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Question:
I am a 37 yr. old woman - with no past problem with
orgasm. I recently had my second child via a rather
difficult vaginal birth. Since the birth of my child I
cannot reach orgasm.
My doctor has prescribed testosterone cream which
seemed to help in the beginning - but no longer does. I
was switched from Levothroid to Synthroid shortly
before the problem surfaced - my doctor suspects no
link.
I had problems with memory and confusion just prior to
this orgasm difficulty and I wonder if I could have
suffered a stroke injuring a portion of the brain
pertinent to sexual function.
I have suffered two years with this situation and am
losing confidence in finding a solution.
Intercourse and manual stimulation have both been
tried as a means to what was previously an easily
attainable orgasm - nothing works at this point. I have
no clitoral stimulation, no breast stimulation, no
engorging of external genitals...
please help if you can. Thanks.
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Answer:
by Annette Owens: (05/15/2004)
There may not be a link between switching your
thyroid medications, but any disturbance in thyroid
hormone level (Hypothyroidism as well as
Hyperthyroidism) can affect your sexual response. Your
problems with memory and confusion also may have
been related to a low thyroid hormone level, but this is
only a suggestion. It is impossible for me to say more on
the base of the limited information I have. How well is
your thyroid hormone level controlled? Are you having
regular check-ups? This is an important factor to
focus on.
A stroke seems less likely to me since you probably
would have experienced other deficiencies, such as
speech difficulties and/or problems with some
movements. But of course, it is a possibility.
Previously you had no problems achieving orgasm.
Were you able to have vaginal orgasms as well as
orgasms through clitoral stimulation? What happened
during the delivery of your second child? Did you have
any tissue injuries? Did you have any surgical repairs
done? If so, this could be an explanation for altered
sensations in your genital area.
In addition to making sure that you are not
hypothyroid, I suggest that you try to create special
time and to arrange a nice setting for you and your
partner. This can be a challenge with two children, but
it is possible. For a while, just explore each other’s
bodies, without focusing on intercourse and orgasm.
Get some nice massage oils, and try to arrange a time,
where you both are rested and relaxed. Undress as
much as you feel comfortable and take turns giving
each other a massage of all areas of your body, not
necessarily including the genitals and your
breasts/nipples. Start out lying on your back, and then
turn over. Try to spend at least 1/2 hour on each other,
and enjoy caressing different areas of your bodies. The
person who is receiving the massage, should try to let
the other person know what feels good and what
doesn’t. This is a nice way to learn more about each
other’s bodies without focusing on intercourse and
genital areas. You both may find this interaction very
pleasurable, and you may learn more about sensations in
different parts of your body. Your body has a great
potential for developing new areas for sensation.
Just think about the spinal cord injured individuals who
may have no sensations in their genital area, but who
can learn to achieve orgasm from being touched in
other areas where sensation is still intact. Why don’t
you give this a try?
Even though you have not had difficulties achieving
orgasm before, you may benefit from reading:
“Becoming orgasmic. A sexual and personal growth
program for women.” by Julia Heiman, PhD
and Joseph LoPiccolo, PhD; published in 1992 by
Fireside Book, Simon & Schuster.
Good luck!
Annette Owens, MD PhD
Reviewed by Sexual Health Editorial Team
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