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Many women will experience difficulty reaching orgasm from time to time. And for some, sexual climax remains frustratingly elusive. We look at the common issues that can hinder orgasm and find out how women can improve their chances of getting there.

Sexual satisfaction is a key aspect of physical and emotional well-being, yet far fewer women than men report reaching orgasm regularly. Women are more likely to orgasm through masturbation when alonethan with a partner.

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Dr Becky Spelman, a psychotherapist and couples counsellor at the Private Therapy ClinicLondon, says difficulty reaching orgasm is a common issue for women. Hormonal fluctuations, health issues and the side-effects of common medications can also make sexual climax difficult to achieve. Claudine Domoney, a consultant gynaecologist at London's Chelsea and Westminster Hospitalexplains:. Conditions such as diabetic neuropathy and ificant slipped disc problems can be an issue, as can operations that may affect the nerves in the pelvis, though this is rare.

Gynaecological conditions can also have a potential impact. Menopausal changes can also be a factor, with women reporting they are unable to orgasm as easily, or that the nature of their orgasm has changed and become less intense. Often though, difficulty reaching orgasm may have a psychological element. Sexual intimacy requires a degree of vulnerability and emotional risk which can sometimes block our ability to climax - we may not even be consciously aware of these feelings.

Broader worries, depression, anxiety, fatigue and excessive alcohol consumption can also have an impact. Many people experienced a drop in libido during lockdown and with restrictions still in place, m Have plenty of pleasurable fun by yourself, then transfer this knowledge to partnered sex. Experiment with sex toys, use a pH-balanced, organic lubricant, and discover what stimulates your mind as well as your body, whether it's erotic fiction, female-friendly porn, or exploring your own fantasies.

Break out of the orgasm rut and try a different technique if what used to work for you no longer gets you there. Using a small 'bullet' vibrator on the clitoris during intercourse may also boost your chances if your sexual position is not offering enough direct stimulation. This technique involves deliberately pausing as you edge towards orgasm, then continuing stimulation.

The emphasis is on building pleasure and staying with the sensations, rather than focusing on the end result. You might pause for seconds, minutes, or even continue stimulation at intervals throughout the day. Orgasm may then be easier to reach as the intensity builds over time. Reduce 'performance' anxiety by using mindfulness techniques to reduce mind chatter and focus instead on observing your breathing and bodily sensations.

This shifts the emphasis from trying to being. If you get stuck in goal-oriented narrow focus and orgasm isn't happening, shift into open focus to break out of 'trying' mode. You can do this by becoming aware of the space in the room and gently focusing your gaze on the middle distance. Exchanging fantasies, 'pillow talk' and banter with your partner can also take the pressure off heading for orgasm.

If you suspect the 'block' is less about technique and more emotive, discuss it in a non-sexual context rather than in the heat of passion. Menopause and health problems with the potential to affect orgasm can also be reasons to see a medical expert. If inability to climax becomes a long-term issue, Domoney suggests seeing your GP who may refer you to see a sex therapist or a gynaecologist with expertise in sexual medicine: "A GP should be able to sort out whether it's a psychological or physical issue and refer you to the best person.

I had unprotected sex about 4 days ago, I've ordered a home test kit to be safe however I haven't got any symptoms.

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I checked inside my vagina and have seen this, is it normal or should I be worried? Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. Egton Medical Information Systems Limited has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions. Common issues Dr Becky Spelman, a psychotherapist and couples counsellor at the Private Therapy ClinicLondon, says difficulty reaching orgasm is a common issue for women.

Claudine Domoney, a consultant gynaecologist at London's Chelsea and Westminster Hospitalexplains: " Antidepressants and blood pressure medications can make orgasm more difficult because of the way they act on the brain and body. Is your lifestyle impacting your sex drive?

Can women take Viagra? Dark chocolate-dipped berries. Baked eggs and avocado. Get tested today Sexual health blood and urine profiles now available in Patient Access Book now. Read next. How to talk to your partner about a sexual problem. The most likely reasons for your low sex drive. Related Information How to talk to your partner about a sexual problem Female Sexual Dysfunction Female Sexual Dysfunction Understanding vulvodynia and why it causes painful sex How to have great sex in later life.

the discussion on the forums. Health Tools Feeling unwell? Assess your symptoms online with our free symptom checker. Start symptom checker. Read next How to talk to your partner about a sexual problem.

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Female orgasms: What you need to know