Problem with Orgasm

Table of Contents

Issues with Orgasm​

Issues with orgasm can significantly impact sexual satisfaction and overall sexual experiences. Orgasm is the culmination of sexual excitement, accompanied by involuntary muscle contractions. While many women experience orgasms regularly, there is a significant percentage of women who have never experienced an orgasm. Approximately 10-15% of women have never had an orgasm, and 75% of women may not reach orgasm from intercourse alone, requiring additional stimulation for climax.

It’s important to note that achieving orgasm may not always be the ultimate goal in the female sexual response cycle. For some individuals, the focus may be on emotional connection with their partner, a desire for intimacy, or the satisfaction of pleasing their partner.

Anorgasmia is a term used to describe the absence or difficulty in reaching orgasm. It can be classified as primary anorgasmia, where a woman has never experienced an orgasm, or secondary anorgasmia, where she was previously able to reach orgasm but is now facing difficulties. Primary anorgasmia may benefit from education and self-exploration, encouraging women to learn more about their bodies and sexual responses. On the other hand, secondary anorgasmia may require an evaluation of potential causes, such as medical conditions or relationship issues that could be affecting sexual satisfaction.

Factors affecting orgasm

Certain medical conditions, including genitourinary syndrome of menopause and skin conditions like lichen sclerosus, can impact orgasm. Lichen sclerosus, with its potential to cause thinning, atrophy, and scarring of vulvar and vaginal tissues, may lead to discomfort and pain during sexual activity, affecting the ability to reach orgasm.


Various treatment options are available for addressing issues with orgasm. Vibrators, suction devices, and sex toys can provide additional stimulation and enhance sexual pleasure. Sex enhancement products, such as furniture and support pillows, can help create a more comfortable and enjoyable sexual experience. The use of lubricants can improve genital comfort and ease during sexual activity, potentially facilitating orgasm.

In some cases, individuals may find that erotica or pornography helps enhance arousal and leads to a more satisfying sexual experience. These forms of sexual content can be used responsibly and respectfully as tools to explore and understand one’s sexual desires and preferences.

Topical use of Viagra (sildenafil) and L-arginine has been explored as a potential approach to enhance orgasm and arousal in women. Viagra is a medication commonly used to treat erectile dysfunction in men, but some studies have investigated its topical application for women. The active ingredient, sildenafil, is believed to increase blood flow to the genital area, which may promote heightened sensitivity and arousal.

L-arginine, an amino acid, has also been considered for topical application to enhance sexual response in women. It is thought to promote the production of nitric oxide, which can lead to increased blood flow and improved genital responsiveness.

While research is still relatively limited on the topical use of Viagra and L-arginine for women, some findings have shown potential benefits in terms of increased genital blood flow and heightened sensation. 

Moreover, innovative treatments like Platelet-Rich Plasma (PRP) injection and Cliovana™ therapy have shown promising results in addressing issues with orgasm. PRP injection involves using a woman’s own platelets, rich in growth factors, to stimulate tissue regeneration and improve sensitivity in the genital area. Cliovana™  is a non-invasive treatment that utilizes soundwave technology to increase blood flow and nerve sensitivity, potentially enhancing orgasmic response.


Overall, addressing issues with orgasm requires a personalized approach, considering both physical and emotional factors. Open communication with healthcare professionals and sexual therapists can aid in finding the most suitable treatment options and strategies to enhance sexual satisfaction and overall well-being.

Schedule an Appointment

If you’re interested in learning more about your treatment options for Issues with Orgasm, your first step is to schedule an appointment with Dr. Dubinskaya. To get started, contact our office by calling 424-210-9030 or filling out our online form.

MEET Dr. Alexandra Dubinskaya

A leader in women’s sexual health

Dr. Alexandra Dubinskaya is a board-certified, fellowship-trained Urogynecologist and Sexual Health specialist whose mission is to enhance women’s quality of life by improving their pelvic and sexual health. Dr. Dubinskaya’s focus is on making a difference in people’s lives through state-of-the-art, compassionate, and personally tailored care.

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