Jones: Well, there is something out there called andropause. Now, it s not an acute event like menopause. It s more a decline in androgens. Now, whether that is wise or not is another issue. But testosterone deficiency actually isn t very common. The normal range for testosterone is large and men at the lower end of the range can have normal libido. Remember, when it comes to sex, normal is just another setting on the dryer so it s hard to talk about normal.
However, testosterone is a medical problem and can have the side effects of other medical problems. It s worth getting a test if a guy brings it up with their health care provider. By the way, a good clinician asks questions about sex as a routine part of healthcare.
Interviewer: So what s a girl to do? What s her option here? Jones: Well, it s a touchy subject and a male partner might not want to talk about it with you or his guy friends. Being supportive in a relationship is always important unless there are some behaviors like alcohol or drug abuse that can t be supported. Ask him if he s feeling okay these days. Tell him you miss your closeness in bed.
Is he sad or mad? Does he have new worries or concerns you might help with? If he s having a sexual side effect of a new medication, ask him if he wants to talk to his doctor about it.
If he isn t feeling well, has gained or lost weight, is snoring a lot, maybe he want to see his primary care provider and have a discussion. It s a difficult discussion, but be brave. Even if you might not like the answers, if this is an important relationship to you, and you care about this person, it s worth the effort.
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Although many women still have satisfying sex during menopause and beyond, some experience a lagging libido during this hormonal change.
Pregnancy and breast-feeding. Hormone changes during pregnancy, just after having a baby and during breast-feeding can put a damper on sex drive.
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Fatigue, changes in body image, and the pressures of pregnancy or caring for a new baby also can contribute to changes in your sexual desire. Psychological causes Your state of mind can affect your sexual desire. There are many psychological causes of low sex drive, including: Mental health problems, such as anxiety or depression Stress, such as financial stress or work stress Poor body image History of physical or sexual abuse Previous negative sexual experiences Relationship issues For many women, emotional closeness is an essential prelude to sexual intimacy.
So problems in your relationship can be a major factor in low sex drive. Decreased interest in sex is often a result of ongoing issues, such as: Lack of connection with your partner Unresolved conflicts or fights Poor communication of sexual needs and preferences Trust issues Diagnosis By definition, you may be diagnosed with hypoactive sexual desire disorder if you frequently lack sexual thoughts or desire, and the absence of these feelings causes personal distress.
Whether you fit this medical diagnosis or not, your doctor can look for reasons that your sex drive isn t as high as you d like and find ways to help. During a pelvic exam, your doctor can check for signs of physical changes contributing to low sexual desire, such as thinning of your genital tissues, vaginal dryness or pain-triggering spots.
Recommend testing. Your doctor may order blood tests to check hormone levels and check for thyroid problems, diabetes, high cholesterol and liver disorders. Refer you to a specialist. A specialized counselor or sex therapist may be able to better evaluate emotional and relationship factors that can cause low sex drive.
Treatment Most women benefit from a treatment approach aimed at the many causes behind this condition. Recommendations may include sex education, counseling, and sometimes medication and hormone therapy.
Therapy often includes education about sexual response and techniques. Your therapist or counselor likely will provide recommendations for reading materials or couples exercises. Medications Your doctor will want to review the medications you re already taking, to see if any of them tend to cause sexual side effects.
For example, antidepressants such as paroxetine Paxil and fluoxetine Prozac, Sarafem may lower sex drive. Along with counseling, your doctor may prescribe a medication to boost your libido. Side effects include low blood pressure, dizziness, nausea and fatigue. Drinking alcohol or taking fluconazole Diflucan , a common medication to treat vaginal yeast infections, can make these side effects worse.
Bremelanotide Vyleesi , an injection you give yourself just under the skin in the belly or thigh before anticipated sexual activity. Some women experience nausea, which is more common after the first injection but tends to improve with the second injection. Other side effects include vomiting, flushing, headache and a skin reaction at the site of the injection.
These medications aren t FDA -approved for use in postmenopausal women. Hormone therapy Dryness or shrinking of the vagina, one of the hallmark signs of genitourinary syndrome of menopause GSM , might make sex uncomfortable and, in turn, reduce your desire. Certain hormone medications that aim to relieve GSM symptoms could help make sex more comfortable. And being more comfortable during sex may improve your desire.
Possible hormone therapies include: Estrogen. Estrogen is available in many forms, including pills, patches, sprays and gels. Smaller doses of estrogen are found in vaginal creams and a slow-releasing suppository or ring. Your doctor can help you understand the risks and benefits of each form.
The male hormone testosterone plays an important role in female sexual function, even though testosterone occurs in much lower amounts in women. Testosterone isn t approved by the FDA for sexual dysfunction in women, but sometimes it s prescribed off-label to help lift a lagging libido.
The use of testosterone in women is controversial.
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Taking it can cause acne, excess body hair, and mood or personality changes. Prasterone Intrarosa. This vaginal insert delivers the hormone dehydroepiandrosterone DHEA directly to the vagina to help ease painful sex. You use this medication nightly to ease the symptoms of moderate to severe vaginal dryness associated with GSM. Ospemifene Osphena. Taken daily, this pill can help relieve painful sex symptoms in women with moderate to severe GSM. This medication isn t approved in women who have had breast cancer or who have a high risk of developing breast cancer.
Lubricants are a simple sex aid to come by — and hormone replacement therapy is another option but it does come with risks as well as benefits. Getting yourself into a sexual rut.
Your Meds Are Messing With Your Sex Drive A number of different medications may lower sex drive , including birth control and drugs for heartburn , high blood pressure, and depression. For example, the antidepressants bupropion Wellbutrin or mirtazapine Remeron may not affect your libido as much as fluoxetine Prozac , sertraline Zoloft , paroxetine hydrochloride Paxil , and others.
For the best sex, stick with that two-drinks-max rule of thumb. You re Too Tuned In to be Turned On Are you constantly on your smart phone, e-mailing, checking sports scores, or surfing the Internet?
If technology is getting into bed with you each night, you can go ahead and plan on having sex