Short answer
Start with your primary care clinician, who can review your health and medications. Depending on what they find, they may refer you to a gynecologist, urologist, pelvic floor physical therapist or a certified sex therapist. Sex therapists focus on the emotional, relational and practical side, while medical specialists look at physical causes. Many people benefit from a combination.
Read the full guideTrouble Reaching Orgasm? Causes and Practical Tips That HelpTrouble reaching orgasm? Learn the common physical, emotional and medication-related causes, practical tips that help, and when to talk to a clinician. Updated November 9, 2026 · All questions