What to do when Health Problems or Medical Treatments thwart your love life

This is the time of year when stores are filled with red hearts and other reminders that Valentine’s Day is approaching. It’s a mood booster, not to mention a nice break from all that winter grey (at least up here in Boston). After all, what would life be like without romance, love—and sex?

Unfortunately, a variety of health problems—as well as some of the treatments for them—can get in the way of sexual desire and functioning. Here’s a quick look at some of the main sources of trouble and suggestions about what to try first. If these initial strategies don’t work, have a heart to heart with your doctor about what to do next. There may not be a quick fix for health-related sexual problems, but there are steps you can take to help ensure that you can still enjoy a love life while taking care of the rest of your health.

1. Cardiovascular Issues

• Problem: Conditions like heart disease and high blood pressure can affect blood flow, impacting sexual function.

• Solution: Adopt heart-healthy habits such as regular exercise, a balanced diet, and managing stress. Discuss medications’ side effects with your doctor.

2. Diabetes

• Problem: Diabetes can lead to nerve damage and blood vessel issues, affecting sexual function.

• Solution: Maintain good blood sugar control, engage in regular physical activity, and manage diabetes with your healthcare team.

3. Obesity

• Problem: Excess weight can contribute to hormonal imbalances and impact self-esteem, affecting sexual desire.

• Solution: Adopt a healthy lifestyle, including regular exercise and a balanced diet, to manage weight and improve overall well-being.

4. Depression and Anxiety

• Problem: Mental health conditions can affect libido and sexual function.

• Solution: Seek counseling, therapy, or support groups. Medications or a combination of treatments may be recommended by a mental health professional.

5. Medication Side Effects

• Problem: Certain medications, such as antidepressants or blood pressure drugs, may have sexual side effects.

• Solution: Consult your doctor to discuss alternative medications or adjustments in dosage. Do not stop or change medications without professional guidance.

6. Hormonal Changes

• Problem: Menopause or hormonal fluctuations in men can lead to changes in sexual desire and function.

• Solution: Discuss hormone replacement therapy or other options with your healthcare provider. Open communication with your partner is also crucial.

7. Chronic Pain Conditions

• Problem: Conditions causing chronic pain, such as arthritis, can affect sexual comfort.

• Solution: Manage pain through appropriate treatments. Experiment with different positions to find those that minimize discomfort.

8. Relationship Issues

• Problem: Relationship stress or dissatisfaction can impact sexual desire.

• Solution: Open communication with your partner is key. Couples therapy or counseling may be beneficial.

Remember, addressing sexual health concerns often involves a combination of lifestyle changes, medical interventions, and emotional support. Consultation with healthcare professionals is essential to determine the most appropriate course of action based on individual circumstances.