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Health Issues That Can Impact Sexual Satisfaction

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5. Sexually transmitted diseases. For people with STDs such as HIV, the human papillomavirus (HPV), or hepatitis, sex isn’t out of the picture. In fact, Rockwell says, “people with STDs can certainly have healthy, satisfying sex lives.”

Protection is a must, she says, and condoms must be used 100 percent of the time. An important caveat is that with HPV, which can cause cervical cancer, condoms do not necessarily protect one’s partner against contracting the virus.

6. Stress. Got stress? If so, then you may have more trouble experiencing an enjoyable sex life.

“Stress often has effects on our sex lives. When we are consumed with time management, working, raising children and providing for our families, we often don’t leave a lot of time for ourselves,” Rockwell notes. “What happens is the libido goes down, and the ability to accept and give pleasure decreases. People who suffer from unsatisfying sex lives may not even realize that it could be caused by stress.”

7. Pregnancy. “Physically, there is no barrier to sex during pregnancy,” Rockwell says. Intercourse will not harm the fetus or the woman, unless she has a medical problem and has been advised by her physician not to have intercourse. Levels of desire can vary. The use of lubricants and changes in positions as the pregnancy progresses may be necessary.

8. Menopause. Some physical limitations may affect a woman’s enjoyment of sex after menopause, but that doesn’t mean a woman’s sex life is over. “Many women can experience a very healthy sexual life after menopause,” Rockwell says. “There is no reason that menopause should mean an end to your sex life.” Topical estrogen cream and lubricants may help after the drop in hormone levels that occurs during menopause.

9. Poor body image and self esteem. A woman’s self esteem can significantly affect her sexual satisfaction, and low self esteem based on a poor image of her body can detr
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