What causes the inability to orgasm in women?

Question

Hello doctor,

My wife cannot orgasm, and I have tried everything to fulfill her desire. I have used timing tablets thinking the problem was me, but she cannot orgasm. Initially, after the wedding, she would orgasm within 15 minutes. But after three years, she is not orgasming. Both of us are taking capsule Evion 400 mg. Please help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query, and I can understand your concern.

Low libido has many reasons including:

Infections: This can be due to urine infection, and complete urine analysis and pelvis ultrasound to diagnose the cause.
Diabetes or hypertension: Blood pressure and blood sugar must be under control. If you are already on medication, share the details.
Hormonal disturbances: Low testosterone, low levels of thyroid, and high levels of prolactin can lower libido. Check for TFT (thyroid function test), prolactin, and testosterone to determine the cause.
Obesity: Plan for regular exercise and yoga.
High cholesterol: Check for lipid profile and perform regular exercise.
If you have a chronic disease or are on any long-term medication, do share details.
Anxiety can also cause libido issues.

I would suggest a USG pelvis (pelvic ultrasound) to rule out pelvis infection, a thyroid check-up for free T3 (Triiodothyronine), T4 (Thyroxine), TSH (thyroid stimulating hormone), lipid profile to know cholesterol level, blood pressure, and RBS (random blood sugar levels). Kindly share more details regarding the above reason, so we can work on the cause and treatment. I suggest you take the tablet Mildfil (Tadalafil) 5mg twice a day as a temporary solution. Consult your doctor, talk to them, and then take the medication.

I would also suggest you talk to your partner frankly with an open mindset, and ask her these questions.

Does she have pain during sex?
Did she have a painful sexual experience with you or someone else in her past?
Was she left unsatisfied with the sexual act before?
Is she afraid of getting pregnant?
Does she think of the sexual act as sinful, dirty, or immoral?
Does she disapprove of the kind of sexual behavior that is expected of her?
Does she have unresolved emotional issues with you?

Let the answers emerge organically in the course of an open-minded discussion. Seek out relationship counseling if you are unsure how to approach the subject.

I hope this information will help you. Feel free to ask further queries.

Thank you.