Sex is a normal healthy part of life. Many women have problems with sex at some stages in their life.
There are many problems that can keep a woman from enjoying sex. They include
These problems may have physical or psychological causes. Physical causes may include conditions like diabetes, heart disease, nerve disorders, or hormone problems. Some drugs can also affect desire and function. Psychological causes may include workrelated
stress and anxiety. They may also include depression or concerns about marriage or relationship problems. For some women, the problem results from past sexual trauma.
Occasional problems with sexual function are common. If problems last more than a few months or cause distress for you or your partner, you need to take an appointment at Chawla Nursing Home & Maternity Hospital, Jalandhar.
Loss of desire, or lack of sex drive, affects some women at certain times of life, such as during pregnancy or times of stress. But some women experience it all the time.
A lack of sex drive can have a range of physical or psychological causes, including diabetes, depression, relationship problems, hormone disorders, excessive alcohol and drug use, tiredness, and previous traumatic sexual experience.
Sex drive can also fall if a woman's natural testosterone levels drop. Testosterone is produced in the ovaries and adrenal glands, so levels can drop if these are removed or if they're not functioning properly.
These can be divided into two types: primary (when a woman has never had an orgasm) and secondary (when a woman has had an orgasm in the past but can't now).
Some women don't need to have an orgasm to enjoy sex, but an inability to reach orgasm can be a problem for some women and their partners.
Reasons why a woman can't have an orgasm can include fear or lack of knowledge about sex, being unable to "let go", not enough effective stimulation, relationship problems, mood disorders (such as depression), and previous traumatic sexual experience.
Psychosexual therapy can help a woman overcome orgasm problems. It involves exploring her feelings about sex, her relationship and herself.
Pain during sex (also called dyspareunia) is common after the menopause as oestrogen levels fall and the vagina feels dry. This can affect a woman's desire for sex, but there are creams that can help.
Vaginismus is when muscles in or around the vagina go into spasm, making sexual intercourse painful or impossible. It can be very upsetting and distressing.
Vaginismus can occur if the woman associates sex with pain or being "wrong", if she's had vaginal trauma (such as childbirth or an episiotomy), relationship problems, fear of pregnancy, or painful conditions of the vagina and the surrounding area.
It can often be successfully treated by focusing on sex education, counselling and the use of vaginal trainers.
If you have tried the selfhelp tips and still have a problem that is causing you distress, see your health care provider. If your health care provider does not ask you about sex, bring up the topic yourself. Some women find talking with their health care providers about sex to be difficult or embarrassing. Being open, however, makes it more likely that your health care provider will know how to help you. It helps to bring up the subject early in the visit. You could start off with a statement like:
"I am having some concerns about my sex life."
"I do not enjoy sex like I used to."
"I am feeling sad lately; my partner is complaining I never want sex."
Keeping a diary of your symptoms may be helpful. You can be more specific when you talk about your symptoms and any changes you have noticed if you keep a journal. Use your notes to tell your health care provider about your symptoms:
"It hurts when I have sex."
"I am having problems with vaginal dryness."
"Urinating after sex is painful."
"I used to be able to have orgasms, but now I do not. Why is this happening?"
Here are some other questions you might ask:
"Lately, I have been having trouble with intimacy. What can I do?"
"I am just not interested in sex. Do you have any advice?"
"Getting older has affected my love life. Is there a fix?"
For a month, try to keep track of the following aspects of your sexual activity. You may want to bring a journal of your symptoms with you when you see your health care provider.
Number of tries ____________________
Number of times wanting sex _________
Level of desire (high or low) __________
Level (high or low) __________________
Orgasm (yes or no) _________________
Clitoral stimulation (good or bad) ______