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Although sexual arousal precedes orgasm in women, the specific sexual stimulation that triggers orgasm varies greatly among women. Request an Appointment at Mayo Clinic Causes Sexual problems often develop when your hormones are in flux, such as after having a baby or during menopause. Your desire for sex might be intact, but you have difficulty with arousal or are unable to become aroused or maintain arousal during sexual activity. By contrast, women's orgasms in intercourse are highly variable and are under little selective pressure as they are not a reproductive necessity.. You have pain associated with sexual stimulation or vaginal contact. Any number of medical conditions, including cancer, kidney failure, multiple sclerosis, heart disease and bladder problems, can lead to sexual dysfunction.
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