June 25, 2019
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Sex and intimacy often go hand in hand.  Sex, when you think of the definition and what comes into your head when you think of the word sex or sexual relations, you probably think of the active sex, having sex with a partner.

Sex or sexual relations is sort of as the active sex itself. Sex also made it be defined as being male or female. Now intimacy is a different concept.

Quick Note
Intimacy is communication on a deeper more profound level, on all levels using verbal and nonverbal communication.

It is that closeness that occurs when you want to be connected with another human being. So intimacy is that connection caused by communication on all levels, on a deeper more profound level. Intimacy can go hand in hand with sex, and it may be a part of the sexual relations.

But intimacy can also be achieved through other ways of becoming close. Sex also can happen without intimacy. But most often sex and intimacy come hand in hand; most human beings crave closeness or understanding from other human beings, and that is the intimacy portion of sex and intimacy.

Another thing that can commonly cause pain in women in the genital area is a lack of estrogen. Sometimes estrogen local estrogen replacement is necessary to normalize the tissue of the genitalia and stop the pain.

Certainly, post-menopausal women will have pain because of the of estrogen. Not all women postmenopausal but some women will have pain due to dryness and due to a lack of estrogen is keeping the tissue supply and normal. Your gynecologist will often order the following treatment for you.

Clinical Facts
We use local estrogen replacemen which can be very safe. It can normalize the tissue and sometimes decrease pain.

Local estrogens often can be safe even with patients with breast cancer. So you need to talk to your doctor to see if it is safe for you. Remember a local estrogen treatment is not going to have much effect on the rest of your body but treat the vaginal area.

If you can’t use estrogen sometimes a vaginal moisturizer, a product that will moisturize the vagina that does not contain a hormone can be helpful too. We use many different treatments to treat pain disorders, and we would look at you individually and determine the best medicine to move forward and treat your pain.

If you have sexual dysfunction problems you can ask any physician; you can go to your primary care doctor, your internal medicine, urologist whoever you are seeing. And if they don’t want to treat you then maybe they don’t know how or they don’t do that in their practice, they can certainly refer you to somebody who does.You don’t have to suffer in silence. Pain disorders are common, and they often can be addressed.

Causes Of Female Sexual Dysfunction

Healthy sex life is important at any age, however, changing the desire or painful intercourse can significantly alter women sexual activity.

So we hear all the time about male sexual dysfunction. How common is female dysfunction? It is quite common.

Brief statistics:
Almost 40% of women in the US have some sort of sexual dysfunction. 30% of patients have pelvic issues.

So 70% – a lot of women out therehave problems of this nature.

There are 4 categories of female sexual dysfunction. They include:

  1. Desire which is also known as libido
  2. Arousal issues
  3. Orgasm issues
  4. Pain disorders

I think the most important thing is when women feel they have the problem is to talk to medical professional about it. Most common it is easiest to talk your primary care physician, and that is the doctor you usually have the best relationship with and feel most comfortable speaking about this. And they can give you some guidelines, they can talk about whatever medications you are on that may be causing that or worsening your symptoms.

Quick Note
It is also important to talk to your partner, and if there is a problem with desire, arousal, there may be changing things in your sexual life.

So have a conversation with both – your partner as well as the medical profession.

There are a lot of medications that can change your sexual desire and arousal as well. There are a lot of medicine that commonly taken for a lot of medical problems and are known to cause problems with arousal:

  • High blood pressure medications
  • Diuretics
  • Beta-blockers
  • Medicines for reflux
  • Medicines for heartburn
  • Different h2 blockers
  • Antidepressant medications


I think looking in your own medicine cabinet and not necessarily stopping them but talking to your doctor about it is necessary. I wouldn’t ever recommend a patient stop their high blood pressure medication on their own because of their sexual arousal issues. It is important to talk to your doctor and see if that’ is a problem, see if they can change medication safely for you.

Some of the sleep medications can impact the libido. They can just decrease your arousal but also it can reduce your desire because you are falling asleep a little earlier before it is time to have intimacy with your partner.

Pain During Sex In Women
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Sexual Health