How can I improve if I can't reach climax?

Patient's question:

I am 21 years old and always feel that I don't reach climax when I have sex with my boyfriend. Six months ago, I also had one instance where this happened. Am I experiencing a sexual dysfunction? How can I achieve better results?

Doctor's answer:

First, if you and your husband always fail to reach orgasm during sex, you can try masturbation to see if you can achieve orgasm. If masturbation still fails to bring you to orgasm, it may indicate an issue with your ability to reach orgasm. I recommend you visit a hospital for a check-up to identify the cause and receive appropriate treatment. If the problem is physical, medication may be prescribed. If your body is healthy, you can seek sexual therapy from me.
Second, if you can reach orgasm during masturbation but not during intercourse, this could be due to a lack of sensitivity in your vagina or a lack of sexual technique. Both clitoral orgasm (reaching orgasm through manual stimulation of the clitoris during masturbation) and vaginal orgasm are valid forms of orgasm, and there is no hierarchy between them. As long as it does not affect your sexual life, it is not a major issue.

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