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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Lack Of Sexual Desire In Couples?

Hi. Actually I am 31 and my husband is 36 , we got married 3 years ago and we have a15 months boy. We didn't have normal physical relations as we were far, it's a month that we started to living with each other.But we have not physical relations,I want to know what should i have to do?
Mon, 11 Dec 2017
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Psychiatrist 's  Response
Hello

I read your statement and i understand your concern

Lack of Libido among partners may be caused by various causes ranging for physical to psychological

Since you both have decreased desires for each other, it seems to be more psychological than physical cause. However i would go through the physical causes too

>> Low Sex hormone level can be an important cause. Get tested for testesterone and LH FHS levels for your and husband

>> If you both are taking too much alcohol, try to reduce as it can decrease your libido

>> Certain medication cause decreased desires. Let me know which medication you are taking and are they having side effects including decreased libido

Psychological reasons for decreased libido are stress, anxiety and depression. Your statement is deficient is a way that it does not gives a clue about anxiety and depression. If you are having some negative thoughts and felling anxious, then your sexual life can be resumed only if you start treatment for anxiety and depression

If i were your doctor, i would have ruled out physical causes first, then evaluated you for depression and anxiety. Then prescribed you Tab Alprazolam 0.25mg for both partners once a night for 8 days and also Tab Acralion 200mg 2 tablets once a day for a month

Thanks
Dr Nasir Ali
I find this answer helpful
Psychiatrist Dr. Gayathri's  Response
in my opinion you should have a discussion with your husband

is he worried, lower libido, sad...

does he have medical problems like diabetes , hypertension

does he smoke or drink alcohol

if necessary therapy session with a therapist

blood tests to rule out medical issues
I find this answer helpful

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What Causes Lack Of Sexual Desire In Couples?

Hello I read your statement and i understand your concern Lack of Libido among partners may be caused by various causes ranging for physical to psychological Since you both have decreased desires for each other, it seems to be more psychological than physical cause. However i would go through the physical causes too Low Sex hormone level can be an important cause. Get tested for testesterone and LH FHS levels for your and husband If you both are taking too much alcohol, try to reduce as it can decrease your libido Certain medication cause decreased desires. Let me know which medication you are taking and are they having side effects including decreased libido Psychological reasons for decreased libido are stress, anxiety and depression. Your statement is deficient is a way that it does not gives a clue about anxiety and depression. If you are having some negative thoughts and felling anxious, then your sexual life can be resumed only if you start treatment for anxiety and depression If i were your doctor, i would have ruled out physical causes first, then evaluated you for depression and anxiety. Then prescribed you Tab Alprazolam 0.25mg for both partners once a night for 8 days and also Tab Acralion 200mg 2 tablets once a day for a month Thanks Dr Nasir Ali