Kuch din pahla mana sex kiya tha .or pahla bhi karta tha .paar do din sa mera land khara nahi ho pa raha ha .na koi sex ki felling a raha .ha or na mara land khara ho pa raha ha ma. Kya karu.

Dr. M S HaqueSexologist37yrs exp

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It is a very common problem that many couples have to deal with. Research has found that many women in long term relationships lose their spontaneous desire for sex. This does not mean that most women don't have sex. However, they rely on something that is called 'response' desire instead of spontaneous desire. If you?re experiencing sexual dysfunction, talk to your healthcare provider. The provider can do a thorough evaluation of physical and psychological factors tied to sex. Your healthcare provider will likely start by taking a full health history. Past surgeries, such as a hysterectomy or oophorectomy, may contribute to sexual dysfunction. A physical exam can also rule out any gynecologic issues. Your provider may do a pelvic exam and a pap smear. Your medications will also be reviewed. In some cases, other tests such as imaging may be necessary. Your provider uses these tests to check for tumors, cysts or other unusual growths. Blood tests can help diagnose hormone imbalances. Vaginal cultures may be collected to look for an infection. Your healthcare provider will also explore possible psychological causes. Talk openly and honestly about sexual challenges you?re experiencing. Don?t be afraid to share your fears or anxieties. In some cases, your provider may recommend that you speak to a mental health professional or a relationship counselor. Management and treatment how is sexual dysfunction in women treated? Women can work with their healthcare team to create a sexual dysfunction treatment plan. It?s important to understand the physical or psychological causes before choosing therapies. Treatments include: arousal techniques: talk to your partner about different ways you can enhance desire and arousal. Consider making changes to your sexual routine. You may also try erotic materials (sexual stimulation devices, videos or books), massage or masturbation. Counseling: talking with a mental health professional may help. You can work through emotional or psychological barriers to pleasurable sex. You may choose to have one-on-one counseling or couples counseling. Hormone therapy: depending on your symptoms, your provider may recommend topical creams, vaginally administered medications or hormones taken orally or applied to your skin. Medication: flibanserin (addyi�) and bremelanotide (vyleesi?) are the only medications approved to treat hypoactive sexual desire disorder (low sex drive) in women. Only women who are premenopausal are candidates for this type of treatment. Your provider may discuss other medications that are used ?off-label? to treat sexual dysfunction. Pain management: there are several approaches to reducing pain during intercourse. You can try different sexual positions, vaginal lubricants or relaxation techniques before sex. Your provider may also talk to you about the use of vaginal dilators.  

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