Anorgasmia - failure to obtain organism / climax - anything help?

Hello, @ann1234, and welcome. It sounds like you’ve certainly been through a lot, with the early onset of menopause and the treatments for breast cancer. What wonderful news that you’ve found a new relationship and are comfortable sharing your feelings and concerns with your partner. That’s a great first step!

Anorgasmia and low libido might be considered “taboo” topics, but that doesn’t diminish their importance. Many women are also dealing with these same issues, and the good news is that there are treatments available. I’m glad your gynecologist is trying to help you find your best options.

There’s some helpful information from the American Cancer Society that explains common sexual problems women experience after cancer, including vaginal atrophy, anorgasmia and how to make sex more comfortable. https://www.cancer.org/cancer/managing-cancer/side-effects/fertility-and-sexual-side-effects/sexuality-for-women-with-cancer/problems.html

Mayo Clinic also offers information on some additional treatment options: https://www.mayoclinic.org/diseases-conditions/anorgasmia/diagnosis-treatment/drc-20369428 (scroll down to “Medical treatments”)

Additionally, here are a few conversations that you might find helpful:

- No orgasm after breast cancer treatment: so frustrated - https://connect.mayoclinic.org/discussion/no-orgasim/

- Vaginal atrophy and painful intercourse: What helps? - https://connect.mayoclinic.org/discussion/vaginal-atrophy/

- Estradiol For vaginal atrophy after breast cancer. Is it safe? - https://connect.mayoclinic.org/discussion/estradiol-for-vaginal-atrophy-after-breast-cancer-is-it-safe/?pg=2

@ann1234, are you specifically looking for homeopathic treatment options? When is your next appointment with your doctor?

It sounds like your doctor prescribed a local vaginal estrogen, and I imagine she suggested applying it to your vulva and clitoris. For some women, that can really help bring back their desire. For others, like me, it might not be quite enough. It feels like sometimes doctors could be a bit more proactive when it comes to addressing Genitourinary Syndrome of Menopause (GSM). It's such a big and complex topic.

I have so many questions swirling around in my head, and it's a little tricky to give specific suggestions when your initial post was more general. However, I can definitely share my own journey – I went from experiencing orgasms easily to a point where they disappeared, and then thankfully, I found my way back, and honestly, things are even better now.

Using vaginal estrogen is often a great first step, especially if there's any thinning or dryness. After all, enjoying intimacy is tough when it's uncomfortable. When you think about the kind of sex you're considering, does it involve penetration? Sometimes, after a long break from sexual activity, using vaginal dilators for about a month can make a real difference.

Also, having good blood flow to your vulva and clitoris is so important for experiencing orgasms. A vibrator can actually be really helpful for boosting blood flow and even toning the tissue. And in terms of local treatments (not the kind that go through your whole system), compounded creams with Testosterone and DHEA applied to the vulva and clitoris can be incredibly beneficial for achieving orgasm, as can sildenafil cream.

Regarding L-Arginine, I found this in "Consumer Lab",
"However, taking the drug tadalafil (Cialis) had greater effects than L-arginine, although the combination of both agents had greater benefit than either single agent."
I do take 2.5mg of Tadalafil daily, but I have not used it with L-arginine. Many people are misguided in the belief that Cialis is only for ED in men. It works just as well in women. It is also beneficial for bones, the brain, and safer than aspirin for the heart.