Difficulty Orgasming

difficulty orgasming

Difficulty Orgasming

An orgasm should be the peak of sexual pleasure, but some women find they have difficulty orgasming. If you develop this problem, visit Kiarash Michel, MD, and his team of board-certified doctors at Comprehensive Urology in the Beverly Grove neighborhood of Los Angeles, California. They provide personalized treatments that address the cause of your disappointing or absent orgasms. Call Comprehensive Urology today or book an appointment online to find a solution to orgasm difficulties.

Table of Contents


What is difficulty orgasming?

Orgasming represents the pinnacle of sexual pleasure, an exceptionally enjoyable experience with no equal.

Struggling to reach orgasm (known as female orgasmic disorder) indicates that the time taken to orgasm is longer than desired. Your orgasms might also be sporadic, or you might not achieve orgasm at all, despite being sexually aroused and stimulated. Another issue is the occurrence of unsatisfactory orgasms.

The intensity and frequency of orgasms vary among women, and they can even differ each time. As long as you are content with the quality and frequency of your orgasms, there is no need for concern.

If difficulties in achieving orgasm are causing distress, Comprehensive Urology offers effective treatments.

What are the causes?

Human sexual arousal and orgasms respond to physical, emotional, and psychological triggers. All three factors must align for the most fulfilling orgasms. In females, various reasons can contribute to difficulties in reaching orgasm.

Numerous individuals face challenges due to a lack of understanding about their body or difficulties in expressing their desires to a partner. Additional issues that may impact your ability to achieve orgasm include:

  • Sexual or emotional abuse
  • Poor body image
  • Feelings of guilt or embarrassment
  • Cultural and religious influences
  • Long-term or severe stress
  • Anxiety and depression
  • Lack of emotional connection
  • Relationship difficulties
  • Partner’s sexual problems, like erectile dysfunction
  • Excessive alcohol intake
  • Smoking
  • Gynecological surgery

Long-term health conditions like diabetes and multiple sclerosis (MS) can affect your ability to orgasm. Difficulty orgasming can also be caused by prescription medication to treat blood pressure, allergies, and depression.

Changes to your body that come with aging can result in difficulty orgasming and other sexual health problems. Menopause, when levels of estrogen (a female sex hormone) fall, is often the start of age-related sexual troubles. These can include vaginal dryness and loss of sexual desire.

How is treated?

Many treatments can help you improve the quality and frequency of your orgasms. First, your doctor does a thorough symptom review and physical exam. Because so many things can affect your ability to orgasm, they need to address the most likely causes first.

Your Comprehensive Urology doctor will recommend one or more of the following:

  • Female sexual anatomy education
  • Self-directed sexual stimulation
  • Sexual communication
  • Changes in sexual positions
  • Sexual enhancement devices
  • Cognitive-behavioral therapy (CBT)
  • Hormone replacement therapy (HRT)
  • Estrogen vaginal cream
  • Testosterone therapy


Comprehensive Urology also offers ThermiVa®, a non-surgical vaginal rejuvenation therapy from ThermiGen LLC. ThermiVa uses radiofrequency energy to promote natural tissue regeneration. This improves sensation, reduces dryness, and improves orgasms.

Call Comprehensive Urology today or book an appointment online for effective solutions to difficulty orgasming. 

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