Sex drive isn’t what it used to be

Q: Dear Dr. Greg,

I'm a retired athlete in my 40s, and my sex drive isn't what it used to be. Is that normal? Ever since I hit middle age, things aren't the same. My sex drive is down, and my equipment isn't working like it used to. Most nights, I'd rather watch Netflix and chill. Is there anything I can do?

Frank | NBA


A: Dear Frank,

My patients ask me about sex all the time. Men have trouble with erections, and women often struggle with vaginal dryness or the inability to have an orgasm. Both sexes report that they have less desire for sex.

Sex problems are common in middle age. By some reports, almost 40% of people in their 40s have trouble in the bedroom. If you have new sexual problems, I recommend that you speak with your doctor. It could be a sign of serious disease.

Depression or anxiety can cause sexual problems. Certain medications, medical conditions, or low hormone levels will impair your sexual function.

The good news is that you can reclaim your power and feel like a teen again if you take the right steps. Here are a few options that might help.

●      If you have depression, anxiety, or guilt, speak to a mental health professional. Therapy will help you feel better and may solve your sexual struggles.

●      Hormone replacement can help men and women. For folks with low hormone levels, this may be the easiest cure.

●      Check with your doctor about your medications. Certain drugs (like antidepressants and blood pressure pills) may be causing you trouble. There may be better medicine for you.

●      Take care of your body, and your body will take care of you. Proper sleep, nutrition, supplements, and exercise will strengthen your sexual desire and performance.

●      Erectile dysfunction (ED) pills like Viagra and Cialis are effective and safe for most men.

●      Couples therapy can help you and your partner. The closer you are out of the bedroom, the closer you'll be in the bedroom. 

Check out this article by the Cleveland Clinic to learn more about sexual dysfunction.

Dr. Greg

Gregory Charlop

Gregory Charlop, MD is the author of Why Doctors Skip Breakfast. His telemedicine wellness clinic for athletes and executives is available throughout California. 

https://www.gregorycharlopmd.com
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