Sex Tonight?

b-Well, A Cleveland Clinic Pulication, Winter 2009-10

Seems like a simple question, but it is a tough call for some women.  In fact, several population-based surveys show that 43 percent of American women have some form of sexual dysfunction, from low desire to painful intercourse. 

 

Female sexual dysfunction is magnified by the fact that men have a "little blue pill" that helps them remain sexually active through most of their lifespan.  Women don't have a comparable prescription.  And since female sexual dysfunction is not purely physiological (like erectile dysfunction is in men), treating it is more complex.

 

The good news is there is no physical reason for women to settle for a lackluster sex life at any age.

 

"Throughout a woman's life, she may have different issues and needs in the bedroom at different times.  These needs should be respected," says women's health specialist Carolyn Nemec, MD.  "I encourage women to get in touch with their female sexual power - and discover what they want out of their sexual relationships."

 

A physician can then address areas that may be compromising those desires such as:

Overall health A woman who is anemic or tired for other reasons may not have the energy for sex.  Pain from a medical issue, such as joint pain from arthritis, may be a barrier to enjoyment.  Often, these problems can be treated in most women.  For some, the answer may be as simple as a new mattress or position.

 

Psychological issues Depression, anxiety and relationship issues need to be addressed.  Pradoxically, some of the medications used to treat depression can blunt desire.  The right prescription can make all the difference.  For example, the antidepressant bupropion (Wellbutrin) has actually been shown to increase libido.

 

Hormone levels Our hormones play a key role in nearly every aspect of sexual health.  Plunging estrogen levels associated with menopause can lead to a plunge in arousal.  Testosterone, so vital to male libido, has also been linked to libido in women.

 

Years ago, the standard treatment was to put every woman on the same estrogen therapy as soon as she reached menopause.  "It was a cookie-cutter approach with no scientific basis," says Dr. Nemec.  "Now, we offer custom hormones based on individual needs.  It makes an incredible difference in terms of arousal and libido!"

 

Vaginal dryness, seen as an epidemic in post-menopausal women, may be treated effectively with extrogen cream, a vaginal estrogen ring or vaginal estrogen suppositories.  Dr. Nemec says that several botanicals, as well as newer silicone-based lubricants, can increase sexual satisfaction for those wishing to avoid hormones.

 

For an appointment with a women's health specialist, please call 216.444.4HER.