Reproductive & Sexual Health

Difficulty with arousal or reaching orgasm

Difficulty with arousal or reaching orgasm is a common form of female sexual dysfunction. It can show up in several ways:

  • Inability to become physically aroused

  • Insufficient vaginal lubrication

  • Taking much longer than usual to reach orgasm

  • Orgasms that feel less intense than they used to

This is more common than many women realize, and it often becomes more noticeable as hormones shift with age, childbirth, or menopause. If this sounds familiar, you are not alone - and there are real, effective solutions available.

At Renew Health & Wellness, Dr. Jennifer Redmond, CNP, DNP takes a comprehensive approach to evaluating arousal and orgasm difficulties. Rather than looking at a single cause, she considers the full picture, including:

  • Hormonal status - estrogen and testosterone levels

  • Medications that may be interfering with sexual response

  • Vascular health - how well blood is flowing to genital tissues

  • Pelvic floor function

  • Psychological factors that may be playing a role

This thorough evaluation ensures that nothing is overlooked and that your care plan is tailored specifically to you.

Estrogen and testosterone are both essential for healthy sexual function. They support genital blood flow, tissue sensitivity, and the nerve signaling that drives arousal and orgasm. When levels of either hormone drop, sexual response can be significantly affected.

Hormone optimization is the foundation of treatment at Renew Health & Wellness. Bio-identical estrogen and testosterone are restored to levels that support robust sexual function. For more targeted relief, local vaginal estrogen or DHEA may also be used to directly restore tissue sensitivity and lubrication in the genitourinary region.

When arousal and orgasmic dysfunction persist even after hormonal optimization, additional therapies are available. Peptide therapy with PT-141 is one powerful option. PT-141 works through melanocortin receptors in the brain to enhance sexual arousal through a pathway that is completely independent of hormones.

FDA-approved medications - including Addyi and Vylessi - are also reviewed and discussed as appropriate options based on your individual needs and health history.

In addition to systemic treatments, topical therapies offer targeted support right where it is needed most. Renew Health & Wellness offers compounded vaginal formulations specifically designed to enhance clitoral and genital sensitivity, providing a localized option to complement your overall treatment plan.

Your care does not stop at the physical. Our licensed on-site therapist provides support for psychological contributors that can interfere with arousal, including:

  • Performance anxiety

  • History of sexual trauma

  • Relationship dynamics that affect intimacy

At Renew Health & Wellness, we approach arousal and orgasm dysfunction with clinical expertise, evidence-based tools, and complete respect for your sexual well-being.

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This content is for educational purposes only. Please book an appointment with Renew Health & Wellness to receive recommendations that are truly curated to you and your needs.

This content is for educational purposes only. Please book an appointment with Renew Health & Wellness to receive recommendations that are truly curated to you and your needs.

Contact

(605) 261-6872

info@renewhealthsd.com

2520 S. Lorraine Pl Sioux Falls, SD 57106

Copyright 2026 Renew Health and Wellness

Contact

(605) 261-6872

info@renewhealthsd.com

2520 S. Lorraine Pl Sioux Falls, SD 57106

Copyright 2026 Renew Health and Wellness

Contact

(605) 261-6872

info@renewhealthsd.com

2520 S. Lorraine Pl Sioux Falls, SD 57106

Copyright 2026 Renew Health and Wellness