Lost ability to orgasm.

[NickyNora]

I'm post menopausal. On HRT.

Labido isn't anywhere like it was before the menopause but HRT has helped.

The bigger issue is that i find it incredibly difficult to orgasm. Doesn't matter what i /we do.

When i do orgasm, its nothing like i used to experience. Such a mild feeling its hardly worth the effort!

GP says I'm physically fine. Seen a womens physiotherapist who said my pelvic floor etc is as it should be.

Anyone else?

Any suggestions to improve my situation?

For me orgasm is achieved when I don’t think so much about it and I am relaxed. I am on hrt and I am more sexually active than before. I think that it is more psychological than physical.

Nicky- women are being given testosterone for this.

Lubricant. I hadn't realised how dry the downstairs was till my DH got a friction burn....
Since the conversation on here I got slky (I thunk).
All is resolved and very enjoyable. The difference between day and night for both of us. I'm not saying it will solve it all but have a go.

I have no vaginal dryness.

The HRT i am on is Estrogel 4 pumps daily. Utrogestan, 200mg 10 day every 2 months & Testosterone, 2 pumps twice a week.

I presumed it was related to the menopause but maybe not...

is thatbthe testogel pump? If so that’s too much!

Mine is one pump twice a week a standard dose for women. I used to use the sachets (one a week approx)

I recommend having a google for orgasmic dysfunction and menopause. There are a lot of good articles out there discussing how menopause and getting older can make orgasms weaker and harder to achieve.

Part of it is, as someone I read put it something like, 'the body isn't going to carry you along anymore, you have to carry your body along' and as much as I dislike the body-mind dualism, part of it trying not to get frustrated or overthinking how long it will take to orgasm while keeping yourself in the moment. It's important to focus on more pleasure rather than on orgasms. Some recommendations there are things like mentally narrating what is happening, rating your current level of pleasure, and fantasizing that the keeps the mind busy, but doesn't pull too far out of what is actually going on.

Physically, it is important to check medications and for underlying conditions, plenty of water, eating well, and the general health stuff alongside exercise for the pelvic floor and the rest of the core and exercise that helps with circulation - some recommend doing some walking or light cardio before sex to help increase blood flow.

Also, there is evidence that the more orgasms someone has, the easier they become and there are recommendations to ensure regular time with varied methods to build that up. Menopause changes a lot in ourselves and some of us need some time to relearn how to get there.

The dose has been increased by tbe consultant after blood tests in January.

I am very fit, clean diet, lost 18lbs in last few months.

Seen a physio to check there was no physical cause. Pelvic floor in good shape etc.

I used to enjoy sex but there's not much point now.

I've tried everything suggested but it didn't work so resorted to testosterone but its not made any difference so far.