HomeAnswersSexologysexual healthI am a 21-year-old healthy female, but I cannot enjoy sex. Why?

Why do I not find sex pleasurable?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At February 10, 2023
Reviewed AtDecember 22, 2023

Patient's Query

Hi doctor,

I am a 21-year-old female in a monogamous relationship. I am a practicing athlete and eat right as far as I am concerned, and so does my partner, whom I love endlessly. We live together in a comfortable, financially secure, and stress-free environment. I have never undergone a traumatic event or had a poor sexual experience. However, I have a major problem. What I am going to describe may resemble asexuality, but I assure you it is not. I do not enjoy or crave sexual activity. I do not become aroused during foreplay like every other lady I know. No fluttering in my stomach, no racing heart, no tingling in my genitalia, and no urge to fulfil a need. I know this exists and that I can feel it because I have rarely done it. I want to have sex because I enjoy my partner's physical closeness and making him feel wonderful. I also enjoy massaging his feet after a hard day. No passion, no excitement, so no plateau. Now, vaginal and clitoral stimulation feel quite different, and I am numb and not experiencing the feeling.

Consider that lubrication is never a problem, as my vagina becomes instantaneously greased at the first touch itself. Regarding clitoral stimulation, everything other than a vibrator is aggressively unpleasant. Whether the stimulation is oral or manual, I am not feeling good. So, we believed a vibrator would fix the issue, but I do not feel anything when my spouse uses it on me. If I am doing it by myself, orgasm is never guaranteed. On the rare occasions I experience one, I must use the vibrator on the maximum setting for an extremely long period, and even then, the orgasm is very faint. I am lost and unsure of what to do. This has nothing to do with my boyfriend's lack of experience or with my discomfort around him. I am anxious about my sexual life and want to enjoy sex and feel excited. If you shed some light on my situation and put me on the correct path, I would be extremely grateful, as I have received zero helpful responses from previous doctors. I truly appreciate your time.

Hi,

Welcome to Icliniq.com

I went through your history completely and am concerned about your problem. What I gather is you are sexually active but have a suboptimal desire.

First, we need to know if you have a subclinical disease like thyroid, sugar and autoimmune diseases because these diseases or conditions can cause decreased libido (sexual desire).

Secondly, we need to know psychologically why your need for sex is suboptimal as there might be any internal conflicts, past trauma, age of first sex, number of partners, etc.

The third is to know about the issue of fantasies, orgasmic acts, deepest desires, and experimentation.

Four, please send me inputs regarding the above so we can seek a resolution.

With regards

The Probable causes

Any underlying disease conditions.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. K. Shanmuganandan
Dr. K. Shanmuganandan

Rheumatology

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