Discuss what further testing you would want to have performed, differential (if possible, please list 3
differential) and working diagnosis, treatment plan, referrals, and other team members needed to complete
patient care. Please refer to evidence-based guidelines to support your decision-making.
A 21-year-old patient complains of being unable to achieve orgasm with any type of sexual activity. She
does not believe she has ever achieved orgasm. She reports she has no difficulty with desire, lubrication,
or pain, and she has tried different types of sexual toys. Her partner of three years has been supportive and
has tried many different positions to try to help her to achieve orgasm.