PhD in Sexology and Psychosexual Counseling. For More Info WhatsApp- 9604715783/9359863878. Anorgasmia Inability to reach orgasm in females may be due to: 1. Premature ejaculation or dyspareunia. Graded self-stimulation techniques  2. Natural vaginal secretions –lubrication from secretions from the vaginal wall is equivalent to male erection, and penetration should be attempted only when this is present. The use of an external lubricant (jelly) is helpful.  Dyspareunia painful coitus due to female perineal bacterial/fungal infections. Increased foreplay – Application of 20% xylocaine gel in and around the vagina, and after 15 minutes, wipe the gel off and try for coitus.  5. Vaginismus- Dilators can use. 6. Relaxation therapy. 7. Insertion of graduated sizes of dilators by the doctors, the female or the male partner is effective in reversing the conditioned spasm reaction.  8. Lax vagina  9. Usually follows childbirth. Exercises advised are contraction of perineal muscles by holding the urine for a few seconds and releasing it, 20 such contractions and relaxations three times a day, or vaginoplasty.  Prostatectomy • Change will depend on the type of operation. Retropubic or perianal prostatectomy is associated with impotence. With suprapubic and transurethral approaches, the only change in sexual function is retrograde ejaculation.  Hysterectomy  • Adequate counseling is necessary to avoid the feeling of defeminization and loss of sexual feeling. Sexual life remains unaltered after a hysterectomy.