Jun 4, - Women who have been able to climax without difficulty in the past but now are having trouble need an evaluation. I take their history and then I. The main symptom of orgasmic dysfunction is the inability to achieve sexual climax. Other symptoms include having unsatisfying orgasms and taking longer than normal to reach climax. Women with orgasmic dysfunction may have difficulty achieving orgasm during sexual intercourse or masturbation.Causes · Symptoms · Diagnosis.