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Tests and diagnosis
By Mayo Clinic staffIf you have trouble reaching orgasm, tell your doctor. Primary care doctors and gynecologists often ask about sex and intimacy as part of a routine medical visit, and you can take this opportunity to discuss your concerns. Or you can make an appointment just to address this issue. You may feel embarrassed to talk about sex with your doctor, but this topic is perfectly appropriate. Your regular doctor may diagnose and treat the problem or refer you to a specialist who can.
A medical evaluation for anorgasmia usually consists of:
- A thorough medical history. Your doctor may ask exactly what you feel during sexual stimulation and under what circumstances you have achieved orgasm, if ever. Your doctor may also inquire about your sexual history, surgical history and current relationship. Don't let embarrassment stop you from giving candid answers. These questions provide clues to the cause of your problem.
- Physical examination. Your doctor will probably conduct a general physical exam to look for physical causes of anorgasmia, such as an underlying medical condition. Your doctor may also examine your genital area to see if there is some obvious physical or anatomical reason for lack of orgasm.
