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Orgasm Difficulty Self-Assessment

A brief evidence-based assessment to help you understand what is happening with your orgasm and what can help.

2 min6 questionsBased on FSFI-informedFree & private

Join 1,540+ women who have explored their orgasm changes

Understanding Your Orgasm Changes

A brief evidence-based assessment to help you understand what is happening with your orgasm and what can help.

Your severity level — mild, moderate, or significant
What’s driving YOUR orgasm difficulty specifically
A personalized next step from Dr. Wellls

3,838 women got their profile this month

Free · 5 min · 100% private

This is not a clinical assessment. For medical concerns, consult a healthcare provider.

About This Assessment

Informed by the FSFI (Rosen et al., 2000), clitoral haemodynamics research, and mindfulness-sexuality trials (2025)

This orgasm difficulty quiz uses 6 evidence-based questions informed by the FSFI-informed to evaluate the severity and impact of orgasm difficulty on your daily life. Your score is calculated from multiple dimensions including symptom frequency, intensity, and functional impact.

This is a screening tool, not a diagnosis. It draws on validated sexual medicine research but does not replace clinical assessment. If your results concern you, consult a menopause-trained provider or sexual medicine specialist (ISSWSH.org).

Understanding Your Score

Your Orgasm Pattern: Early Changes(Score 1-3)

What you are experiencing has a biological explanation, and catching it at this stage gives you the best window for intervention. Testosterone starts declining in your 30s. Clitoral nerve density and

Your Orgasm Pattern: Multiple Systems Need Attention(Score 4-6)

You are dealing with changes across multiple systems: tissue sensitivity, muscle strength, and potentially brain-based barriers like spectatoring or medication effects. That is not unusual. It is the

Your Orgasm Pattern: This Deserves Medical Attention(Score 7-10)

What you are going through is significant, and at this level, lifestyle changes alone are likely not enough. You need a medical workup. Specifically: evaluation for clitoral atrophy and adhesions (as

Frequently Asked Questions

What does this orgasm difficulty quiz measure?

This orgasm difficulty quiz uses 6 evidence-based questions informed by the FSFI-informed to assess the severity and impact of orgasm difficulty on your daily life. It evaluates multiple dimensions including symptom frequency, intensity, and how they affect your wellbeing.

How accurate is this orgasm difficulty quiz?

This screening tool is informed by the FSFI-informed, a clinically validated instrument (Rosen et al. (2000). The Female Sexual Function Index (FSFI). Journal of Sex & Marital Therapy, 26(2), 191-208. Islam et al. (2019). Safety and efficacy of testosterone for women: systematic review and meta-analysis of RCT data. Lancet Diabetes Endocrinol.). While it provides a reliable indication of severity, it is not a diagnostic tool. For clinical diagnosis, consult a qualified healthcare provider.

Is this a medical diagnosis?

No. This is a screening tool, not a diagnosis. It provides an indication of orgasm difficulty severity that you can discuss with your healthcare provider. For clinical diagnosis, consult a qualified medical professional. You can bring your results to your next doctor visit as a conversation starter.

How long does this orgasm difficulty quiz take?

This assessment takes approximately 2 minutes to complete. It contains 6 evidence-based questions. Your results are immediate, private, and include personalized recommendations.

What should I do with my results?

Your results include a severity score and personalized recommendations. We suggest: (1) reviewing your score and what it means, (2) reading our in-depth article about orgasm difficulty at wellls.com/problems/orgasm-difficulty, (3) discussing your results with a healthcare provider, and (4) exploring our evidence-based lifestyle medicine recommendations for managing orgasm difficulty.

Read the full orgasm difficulty article

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This self-assessment is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always seek the advice of your physician or qualified health provider with any questions about a medical condition. If you are in crisis, call 988 (Suicide & Crisis Lifeline) or text HOME to 741741 (Crisis Text Line).