Hello, Thanks for writing to us. According to your history, you are unable to achieve or maintain orgasm sometimes being more excited which is called anorgasmia or orgasmic dysfunction in medical term. It is one type of sexual dysfunction and more common in female. 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 (if sexually active) and give time to arouse yourself more & more before actual vaginal penetration or partner s ejaculation. Give some time during self masturbation. 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 after consultation with doctor. 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 to solve your current problem. Good luck.