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I have a low sexual drive, and lubricating gel is not helping. What to do?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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iCliniq medical review team

Published At May 21, 2021
Reviewed AtDecember 27, 2023

Patient's Query

Hi doctor,

I have a low sexual drive. The first time I had intercourse, it was fine. But after that, I started having lesser arousal. And now I am not having arousal. I am not under any medication. I previously consulted a gynecologist. The doctor convinced me that there was something wrong with my mind and suggested a lubricating gel. But it did not help me. I do not feel bad about having intercourse. And I also do not have any problem with my partner. I am a 25-year-old woman, and my height is 5 feet 4 inches. My weight is 62 kg.

Kindly help me.

Answered by Dr. Raveendran S R

Hi,

Welcome to icliniq.com.

I can understand your concern. Your partner needs to approach you differently, experiment more on you, and find the way which you admire

you can help your partner to approach your G spot (Grafenberg spot).

It can also be:

1) Hormonal disturbances like low testosterone, low levels of thyroid, high levels of prolactin.

2) Obesity.

3) High cholesterol.

4) Chronic disease

5) Drugs

6) Anxiety

You might also need the following investigations to be done:

1) USG (ultrasonography) pelvis to rule out pelvis infections, ovaries, and uterus abnormalities.

2) Thyroid check for T3, T4, TSH (thyroid-stimulating hormone).

3) Lipid Profile to know cholesterol level.

4) Blood Pressure.

5) RBS (random blood sugar)

Kindly share more details regarding the above reason so that we can work on the cause and treatment.

Patient's Query

Hi doctor,

Thank you.

I have attached the required documents.

Kindly help me.

Answered by Dr. Raveendran S R

Hello,

Welcome back to icliniq.com.

Checked your reports (attachment removed to protect patient's identity). I can see increased prolactin. I need to know the cause behind it—plan for CT (computed tomography) brain to know about pituitary pathology. Mild cholesterol increase is seen correct with exercise.

I hope this was helpful.

Patient's Query

Here I have given the Brain MRI report
Answered by Dr. Raveendran S R
HI Checked your report its normal - no issue prolactin can be a tempravary issue kindly get an opinion from an endocrinologist

Patient's Query

Endocrinologist's response: Hi Ms. Rosalinda, You have sexual arousal disorder. My first recommendation since you have a partner is to see a psychologist who have sex therapy experience (sex therapist). It may not be about body image or relationship problem, but a therapist can help figure out and resolve any simple issues there may be which can be dealt easily/without medicines. I do not think you have any hormonal problems that I can help with. Medicines for sexual arousal disorder are not great in the first place and I cannot prescribe them now. please elaborate on areas where I can help/guide you over an online platform such as this.
Answered by Dr. Raveendran S R
got it have you searched for a therapist it should be one on and one and elaborate session not online. have you started any yoga or exercise?

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Raveendran S R
Dr. Raveendran S R

Sexology

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