I have tried direct application including vibrators, fingers, oral, ect.. Once in a while a little engorgement but nothing the way it used to be. Before the birth, third child, I never had a problem with this. In fact, would get turned on and orgasm within minutes. I also never had this happen after the other two children. I did try Viva yesterday. I didn't find it to be a noticeable difference. However, the reviews did state that sometimes it takes numerous applications before the full effect takes place. I will keep trying that. I think the hardest thing is I was in a sexless marriage for almost 20 years that ended in a divorce. I am now in a relationship with a man who loves lots of foreplay, lots of oral, and sex three or more times a day. I am doing my best to make up for lost time. He spends plenty of time focused on me and still nothing. Hope this goes away very soon!! Are there any vitamins that help balance hormones? Other treatments or medications?