The peak of sexual activity where the greatest pleasure and excitement is received usually through stimulation of the sexual organ and resulting in ejaculation in males and vaginal contractions in females.  The ability to orgasm and a women’s sexual satisfaction are directly correlated.

The absence of orgasm or delayed orgasm, is a problem more commonly with women, but can also occur in men. Painful sex, stress, fatigue, hormonal changes and reduced libido can all lead to delayed or absent orgasm.

Only 30% of women can achieve orgasm through intercourse alone.  You are not alone if having an orgasm is difficult for you.  The clitoris must be properly stimulated during intercourse in order to achieve an orgasm.  Sexual position has a lot to do with proper clitoral stimulation. Therefore, if you are not having an orgasm in one position, then change it up.  Some women may experience more pleasure with stimulation of other genital areas other than the clitoris.

Every woman is different and if you are not having an orgasm every time you have sex it doesn’t mean there is anything wrong with you.  Manual stimulation can be performed by you, your partner or a device (vibrator) and before, during or after intercourse to improve your chances of orgasm. No one knows your body better than you including knowing when sex is satisfying and when it’s not.

Menopause can play a role in your ability to orgasm as well.  Hormones allow the vagina to be moist and supple and help with lubrication. Unfortunately, menopause causes a loss of hormonal supply to the vagina and thus increased difficulty achieving orgasm. Bioidentical hormone replacement can help with this.