If you are experiencing a loss of desire, are having problems with arousal, or are having difficulties with orgasm AND it causes you distress and you have been experiencing this distress for 6 months, then it is time to talk to your health care provider. With pain, if you are experiencing pain during intercourse or vaginal dryness that leads to pain or discomfort then you should also talk with your provider to see if you may be experiencing sexual dysfunction and that your treatment options may be.