Understanding the physical changes you and your partner will go through as you age can help you prepare for some of the challenges of maintaining sexual intimacy.

If any woman enjoyed a satisfying sex life during most of her adulthood, but lately, intimate moments with her partner are less satisfying than they once were. She might feel as though her sexual desire has waned. Or perhaps things that once brought her pleasure now seem painful. She is concerned about her sexual health. She is not alone, many women experience sexual difficulties at some point in their lives.

During menopause, as many as half of all women - or even more - may experience sexual dysfunction. Sexual activity often decreases in women at the age of 60 due to the relative lack of partners and untreated physiologic changes. Sexual dysfunction in women is more common after menopause, when hormone production drops and circulatory conditions are more common. It is estimated that as many as half of all post-menopausal women experience sexual dysfunction.

The most common complaints that bring a patient to the office include: " Lack of desire, or decreased libido " Inability to sustain arousal, such as genital lubrication " Unable to reach orgasm after sufficient stimulation and arousal " Pain during intercourse Because the ranges of these symptoms are highly variable within the individual, a set of definitions for classifying and studying these complaints are as follows- Causes of Sexual Dysfunction To say that the causes are complex would be an understatement.

There is sufficient evidence that complex emotional, medical and hormonal factors may be responsible. Emotional Causes:

1. Depression is often cited as the most frequent cause of decreased interest in daily activities, with sexual desire topping the list.

2. Chronic stress triggers the fight or flight cascade, and the resulting mental and physical changes will shut off the desire for intimacy.

3. Relationship issues leading to anger or resentment can frequently cause communication and intimacy problems.

4. Histories of sexual assault or sexual abuse are examples of post-traumatic stress disorders that can lead to problems with sexual desire.

Female sexual dysfunction can also be physically rooted. Causes include fatigue, depression, high blood pressure, hormonal insufficiency, heart disease, cancer, diabetes, hypothroidism, adrenal insufficiency. Medication Physical changes brought on by menopause, such as vaginal dryness and thinning might require the use of hormonal therapy or vaginal lubricants. To help strengthen your vaginal muscles or to increase sexual.

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