A medical evaluation for anorgasmia usually consists of:
A thorough medical history. Your doctor might ask about your sexual history, surgical history and current relationship. Don't let embarrassment stop you from giving candid answers. These questions provide clues to the cause of your problem.
A physical exam. Your doctor will probably conduct a general physical exam to look for physical causes of anorgasmia, such as a medical condition. Your doctor might also examine your genital area to see if there's some obvious physical or anatomical reason for lack of orgasm.
Treatment for anorgasmia will depend on the cause of your symptoms. It might include lifestyle changes, therapy and medication.
Lifestyle changes and therapy
For most women, a key part of treatment includes addressing relationship issues and everyday stressors. Understanding your body and trying different types of sexual stimulation also can help.
Understand your body better. Understanding your anatomy and how and where you like to be touched can lead to better sexual satisfaction. If you need a refresher course on your genital anatomy, ask your doctor for a diagram or explore your body in a mirror.
Self-stimulation with your hand or a vibrator can help you discover what type of touch feels best to you and can provide information you can share with your partner. If you're uncomfortable with self-exploration, try exploring your body with your partner.
Increase sexual stimulation. Women who've never had an orgasm might not be getting enough sexual stimulation. Most women need direct or indirect stimulation of the clitoris to orgasm.
Switching sexual positions can produce more clitoral stimulation during vaginal penetration. Using a vibrator or fantasizing during sex also can help trigger an orgasm.
For some women, a device called a clitoral vacuum can improve blood flow and increase stimulation. This device is battery operated and hand-held, with a cup that fits over the clitoris.
Seek couples counseling. A counselor can help you work through conflicts in your relationship that can affect your ability to orgasm.
Try sex therapy. Sex therapists specialize in treating sexual concerns. Therapy often includes sex education, help with communication skills and behavioral exercises that you and your partner try at home.