How can one completely fail to experience an orgasm during sex?

Patient's question:

Patient Gender: Female
Patient Age: 32
I want to ask why I cannot achieve an orgasm during sexual activity. First of age.

Doctor's answer:

Actually, at your age, it is naturally a period of high libido. The main reason for low libido is still due to poor sexual experiences. The sexual techniques of both partners also play a significant role. Orgasm is not achieved through penetration; it is created through effort. Some women may experience orgasm from the very beginning, while others may never experience it in their entire lives.
It is recommended to increase foreplay before sexual activity, focusing on more massages of sensitive areas to enhance lubrication. The clitoris is the most sensitive part of a woman's body. Stimulating the clitoris more can promote lubrication and enhance the feeling of pleasure.
At the same time, it is suggested to adopt the male-on-top position, as it can provide more stimulation to the clitoris, making it easier to reach orgasm and experience pleasure.
When there is pleasure and orgasm, there is a greater likelihood of enjoying sexual activity. Enjoyment leads to more pleasure, and enjoyment of sex increases lubrication. More lubrication leads to better comfort, which in turn enhances enjoyment, pleasure, and the potential for orgasm. This is a mutually reinforcing cycle.