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Reduced Sex Desire In Woman

Mr and Mrs X came to me with C/O reduced sex desire in the wife. She was 36 years old, married for 12 years, Postgraduate and was running her own business at home.
The husband was 38 years, professional, working in a company requiring frequent travel, occasional alcohol abuser  & a smoker. Morning erections were occasional. Initially, for around 3 years they used to have sex every night. They also had a 9 years old son.

The husband could recollect that it all began after the birth of their son. Since then, Mrs X would avoid intimacy, would sleep early or would tell that she had a headache. Post-delivery, there was no sex for 1 year. When they attempted sex, there was poor erection so it was not satisfactory.

He tried to have sex with another woman where it was good. Next time, Mrs X felt a lot of pain, the vagina was dry and she presumed that it was due to operation ( baby was born after caesarian) The man would request for sex, but she would repeatedly make one excuse or the other to avoid it. Physical examination was normal, lab investigations were normal as well.

The woman was found to be having moderate depression  with sadness ,disturbed sleep, reduced energy , headache and getting no pleasure from any source. We put the woman on antidepressants, gave them sex counseling with  emphasis on spending quality time together, start touching, fondling and going for outing once a week. Lifestyle changes like quitting smoking were suggested to the man

It had magical effect in 6 weeks time.  Now they are having sex 3-4 times a week and are happy

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