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Love and Sex Prescription

By Anju Mulchandani and Dipika Dandade

QUESTION
I'm a woman who spent most of my life getting my education, and now that I've finished, I'm nearly 30 and haven't gotten married. The pressure around me from my parents and friends is enough to make me settle into an arranged marriage. Despite hearing that love can come later in a marriage instead of earlier, I worry that I am doomed to be in a marriage in which I’ll always feel lukewarm. Is there anything I can do to solve this situation? Am I always going to feel this way?

ANSWER by Anju Mulchandani
If you’re almost 30 and still single, chances are, you are beginning to wonder if there is something wrong with you. After all, the pressure to get married probably started as early as birth when your parents’ best friends joked with your parents about pairing you off with their son.

The good news is that it has become increasingly common for our generation to marry later in life. Getting married later than our parents has its benefits. People often know themselves better and have a clearer idea of what they are looking for in a spouse. They also tend to be wiser and more secure with themselves, which makes for a more lasting relationship.


Photographer: Suraj Shetty

Many of us have also been told since we were toddlers that we can be anything we imagine. So focusing on your career before your marriage is not unheard of and will not automatically result in a loveless, arranged marriage.

That said, if you are concerned about meeting potential partners, it is important to remember that people meet their spouses in all sorts of ways: through networking, online dating, friends and, yes, even arranged marriages. In more traditional arranged marriages, couples may get only one or two meetings before their wedding day. However, more recently, the definition of an arranged marriage has expanded to simply serve as a platform for meeting someone who is interested in dating with marriage as an end goal. This would give you the chance to date potential suitors and assess your compatibility, instead of just hoping that the love will come later. While I am not suggesting that you blindly go ahead with an arranged marriage, this method could provide an opportunity to begin dating someone.

Whether you decide to take the arranged marriage route or not, do take time to get to know your partner. Learn about each other's value systems and short and long-term goals early in the dating process. Since you are dating for marriage, you shouldn't date someone whose life view and expectations are very different from yours, because the foundation of a long-term relationship is based on compatible values and goals.

Until you meet that special someone, you must take the time to build a community of friends and find other types of pleasure in your life. Do not lose yourself in the process. It is a commonly known fact that when we are happy with ourselves, good things come to us!

QUESTION
I am a 50 year old male. Nowadays, I have little or no sexual passion. Is it normal to have few sexual feelings during your fifties? I have been tested for the testosterone hormone, which shows that my testosterone is within normal range. Is there any good medicine for this? Please advise.

ANSWER by Dipika Dandade
Decreased libido, or a decreased desire to have sex, can have multiple causes. Increasingly stressful issues complicate our lives as we age. We worry about our work, retirement, children, parents, marriages and so on. Sex may be the last thing on your mind. More pressing issues, such as paying the bills on time or helping the kids with their homework, may take up your free time. Sleep may seem too precious to sacrifice.

Or, you might be bored with sex with your partner. If you are in a relationship, it is worth scheduling some time to be intimate. Though it may not be spontaneous, you need to prove to yourself and your significant other that it is important to you to make the effort. Liven things up a bit by renting a hotel room or engaging with each other’s fantasies. If you feel the stress of your life is too overwhelming, it might even be helpful to seek outside help with a therapist.

Medical problems such as depression can certainly dampen your sex drive. On the flip side, medications used to treat depression can suppress desire as well. If this is an issue, speak with your health provider and try to find treatment that has the least effect on you. Other culprits can include medications for high blood pressure. Aging, itself, can cause a decline in testosterone levels and subsequently affect your desire. As you mentioned, your testosterone levels were normal. Testosterone replacement can be given to those with low levels. You should also have your thyroid checked to ensure that there are no abnormalities.

Decreased libido should not be confused with erectile dysfunction (ED), which is the actual physical inability to obtain an erection. The causes are similar, including psychological issues, medical problems and medications. However, ED can be improved with medications such as Viagra.

Be open with your doctor. If all your lab tests are, indeed, negative, you might benefit from a referral to a therapist. If your doctor thinks ED may be an issue as well, a urologist may be better able to address your symptoms.

 


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Anju Mulchandani is a graduate of the Columbia School of Social Work. Her clinical experience has focused on providing counseling for individuals with a variety of emotional problems.

Dipika Dandade, 31, is an obstetrician/gynecologist practicing in the Los Angeles area.

ABCDlady does not provide medical advice, diagnosis or treatment. See additional information.


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