BY DR. MICHAEL KRYCHMAN
Why can’t I always have an orgasm?
For many women, the orgasmic response is variable, and it is not uncommon for a woman to experience one, many or no orgasms every time she is sexually intimate with her partner. Her orgasmic response may be unpredictable and may change with time. There are countless ways a woman can experience an orgasm: clitoral, vaginal, G spot or cervical stimulation, as well as a blended and whole-body orgasm are just a few.
The orgasmic journey can be short circuited. There are several reasons, both medically and psychologically why a woman may not be experiencing an orgasm consistently. Sometimes medications including the commonly prescribed class of drugs for depression, serotonin reuptake inhibitors may affect a woman’s ability to have an orgasm. Sometimes the medication’s dose can be lowered, or it can be changed to a less sexually offensive medication to help the orgasmic response. Another common culprit, birth control pills may interfere with testosterone levels and in some women orgasmic intensity or latency is affected.
Besides modifying prescribed medications, there are other options that will allow you to reclaim your orgasmic response. Adding another medication, or use an antidote drug, may restore orgasmic intensity and latency. Sometimes a woman may need more direct stimulation or sexual excitement in order to achieve an orgasm.
Changing the sexual repertoire, perhaps adding more direct clitoral stimulation either orally or manually may be helpful. A new multi speed self stimulator either directly or close to the clitoral tissue may also improve orgasmic response. Many women find arousal gels like JO's Oral Delight and clitoral stimulants (try JO Arctic & Chill, Warm & Buzzy, or Atomic & Spicy) very helpful for orgasmic potential and improved overall sexual satisfaction.
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