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I Am Unable to Achieve Orgasms Anymore

I used to be able to have an orgasm but I can't seem to anymore. Why not? My orgasms are not as intense as they used to be. Why is that?

It is not uncommon to hear women, talk of having less-intense orgasms or having a harder time reaching orgasm as they get older. The physical factors that cause this may include hormone insufficiencies or reduced blood flow to the vaginal area.

Hormones are a critical component of normal sexual response. Low levels of testosterone-related hormones are often associated with peri-menopausal and post-menopausal women and can have a large impact on both a woman's level of desire and her level of response. Understanding the hormone balance is complicated and a very new area for most physicians. Therefore a woman troubled by her low sex drive should have a full battery of blood tests run under the supervision of a physician who specializes in the area of female sexual dysfunction.

Additionally, as you get older, you may see differences in your blood circulation. If the blood flow in the vagina is insufficient it will not fully engorge the clitoris— much like a man who can't get an erection. If your clitoris does not become engorged you may not have the intensity of orgasm that you are used to. This can also be caused by certain medical conditions, medications or surgeries. Some medical providers are using topical and oral medications to enhance blood flow to the vagina and there is an FDA-approved vacuum device that can help with this as well. In certain cases prolonged and more intense stimulation can help and certain vibrators may be recommended.

The medications you may be taking can also be affecting your ability to experience orgasm, particularly if you are taking antidepressants. Additionally, birth control pills can throw off the balance of hormones and create an inability to reach orgasm.

If you have experienced pleasurable orgasms in the past, it is likely that with the proper combination of medical and emotional support you can do so again.

Women's questions about orgasm

I can't seem to have an orgasm with intercourse. Why not?

I've never been able to have an orgasm. Why not? Is there anything I can do?

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Free women’s sexuality information packet.

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Sexual Dysfunction in Women

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Information provided on this website is authored and edited by Dr. Bat Sheva Marcus, LMSW, MPH, PhD
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