Sexual Dysfunction

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Sexual dysfunction abounds among both men and women. An estimated 43% of women and 31% of men report having at least a single symptom. These disorders are generally classified into four categories: desire, arousal, orgasm, and pain.

Sexual desire disorders such as hypoactive sexual desire disorder (HSDD) may be caused by a decrease in the normal production of estrogen in women, or in testosterone for either sex. Other causes include aging, fatigue, mental illnesses such as anxiety and depression, pregnancy, and medications. For example, SSRI antidepressants such as fluoxetine (Prozac®), sertraline (ZOLOFT®), and paroxetine (PAXIL®) are well known for reducing libido.

Sexual arousal disorders include erectile dysfunction in men and issues with desire, arousal, and anxiety in women. For both, these conditions may appear as an aversion to, or avoidance of, sexual contact with a partner. In men, there may be partial or complete failure to develop or maintain an erection, or a lack of sexual excitement and pleasure in sexual activity. There may be medical causes for these sexual dysfunction disorders, such as decreased blood flow or lack of vaginal lubrication. Chronic disease and the nature of the relationship between partners can also increase these difficulties.

Orgasm disorders cause a persistent delay or absence of orgasm following a normal sexual excitement phase. The disorder occurs in both sexes. SSRI antidepressants are frequent culprits; they may delay orgasm or eliminate it entirely. Other causes include hormone imbalance and varied medical problems.

Sexual pain disorders affect women almost exclusively. They include dyspareunia (painful intercourse) and vaginismus (an involuntary spasm of the vaginal wall muscles, which interferes with intercourse). Insufficient lubrication (vaginal dryness) may cause dyspareunia. Pelvic and/or ovarian abnormalities may also contribute to the issue. Vulvar pain disorders can cause dyspareunia as well, and can even cause an inability to have intercourse due to pain.

These conditions are highly treatable through Dr. Roberts’ multi-pronged approach. She combines supplements, bio-identical hormone replacement, and emotional support to help patients of all ages have a healthy sex life. She individualizes each regimen to the specific patient and his or her needs and desires.

Healthy sex is important to me. When I was going through menopause I became anorgasmic and it was very frustrating for me and my husband. Dr. Roberts was able to help get my body healthy through supplements, medicine and emotional support – which was especially important because it’s difficult to talk about sex with your friends, family, or your doctor.  I believe that women really need to take charge of their own health and deserve to have a happy sex life at any age. You’re never too old to want to achieve what’s best for you and your partner. I would highly recommend Dr. Roberts to anyone looking for help.
— L.B.

Disclaimer: This testimonial does not represent a guarantee of medical improvement, and results may vary depending on the patient.