What to overcome low libido and have good intimacy?

Question

Hello doctor,

I have some concerns regarding the intimacy in my relationship with my wife. Lately, we have been experiencing difficulties in our sexual life, and we are seeking help. Both of us are facing low libido, and my wife seems uninterested in sexual intercourse lately. We would appreciate some guidance and support to address these issues.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I read your query and understand your concern.

Low libido has many reasons like diabetes, hypertension, hormonal disturbances, urine or pelvic infections, obesity, high cholesterol, anxiety, chronic diseases, and medications

I would suggest you do the following investigations to find out the cause.

USG (ultra sonogram) pelvis.
Lipid profile.
Blood pressure.
Random blood sugar (RBS).
Prolactin and testosterone levels.
Thyroid function tests.

Kindly share more details regarding any medications or other chronic diseases.

I would suggest you use tablet Mildfil (Tadalafil) 5 mg twice daily for a temporary solution. Consult your specialist doctor, talk to them, and then take the medication.

I would also suggest you have a talk with your partner and try asking the following questions to find her difficulties.

Does she have pain during sex?
Does she have any painful sexual experiences with you or someone else in her past?
Was she left unsatisfied with the sexual act before?
Is she afraid of getting pregnant?
Does she think of the sexual act as sinful, dirty, or immoral?
Does she disapprove of the kind of sexual behavior that is expected of her?
Does she have unresolved emotional issues with you?

Let the answers emerge organically in the course of an open-minded discussion. Seek out relationship counseling if you are unsure how to approach the subject.

I hope this information helps you.

Thank you.