"I can climax with clitoral stimulation but it takes a long time and can be almost physically painful. I really miss vaginal orgasms and the release they brought. Although I am of perimenopausal age, I have no obvious symptoms and a hormone test came back normal. I have felt very emotionally vulnerable and frustrated during my convalescence, so I'm wondering whether stress is the problem. My self-esteem has been affected by my physical disability, but my kind, patient husband always makes me feel desired."
"Stress is known to affect a person's sexuality at various stages, including desire, orgasmic ability and physical arousal. Fatigue and pain can also be culprits, as can many types of physical illnesses or conditions. Psychological issues or mood disorders such as depression and anxiety may also affect a person's ability to experience pleasure in sex, interrupt the lovemaking process and even lead to sexual disorders."
A woman in her 50s experienced loss of libido and vaginal orgasm following family stress and later a health crisis that produced mild unilateral coordination impairment. Desire and orgasm partially returned then waned again after the health event. Clitoral stimulation produces long, sometimes painful orgasms while vaginal orgasms are absent. Perimenopause seems unlikely given normal hormone tests and lack of symptoms. Contributing factors can include stress, fatigue, pain, physical illness, nerve damage, medication side effects, depression, and anxiety. Medical evaluation and addressing specific causes may restore prior sexual function.
Read at www.theguardian.com
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