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For others, a medical condition or side effects from a medication may be causing. Orgasm, as experienced by a woman, can be explained using the masters and johnson four-phase model. During the process of stimulation, the blood vessels within the genitals of a woman dilate. Having difficulty achieving an orgasm is normal for many woman, but with the proper help it can be attained. We got tips from sexual health experts if youre having trouble reaching climax. However, for other women and their partners, being unable to have an orgasm can be a problem. Sexual problems in women are common, especially in older women. Around one-third of young and middle-aged women are affected by sexual problems. that will likely include some direct clitoral stimulation, since many women need that to orgasm. Lets dig into the common reasons women cant orgasm and how to address them. In my clinical work, ive found that for women whove never ever had an orgasm. The inability not to have had an orgasm can reflect womens inability to know they own anatomy and may not be a disorder at all. In a survey of women aged 16-25, half could not find the vagina. women who have trouble reaching orgasm are almost always told to just relax. But sex therapist louanne cole weston, phd, says that can be the wrong approach.