In midlife and beyond, women and men experience changes that can affect their own and partners’ sexual health and relationships. These changes are couple’s issues for patients who are in long-term, stable relationships. Sexual dysfunctions may also occur among many aging individuals.
Diminished estrogen levels post-menopause can lead to the genitourinary
syndrome of menopause (GSM), which affects about 50% of post-menopausal women. Common post-menopausal sexual dysfunctions include low sexual desire and pain during sex. Some women develop female androgen insufficiency syndrome (low testosterone), which can cause low libido and mood.
In midlife and beyond, men generally experience a gradual decline in testosterone levels, sometimes referred to as andropause.
Because not all men develop testosterone deficiency and not all men with below-normal testosterone levels have clinical symptoms, the term “andropause” remains somewhat controversial and some professional associations prefer the terms “late-onset hypogonadism” or “testosterone deficiency.”
Diminished testosterone activity may cause physical and emotional changes that can affect men’s sexual health and intimate relationships, including erectile dysfunction (ED), decreased libido, and impaired ejaculatory or orgasmic function.
Sexual symptoms in one partner may worsen the other partner’s symptoms (eg, not feeling desired can lead to doubts about one’s attractiveness and contribute to lack of desire, or if the male partner has untreated ED, the female partner may be less motivated to treat VVA). In addition, a person was more likely to be sexually satisfied and happy in their relationship if their partner reported good health, good sexual functioning, and happiness with the relationship; although the partner’s sexual functioning had a greater influence on male sexual satisfaction vs. female sexual satisfaction. Contact us for sexual problems treatment in Indore.