Causes of orgasm problems in women can be physical or psychological.
Common causes of orgasm problems in women include:
- not being stimulated sufficiently
- worrying about sexual performance
- mood disorders, such as depression
- problems with physical health, such as a long-term pain condition like arthritis
- a previous traumatic sexual experience
- problems in the relationship
- hormonal changes or problems, such as the menopause
- taking some types of medicine, such as the selective serotonin reuptake inhibitors (SSRIs) type of antidepressants
- having previous gynaecological surgery, such as a hysterectomy
- some health conditions, such as heart disease or multiple sclerosis
- living with obesity
- smoking, alcohol and drug use
When can orgasm problems start?
Orgasm problems can be:
- primary: a woman has never had an orgasm
- secondary: she has had orgasms in the past, but cannot have one now
Also some women find they can orgasm when masturbating but not when they are with their partner. This could be due to problems with the relationship or not being stimulated sufficiently.
Some women do not need an orgasm to enjoy sex. However, for other women and their partners, being unable to have an orgasm can be a problem.
Sexual problems in women are common, especially in older women.
Where to get help if you have orgasm problems
If you're unable to have an orgasm, and this is causing you concern, see a GP. They can check for any physical reasons that may be causing the problem, which may well be treatable.
For example, if problems with your pelvic muscles may be a factor, then doing regular pelvic floor exercises designed to strengthen muscles around your bladder, vagina and back passage may help.
Read more about pelvic floor exercises.
If the cause is psychological, it may help to see a sex therapist or doctor. A GP can refer you, or you can see one privately. Look for a therapist who is a member of the College of Sexual and Relationship Therapists (COSRT), or a doctor from the Institute of Psychosexual Medicine.
Read about what a sex therapist does.