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Question:

I had two partial hysterectomies and three laparoscopic surgeries due to scar tissue and blocked tubes. The first surgery removed my left ovary, tubes and tissue growing on the outside of my uterus, tubes and ovaries. The second surgery removed my right ovary and uterus.

I am on hormone replacement. I am 49 years old, have been married for 29 years and I have 3 children in their 20s. My question is concerning lack of sensation to my vagina and clitoris. Direct and indirect stimulation doesn't seem to matter and I do not have orgasms any more. I am on prescription medication for fibromyalgia. Is there anything I can do to help this problem?

Answer:

It sounds like you may benefit from reading Dr. Holly Thacker’s column on female orgasm. For women who have secondary, acquired orgasmic dysfunction, meaning they have been able to climax without difficulty in the past, but now have trouble “coming,” a history, physical, and hormonal and medication evaluation are needed. The following could be the culprit:

  • Medicines such as SSRI
  • Hormonal deficiency
  • Partner issues
  • Medical problems such as diabetes and hypertension
  • Lack of exercise
  • Smoking
  • Drinking
  • Sleep disorders

Some physicians will prescribe off-label oral prescriptions and topical medications to their patients for the treatment of orgasmic dysfunction.

All my best,
Nurse Mary

July 8, 2014 at 10:08am

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