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Our therapists can be flexible to meet your needs in this time and are here to help you. Don't be shy. Feel free to ask for what you want Keep it short, words or less, this is just an initial contact. Remember to double check your return address or your phone if you prefer to be called. Psychology Today does not read or retain your .

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Watchful waiting is a wait-and-see approach.

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Living situations that give couples very little privacy can interfere with feelings of arousal. Maintaining honest and frequent communications with your doctor will help you decide if you need medical treatment. It can be embarrassing to talk about sexual problems. Most women have a sexual problem at one time or another. During watchful waiting, you might try home treatment, such as lubrication and exercises to stimulate sexual desire.

A sexual problem is something that keeps sex from being satisfying or positive.

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There is usually a treatment that will help. Sometimes it helps to write out what you want to say before you go. You may notice a change in desire or sexual satisfaction. Many older women also report problems with lubrication. Over time, an untreated sexual problem can have a growing impact on your quality of life. For example, you might take a warm bath to relax, have plenty of foreplay before sex, or try different positions during sex.

Treatment will depend on the type of sexual problem you're having. If you don't improve, you and your doctor will decide what to do next. Or she may be afraid of spreading a sexually transmitted infectionsuch as genital herpes. And it's common for both women and men to have lower sex drives as they age. At its core is a need for closeness and intimacy.

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These may include:. Positive sexual experiences help build a healthy sexuality. Your doctor will work with you to identify your symptoms. Treatment for a sexual problem depends on the cause. And aging can cause physical changes. He or she will:. Any history of pain during sex may cause a woman to avoid sex or find it unpleasant. As a woman ages, she may have sex less often because she no longer has a partner or her partner has lost interest in or is no longer able to have sex.

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For example, you could say something like, "For the past few months, I haven't enjoyed sex as much as I used to. A problem in one area can grow to involve other areas.

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For example:. When there is a problem in either the emotional or physical part of your life, you can have sexual problems. For some women, the problem is long-term. A woman may avoid sex because she's afraid that an illness such as cancer or surgery such as mastectomy or hysterectomy will make sexual activity unpleasant for one or both partners. Mental and emotional causes: These include stress, depression, relationship problems, fear, a history of sexual abuse or sexual assault rapeand being unhappy about your body.

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Vaginal walls may grow thinner. It's important to feel comfortable talking with your doctor.

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These include certain medicines for depression, anxiety, and seizures. Many women occasionally have sexual problems and worries. Your partner's level of sexual skill and attention can play a big part in your sexual enjoyment.

But orgasms still will offer mental and physical pleasure to most women.

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Women also have physical needs. He or she will ask questions, do a physical exam, and talk to you about possible causes. She may need more time to feel sexually aroused. Most women have symptoms of a sexual problem at one time or another.

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The more you can tell your doctor, the more he or she will be able to help you. It may take longer to feel sexually aroused, and orgasms may be briefer. Your sexuality is a mixture of mental, emotional, and physical als.

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These changes can cause pain during sex. Female sexuality is complicated. Your doctor can help you decide what to do. The main risk factors for sexual problems are:. Physical causes: These include natural hormonal changes, such as those related to your menstrual cycle, birth control pills, or pregnancy.

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Women normally experience a physical change during sexual arousal, as blood swells areas of the vulva. Medical treatments: Sometimes treatments for other illnesses or conditions—such as past surgeries or cancer treatments—cause changes that result in women want sex elbridge during sex or other problems.

The vagina itself may narrow or shorten. A risk factor is anything that increases your chances of having a problem. When this happens, it helps to look at what is and isn't working in your body and in your life. There may be less lubrication. Medicines for many medical conditions also affect desire and arousal. Women may notice less desire for sex after menopause. Getting older: As a woman ages, she may have a decrease in sexual desire. Sometimes a cause is not found. Call a doctor now if you have sudden, severe pelvic pain. For some women, the symptoms are ongoing. Physical causes also include injuries, pain during sex, and certain health problems, such as diabetes, endometriosis, or arthritis.

It may include treating a health problem, learning how to talk openly with your partner, and learning about things you can do at home. These symptoms are problems only if they bother you or cause problems in your relationship with a partner.

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Women can feel sexual pleasure throughout their lives. Chronic ongoing illnesses, such as diabetes and arthritis, can affect sexual desire, enjoyment, and performance. On the other hand, a woman who has had a forced sexual experience is likely to have mixed feelings about sex. Treatment may include:. But those who stop having sex after menopause have more shrinking and drying of the vagina than women who continue to have sex. But your symptoms are only a sexual problem if they bother you or cause problems in your relationship.

For example, it's common for a woman who has had her breast removed or has had her uterus and ovaries removed to have less sexual desire. Some women feel guilty, embarrassed, ashamed, or self-conscious during sex. You may also find that what is normal at one stage of your life changes at another stage. A positive, respectful connection between partners sets the stage for sexual interest and arousal. It may help to remember that a sexual problem is no different than any other health problem.

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Medicines: Some medicines may lower sexual desire and arousal. For example, it's common for an exhausted mother of a baby to have little interest in sex. There is no "normal" level of sexual response because it's different for every woman. Many things in a woman's life can lead to a sexual problem. It can be hard or embarrassing to talk to your doctor about this.

Substance use: Drinking too much or continually using illegal drugs like cocaine or amphetamines will eventually cause problems with orgasm and sexual desire. If those areas aren't stimulated enough, a woman may not feel as much sexual pleasure.

If you improve on your own, you won't need treatment.