One of the biggest misconceptions about women’s sexual health is that orgasm is “all in your head.” The reality is much more nuanced. A recent study on the journal: Obstetric Gynecology, in August 2026: “Female Orgasmic Disorder: Current Understanding and Clinical Management”, found that orgasmic difficulty affects up to 1 in 4 women, and it’s rarely one single cause. Hormones, medications like SSRIs, nerve function, pelvic floor muscles, clitoral anatomy, medical conditions, relationship dynamics, and mental health can all play a role. The clitoris is the primary driver of orgasm for most women, and yet so much of the research, and the conversation around it, has lagged behind. That’s why a thoughtful evaluation matters: a real sexual history, a physical exam that actually looks at the anatomy involved, and sometimes bloodwork to rule out hormonal or thyroid contributors. There is rarely a one-size-fits-all solution, and there shouldn’t be. You don’t have to figure this out alone or feel embarrassed to bring it up. If you’re in Michigan, North Carolina or New York, book a consultation with my office. We’ll take the time to understand your concerns and develop a personalized plan that supports your sexual health and overall well-being. Save this reel for future reference, and share it with someone who may need to hear this. Read the full article here: https://pubmed.ncbi.nlm.nih.gov/42314165/ #femaleorgasmicdisorder #femaleorgasm #femalesexualhealth #obgyn #womenshealth