@SoftParade I'm not speaking from experience, as I'm highly orgasmic, so I could be wrong. But if you're aphantasic, or have no internal monologue, it's very difficult to imagine how people who have them think, and vice versa, yet everyone gets along, even though our brains clearlywork differently.
I should have thought that it's much more difficult if you have orgasmed, and then meds or something stops you, than if you never had them. But even then, we are all different, and while orgasms are an integral part of some people's sex lives, they're not everyone's, and some people will be frustrated by it, and others less so. You don't have to be on MN for very long to see threads that show that there's a huge range of sexual appetites; some might be the result of parenting small children, or a crap and inconsiderate lover, or the throes of a new relationship, but a lot of it is internal differences as well as life circumstances. There needs to be more research into female sexual physiology and experiences, but it seems clear we are not all the same, either physiologically or mentally. (This is a good thing. How dull would life be eithout variety?)
Once you're in your 50s, not even all men come every time, and while it is clearly frustrating for some (especially with ED,) others seem less bothered. They are usually good at asking for what works for them, though. (I spent an active year on OLD...) I suspect that while some women will be good at asking, many of us will have learnt not to put our needs first, and are not as good at asking for it, or may have never yet discovered what they really need to have the best sex for them.