I am 45, healthy, female having trouble climaxing during intercourse and masturbation...i have the desire and it feels good with no results

Hormones: There may be a change in the estrogen levels within the tissues of the vagina, vulva and clitoris leading to this problem if difficulty with climax hasn't been present. There are a variety of ways to assess and treat this as a woman moves into the perimenopausal years. See a doctor who is sympathetic and knowledgeable about the changes you may be experiencing.