Thrill is Gone
Katrina Davis M.D.,
Loss of desire or
enjoyment of sex affects 40% of women. It becomes more
and more common as women age. In men, the main issue
seems to be erectile dysfunction. But in women, there
are multiple causes.
Lack of sex drive or
sexual dysfunction is expressed in a variety of ways.
You may feel that you don’t enjoy sex as much as you
once did. You may have decreased pleasure or sensation.
You may have trouble achieving or decreased intensity of
orgasms. On the other hand, you may not feel the urge to
initiate sex. Maybe you don’t have desire, but once it
starts you have a normal experience.
There are many causes
for decreased sex drive. Problems with lifestyle may be
the issue. A life that is hectic and full of stress may
not leave much room for sex. Relationship issues can put
a damper on sex drive. Sometimes there are problems with
the vagina such as dryness, pain, decreased or absent
sensation. Maybe the vagina is too tight or too lose.
There may be problems with hormones. Estrogen or
testosterone levels may be too low. There are chronic
illnesses such as diabetes and Multiple Sclerosis which
can affect sexual function. Finally medications such as
certain antidepressants can change sexual function.
Since the causes are
many, the treatment approaches vary. Counseling,
lifestyle changes and strategies to improve body image
may be helpful in some cases. Lubricants, hormones, or
laser therapy can help with dryness. Hormone patches,
pills, or creams may be what you need. There are various
prescription or compounded medications that may be
helpful in restoring sex drive.
It is crucial to
understand the cause of decreased sex drive before
trying to fix it. You can take testosterone all day,
but if the problem is that you are upset with your
partner, then you may want to have sex, but still not
with that person.
thing is to not suffer in silence. There can be many
causes for female sex problems and there are treatments
available. Don’t just accept that “this is a part of
Have a conversation
with your doctor today and explore your options.
Marja Sprock, M.D and
Katrina Davis M.D. are board certified in OB/GYN and
Female Pelvic Medicine and Reconstructive Surgery (Urogynecology)
and are offering academic level medicine in a private
Florida UroGynecology where high tech and common sense