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Balancing the everyday routines of life, work, children, finances, and other stresses does not seem to leave much motivation for sexual intimacy.Decreased sexual desire is a problem for a substantial number of women.It can cause personal as well as relationship distress.Yet, women often are too embarrassed to discuss the subject with their health care providers, and many feel their physicians are not comfortable talking about this subject with them either.Female sexual response is substantially different than male sexual response.It is more affected by relationship issues, stress, and other factors.Hormonal fluctuations play a substantial role as well.

There are a variety of therapies available to help bring back your sexual relationship and restore intimacy.Often, a review of medications can uncover a culprit that is contributing to the loss of libido, and certain medical conditions can be a factor as well. Volkar, MD, is a staff member in the Cleveland Clinic Center for Specialized Women’s Health (link to clevelandclinic.org/womenshealth), where she also serves as the Quality Officer. Volkar provides clinical care for menopause management, menstrual bleeding disorders, incontinence, hormone therapy, and sexual dysfunction at the Cleveland Clinic main campus.She is a board certified Obstetrician/Gynecologist, a Fellow in the American Congress of Obstetrics and Gynecology, and a North American Menopause Certified Practitioner. Prior to joining the Center and moving to Cleveland in the fall of 2010, Dr.Volkar was the principal physician in a private Ob/Gyn practice in Johnstown, PA, and spent 15 years as a staff physician for the University of Pennsylvania Medical Center. Volkar served as Vice-Chair of the Department of Obstetrics and Gynecology at Conemaugh Memorial Hospital in Johnstown, PA, where she became an outspoken advocate for women’s health care in the community. Volkar has published and lectured on topics about the current treatments available for migraines, menstrual migraines, treatment of decreased libido, heart-healthy menopause, and strategic planning for a non-profit women's center.She also shares her medical expertise through local and national news media, community education events, and Speaking of Women’s Health, a national women’s health program managed by Cleveland Clinic that consists of health conferences, a Web site, and monthly e-mail communications.Cleveland_Clinic_Host: Judith_Volkar_MD: Overall in a large study, about 44 percent of women complained about a sexual problem in general.Within that group, only 12 percent of women said that the problem was particularly distressing to them.Decreased libido is most often a symptom in the 45 to 65 age group, although it can be present in any age group.So, it is pretty normal and is a problem that needs to be addressed if it lasts more than 6 months and it bothers you and causes you distress.conmed: Judith_Volkar_MD: Yes, this is very common.Women are much more motivated for sexual intimacy by emotional intimacy rather than by visual cues.

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