I have a problem that maybe you can help me understand. I am 48 years old, never had a vaginal orgasm and the only way I can even achieve orgasm is by using an external vibrator. NOW, my husband notices last night that my larger out "lips" are gone completely. What does that mean? Can that be why I cannot achieve orgasm? What should I do? I did have a complete hysterectomy in 2001. Would the lack of hormones change my outer lip and make it totally disappear over the last couple of years? I am just so confused. Please help.