how to have sexual enjoyment again?

Sexual intimacy with a partner is an important part of life for most adults.  Chronic pelvic pain can interfere with your enjoyment during intercourse in many ways.  It is certainly difficult to enjoy intercourse if it is painful or it triggers pain afterwards.  As we discussed previously understanding the reason why you have pain and resolving that pain is key to bringing back the enjoyment of sexual intimacy that you deserve.  Your ability to achieve orgasm can be limited by problems including stress, pain with sex, the drugs used for treatment of pelvic pain disorders and also other medications used for treating stress or depression.  While hormones can certainly play a role in your sexual response, they are rarely a contributing factor in a premenopausal woman.  A careful history concerning your symptoms and when the symptoms first became bothersome is a major step towards identifying what can be done to improve your sexual satisfaction.