to achieve orgasm being more excited. It is one type of sexual dysfunction & more common in female. About 15% of women face this type of difficulties.

There are several underlying causative factors in association with. These include:

1) Psychological causes/ stress/ anxiety/ emotional upset.
2) Pelvic trauma/ infection/ history of pelvic surgery/ vaginal dryness (more common).
3) Hormonal imbalance, particularly low level of estrogen.
4) Use of certain medication or neurological causes associated with reduce sensitivity to clitoris.

Therefore, I suggest you to consult with gynecologist/ sexologist for suggestive measures through complete physical examination including pelvic exam and some initial investigations like blood test for estrogen & progesterone level, prolactin level, thyroid profile, blood sugar, vaginal swab test & urine examination- routine & microscopy. Complete treatment can only be done on pin point diagnosis or after ruled out causative factors.

The following measures are helpful in achieving orgasm:

1) Need complete body fitness- by the means of taking healthy diet with consuming more vegetables & fruits, drink more water to stay hydrated, regular physical exercise through running/ jogging/ treadmill etc.

2) Try to avoid stress/ tension/ anxiety by regular yoga/ meditation or breathing exercise (20-30 at a times).

3) Keep more time on foreplay with your partner and give time to arouse yourself more & more before actual vaginal penetration or partner's ejaculation.

4) Specific treatment- by means of hormonal patches (estradiol) or medication to correct other hormonal imbalances, using clitoral vacuum pump devices or vibrator and drugs to improve blood flow/ sexual sensation/ arousal.

In recent study, drugs like sildenafil/ vardenafil (though used in men) are quite useful in the reversal of female sexual dysfunction. Also you need to treat other underlying causes.

5) Vaginal dryness can be treated with water based lubrication/ jelly/ estradiol cream etc.

6) Maintain genital hygiene properly and need adequate sleeping with complete relaxation. Avoid using unnecessary medication.

Hope, it helps for your information. Good luck.
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  User's Response
HI
Well come to HCM
I really appreciate your concern, look as long as the orgasm is concern in female so this is not extremely happens or felt but some time this might gone without any sensation (Un-noticed) but main thing is you drive and excitement, desire for intercourse, mutual under standing, belief, confidence and of course love, so no need to worry you must be having orgasm but it might not be felt you, you were not getting it properly, hope this information helps, take care ( Orgasm is same in action as ejaculation have same rhythmic contraction of muscles in male it is necessary but in female some time it may not be experienced physiology is same but mode of action is of course different)
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How Can Lack Of Orgasm Be Treated?

Hello, Thanks for writing to us. I am trying to solve your problem. According to your history, you are suffering from LOW libido and unable to achieve orgasm being more excited. It is one type of sexual dysfunction & more common in female. About 15% of women face this type of difficulties. There are several underlying causative factors in association with. These include: 1) Psychological causes/ stress/ anxiety/ emotional upset. 2) Pelvic trauma/ infection/ history of pelvic surgery/ vaginal dryness (more common). 3) Hormonal imbalance, particularly low level of estrogen. 4) Use of certain medication or neurological causes associated with reduce sensitivity to clitoris. Therefore, I suggest you to consult with gynecologist/ sexologist for suggestive measures through complete physical examination including pelvic exam and some initial investigations like blood test for estrogen & progesterone level, prolactin level, thyroid profile, blood sugar, vaginal swab test & urine examination- routine & microscopy. Complete treatment can only be done on pin point diagnosis or after ruled out causative factors. The following measures are helpful in achieving orgasm: 1) Need complete body fitness- by the means of taking healthy diet with consuming more vegetables & fruits, drink more water to stay hydrated, regular physical exercise through running/ jogging/ treadmill etc. 2) Try to avoid stress/ tension/ anxiety by regular yoga/ meditation or breathing exercise (20-30 at a times). 3) Keep more time on foreplay with your partner and give time to arouse yourself more & more before actual vaginal penetration or partner s ejaculation. 4) Specific treatment- by means of hormonal patches (estradiol) or medication to correct other hormonal imbalances, using clitoral vacuum pump devices or vibrator and drugs to improve blood flow/ sexual sensation/ arousal. In recent study, drugs like sildenafil/ vardenafil (though used in men) are quite useful in the reversal of female sexual dysfunction. Also you need to treat other underlying causes. 5) Vaginal dryness can be treated with water based lubrication/ jelly/ estradiol cream etc. 6) Maintain genital hygiene properly and need adequate sleeping with complete relaxation. Avoid using unnecessary medication. Hope, it helps for your information. Good luck.