Q. I’m a 64-year-old man. My wife, who is 55, is going through menopause and is not showing much interest in sex. I too am experiencing reduced interest in sex. Is it male menopause? Will there be a renewed urge in both of us some time later? Yes, you may be experiencing andropause (akin to menopause in women) since you are 64. Similarly, your wife may be experiencing menopause. Remember, sexual desire/interest is not dependent just on the sex hormones but also on the psyche (mind). If a woman has experienced good sexual pleasure prior to menopause, she still will continue to be interested in sex after the initial phase of menopause. She may have other difficulties like vaginal dryness and shrinkage etc. due to menopause, but these conditions can be effectively managed through Hormone Replacement Therapy. However other factors which can cause sexual difficulties have to be ruled out. Consult your doctor in person. Q I am a 31-year-old healthy man, got married 7 months ago. Right from my honeymoon period, I haven’t been able to enjoy sex with my wife due to premature ejaculation. Before marriage, I was addicted to masturbation. Is there any connection between premature ejaculation and masturbation? What can I do to cure my problem? Is there any medication for this problem? Masturbation per se has no connection with premature ejaculation, but the method of masturbation has. If you are conditioned to ejaculate quickly (to prevent others from knowing what you are doing) during masturbation, then you are most likely to ejaculate quickly during intercourse also. Apart from this, constitutional factors like diabetes, multiple sclerosis, short frenulum, prostate gland problems etc., and situational factors like anticipatory anxiety can also cause premature ejaculation. If it is due to situational factors, it can be overcome by sex therapy. If it is due to constitutional factors, appropriate medical or surgical measures have to be instituted. Some drugs are effective in the management of premature ejaculation, but they have some major side effects and hence have to be taken only under medical supervision.Dr D. Narayana Reddy
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