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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Why Does One Have A Low Sex Drive?

Wen i have sex with my husband i most of time dont get the feeling or temptation of sex.. i dont feel it even wen i do sex with him. i dnt get the sense of feeling. is there any problem in me? do i not have proper harmones that make me get feelings? how do i overcome this? please advise
Mon, 4 Jul 2016
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OB & GYN Specialist 's  Response

Hello,

Thanks for writing to us. I am trying to solve your problem.

According to your history, she is suffering from LOW libido and unable to achieve orgasm being more excited. It is one type of sexual dysfunction & more common in female. About 15% of women face this type of difficulties.

There are several underlying causative factors in association with. These include:

1) Psychological causes/ stress/ anxiety/ emotional upset.
2) Pelvic trauma/ infection/ history of pelvic surgery/ vaginal dryness (more common).
3) Hormonal imbalance, particularly low level of estrogen.
4) Use of certain medication or neurological causes associated with reduce sensitivity to clitoris.

Therefore, I suggest you to consult with gynecologist/ sexologist for suggestive measures through complete physical examination including pelvic exam and some initial investigations like blood test for estrogen & progesterone level, prolactin level, thyroid profile, blood sugar, vaginal swab test & urine examination- routine & microscopy. Complete treatment can only be done on pin point diagnosis or after ruled out causative factors.

The following measures are helpful in achieving orgasm:

1) Need complete body fitness- by the means of taking healthy diet with consuming more vegetables & fruits, drink more water to stay hydrated, regular physical exercise through running/ jogging/ treadmill etc.

2) Try to avoid stress/ tension/ anxiety by regular yoga/ meditation or breathing exercise (20-30 at a times).

3) Keep more time on foreplay with your partner and give time to arouse yourself more & more before actual vaginal penetration or partner's ejaculation.

4) Specific treatment- by means of hormonal patches (estradiol) or medication to correct other hormonal imbalances, using clitoral vacuum pump devices or vibrator and drugs to improve blood flow/ sexual sensation/ arousal.

In recent study, drugs like sildenafil/ vardenafil (though used in men) are quite useful in the reversal of female sexual dysfunction. Also you need to treat other underlying causes.

5) Vaginal dryness can be treated with water based lubrication/ jelly/ estradiol cream etc.

6) Maintain genital hygiene properly and need adequate sleeping with complete relaxation. Avoid using unnecessary medication.

Hope, it helps for your information. Good luck.
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OBGYN Dr. Jacqueline Brown's  Response
Hello, and I hope I can help you today.

Libido in women is partly physical, but emotional and mental factors are much more important. After menopause, hormones may play a role, and in women who have had damage to the vagina from childbirth sensation can be an issue, but in reproductive-age women, usually some thing about your interaction with your partner is the major factor governing your desire for him.

For one- your relationship with your husband has a lot to do with your desire for him. Is he nice to you? Romantic? Does he engage in foreplay with you before sex? Is he physically attractive to you? Attentive? A good man? And does he know how to make a woman achieve orgasm?

In addition, many couples who have been together for a long time begin to have sex in a routine, which can become boring and also reduce desire.

If you do not have positive feelings towards your husband in a sexual way, it makes sense that you would not get aroused, and if you are not aroused, then sex is not enjoyable, which can make you feel less and less motivated to have sex with him.

The subject of increasing desire and romance between couples is extensively discussed in women's magazines and other non-medical sources, because it is an extremely common problem. Unfortunately, the problem is not likely to be your body or hormones, but more likely with your relationship. There is a new medication in the US called Addyi which has been shown to have benefit in increasing libido in women, however using it should be fully discussed with your physician as it is a new medication and can have drug interactions or side effects which need to be considered.

So in the meantime, I would first try to discuss the issue with your husband. Communication between partners is the best way to figure out together how to positively enhance your sexual experience.

I hope that I was able to adequately answer your question today and that my advice was helpful.

Best wishes,

Dr. Brown
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Why Does One Have A Low Sex Drive?

Hello, Thanks for writing to us. I am trying to solve your problem. According to your history, she is suffering from LOW libido and unable to achieve orgasm being more excited. It is one type of sexual dysfunction & more common in female. About 15% of women face this type of difficulties. There are several underlying causative factors in association with. These include: 1) Psychological causes/ stress/ anxiety/ emotional upset. 2) Pelvic trauma/ infection/ history of pelvic surgery/ vaginal dryness (more common). 3) Hormonal imbalance, particularly low level of estrogen. 4) Use of certain medication or neurological causes associated with reduce sensitivity to clitoris. Therefore, I suggest you to consult with gynecologist/ sexologist for suggestive measures through complete physical examination including pelvic exam and some initial investigations like blood test for estrogen & progesterone level, prolactin level, thyroid profile, blood sugar, vaginal swab test & urine examination- routine & microscopy. Complete treatment can only be done on pin point diagnosis or after ruled out causative factors. The following measures are helpful in achieving orgasm: 1) Need complete body fitness- by the means of taking healthy diet with consuming more vegetables & fruits, drink more water to stay hydrated, regular physical exercise through running/ jogging/ treadmill etc. 2) Try to avoid stress/ tension/ anxiety by regular yoga/ meditation or breathing exercise (20-30 at a times). 3) Keep more time on foreplay with your partner and give time to arouse yourself more & more before actual vaginal penetration or partner s ejaculation. 4) Specific treatment- by means of hormonal patches (estradiol) or medication to correct other hormonal imbalances, using clitoral vacuum pump devices or vibrator and drugs to improve blood flow/ sexual sensation/ arousal. In recent study, drugs like sildenafil/ vardenafil (though used in men) are quite useful in the reversal of female sexual dysfunction. Also you need to treat other underlying causes. 5) Vaginal dryness can be treated with water based lubrication/ jelly/ estradiol cream etc. 6) Maintain genital hygiene properly and need adequate sleeping with complete relaxation. Avoid using unnecessary medication. Hope, it helps for your information. Good luck.