How do I know if I have a problem?

Up to 70% of couples have a problem with sex at some time in their relationship. Most women will have sex that doesn't feel good at some point in her life. This doesn't necessarily mean you have a sexual problem.

If you don't want to have sex or it never feels good, you might have a sexual problem. Discuss your concerns with your doctor. Remember that anything you tell your doctor is private and that your doctor can help you find a reason and possible treatment for your sexual dysfunction.

What causes sexual dysfunction?

Many things can cause problems in your sex life. Certain medicines (such as oral contraceptives and chemotherapy drugs), diseases (such as diabetes or high blood pressure), excessive alcohol use or vaginal infections can cause sexual problems. Depression, relationship problems or abuse (current or past abuse) can also cause sexual dysfunction.

You may have less sexual desire during pregnancy, right after childbirth or when you are breastfeeding. After menopause many women feel less sexual desire, have vaginal dryness or have pain during sex due to a decrease in estrogen (a hormone in the body).

The stresses of everyday life can also affect your ability to have sex. Being tired from a busy job or caring for young children may affect your sexual desire. You may also be bored by a long-standing sexual routine.

What is sexual dysfunction?

* Desire disorders ­- When you are not interested in having sex or have less desire for sex than you used to.
* Arousal disorders ­- When you don't feel a sexual response in your body or you cannot stay sexually aroused.
* Orgasmic disorders ­- When you can't have an orgasm or you have pain during orgasm.
* Sexual pain disorders ­- When you have pain during or after sex.