Sexual Problems in Women - Treatment Overview
Treatment for inability to reach orgasm
Treatment usually begins with changing any medicine that is known to affect orgasm. But don't stop taking your medicine without talking to your doctor first.
If you're having trouble with orgasm or it takes much longer than it used to, you can try a number of things at home, such as self-stimulation and fantasy.
It may also help to find out more about sexual response. For example, most women find it easier to have an orgasm from direct clitoral stimulation. And most couples do not have orgasms at the same time.
Treatment for pain
If pain is caused by a physical problem, treating that problem may get rid of the pain. But pain during intercourse may have more than one cause, including psychological causes such as anxiety or the memory of sexual assault.2
Pain when penis enters the vagina
Pain that occurs when the penis first enters the vagina may be caused by involuntary contractions of the vagina (vaginismus). This is sometimes related to a lack of experience with sex.1
Treatment may include a program of progressive muscle relaxation and gradual vaginal dilation, possibly including psychotherapy.
But pain during initial penetration also may be caused by vaginal irritation or another physical problem. If so, getting rid of the pain will require treating the physical reason.
Other pain during intercourse
If the pain is caused by the deep thrusting of the penis, the cause may be a pelvic disease. But it may also be caused by not being able to relax. Being able to talk openly with your doctor will help you explore the cause of the pain and decide on treatment.
Treatment for aging and menopause-related sexual problems
Vaginal dryness after menopause can sometimes be treated at home with lubrication.
If home treatment doesn't work as well as you need it to, talk to your doctor about using estrogen. This hormone can be used in several forms to help menopause-related problems. To learn more, see Medications.