I am a 34-year-old queer woman. I was delighted to find that in my early 30s my orgasms became more intense and deeper, without my doing anything different. Lately, however, I seem to be having the opposite problem. Both with lovers and through masturbation, my orgasms have all the physical patterns I'm used to, with none of the climactic pleasure. So there is a mounting of intensity, a plateau and vaginal contractions, and no rush of bliss. Nothing in my emotional life is all that different, though of course I do have ebbs and flows of stress like everyone else. It also doesn't happen every time I come. What do you think could be causing this change?