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Delayed ejaculation DE is a common medical condition. In some cases, ejaculation cannot be achieved at all. Most men experience DE from time to time, but for others it may be a lifelong problem. While this condition does not pose any serious medical risks, it can be a source of stress and may create problems in your sex life and personal relationships.

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Back to Sexual health.

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Also some women find they can orgasm when masturbating but not when they are with their partner. This could be due to problems with the relationship or not being stimulated sufficiently.

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Some women do not need an orgasm to enjoy sex. However, for other women and their partners, being unable to have an orgasm can be a problem.

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Sexual problems in women are common, especially in older women. Around one-third of young and middle-aged women are affected by sexual problems. While it is estimated that around 1 in 2 older women are affected by sexual problems.

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If you're unable to have an orgasm see a GP. They can check for any physical reasons that may be causing the problem, which may well be treatable. For example, if problems with your pelvis may be a factor, then doing regular pelvic floor exercises deed to strengthen muscles around your bladder, vagina and back passage, may help.

Understanding your orgasm reflex.

about pelvic floor exercises. If the cause is psychological, it may help to see a sex therapist or doctor. A GP can refer you, or you can see one privately. There's more information about orgasms and other sexual problems on our on female sexual problems.

Read the answers to more questions about sexual health.

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last reviewed: 20 November Next review due: 20 November Home Common health questions Sexual health Back to Sexual health. What can cause orgasm problems in women?

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Causes of orgasm problems in women can be physical or psychological. Common causes of orgasm problems in women include: not being stimulated sufficiently worrying about sexual performance mood disorders, such as depression problems with physical health, such as a long-term pain condition like arthritis a traumatic sexual experience problems in the relationship hormonal changes or problems, such as the menopause taking some types of medicine, such as the selective serotonin reuptake inhibitors SSRIs type of antidepressants having gynaecological surgery, such as a hysterectomy some health conditions, such as heart disease or multiple sclerosis When can orgasm problems start?

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Orgasm problems can be: primary: a woman has never had an orgasm secondary: she has had orgasms in the past, but cannot have one now Also some women find they can orgasm when masturbating but not when they are with their partner. Where to get help if you have orgasm problems If you're unable to have an orgasm see a GP. Further information What is an orgasm?

More from sex & relationships

Is it necessary to have an orgasm to enjoy sex? What does a sex therapist do?

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Sexual arousal in women Relate: sex therapy last reviewed: 20 November Next review due: 20 November