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Anorgasmia in Menopause
05/27/2025

Dr Robyn Kutka explains what happens to our bodies during menopause that may effect women's orgasms.

Anorgasmia is the persistent difficulty or inability to reach orgasm despite adequate sexual stimulation and arousal. In perimenopause and beyond, several factors can contribute to this issue: declining estrogen and testosterone levels can reduce blood flow and nerve sensitivity in the genitals; vaginal dryness and thinning tissue can make sex uncomfortable; and lower progesterone may disrupt mood and stress resilience. Add in sleep disturbances, body image changes, and relationship dynamics, and it’s a perfect storm for sexual disconnect.