Symptom

Possible Cause

Therapy

Decreased desire

Postmenopausal status

Chronic illness

Depression

Relationship problems

Drugs

Estrogen ± testosterone^OL

Treatment of underlying illness

Antidepressant medication

Marital therapy

Review of drugs ingested

Decreased lubrication

Postmenopausal status

Anticholinergic drugs

Longer foreplay, regular intercourse, lubricants, estrogen

Review of medications, including over-the-counter drugs

Delayed or absent orgasm

Postmenopausal status

Psychological problems

Estrogen ± testosterone^OL

Sex therapy, antidepressant medication^OL

Pain with intercourse

Organic cause

Vaginal dryness, atrophy

Vaginismus (involuntary vaginal contractions)

Treatment of underlying physical condition

Longer foreplay, regular intercourse, lubricants, estrogen

Sex therapy