I don't like calamari, likely due to how it was first presented.

Because we're calm and attentive, kids are grown and we know how to really make love.

For my quota of belly laughs.

somethin'

I was confused -- it said Tuesday NOVEMBER 30, and the clock was 10 hours away

a bit of celebrating with Sauvignon Blanc

Let's go get one!

my surprise today!

Ghirardelli !!

mine cost about $200/month.

Are yours prescribed or OTC?

If women's hormones are in balance, that doesn't happen.

But most women don't go to MDs who advocate bio-identical hormones.
The visit and blood work are covered by insurance, but the compounded prescriptions are not covered, due to Big Pharma's lobbying against the compounding industry which, if allowed, would decimate their industry.

You live in a small population area.

There are tons of us women you describe. You may have to venture further.

When our mind is calm, it reflects reality accurately, without distortion. Breathing, sitting, and walking with mindfulness calms disturbing mental formations such as anger, fear, and despair, allowing us to see reality more clearly.

- Thich Nhat Hanh, in “Peace Is Every Breath”.

[color=light blue]did it work?

good mornin' River

on first cuppa

Asexuality is a growing subject of research in psychology, sexology, and other academic fields. While estimates for the asexual proportion of the population are limited and may vary, the most widely cited figure is that we are roughly 1% of the population.

https://www.asexuality.org/?q=overview.html


Cleveland clinic from above

While research suggests that sexual dysfunction is common (43 percent of women and 31 percent of men report some degree of difficulty), it is a topic that many people are hesitant to discuss. Because treatment options are available, it is important to share your concerns with your partner and healthcare provider.

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The likelihood of having sexual dysfunction is 310 X and 430 X higher than being asexual.

Sexual Dysfunction

Sexual dysfunction refers to a problem(s)that prevents the individual or couple from experiencing satisfaction from sexual activity. Some 43 percent of women and 31 percent of men report some degree of sexual dysfunction.

What is sexual dysfunction?

Sexual dysfunction refers to a problem occurring during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. The sexual response cycle traditionally includes excitement, plateau, orgasm, and resolution. Desire and arousal are both part of the excitement phase of the sexual response.

While research suggests that sexual dysfunction is common (43 percent of women and 31 percent of men report some degree of difficulty), it is a topic that many people are hesitant to discuss. Because treatment options are available, it is important to share your concerns with your partner and healthcare provider.

What are the types of sexual dysfunction?

Sexual dysfunction generally is classified into four categories:

Desire disorders —lack of sexual desire or interest in sex
Arousal disorders —inability to become physically aroused or excited during sexual activity
Orgasm disorders —delay or absence of orgasm (climax)
Pain disorders — pain during intercourse

Who is affected by sexual dysfunction?

Sexual dysfunction can affect any age, although it is more common in those over 40 because it is often related to a decline in health associated with aging.

What are the symptoms of sexual dysfunction?

In men:

Inability to achieve or maintain an erection suitable for intercourse (erectile dysfunction)
Absent or delayed ejaculation despite adequate sexual stimulation (retarded ejaculation)
Inability to control the timing of ejaculation (early or premature ejaculation)

In women:

Inability to achieve orgasm
Inadequate vaginal lubrication before and during intercourse
Inability to relax the vaginal muscles enough to allow intercourse

In men and women:

Lack of interest in or desire for sex
Inability to become aroused
Pain with intercourse

What causes sexual dysfunction?

Physical causes — Many physical and/or medical conditions can cause problems with sexual function. These conditions include diabetes, heart and vascular (blood vessel) disease, neurological disorders, hormonal imbalances, chronic diseases such as kidney or liver failure, and alcoholism and drug abuse. In addition, the side effects of some medications, including some antidepressant drugs, can affect sexual function.

Psychological causes — These include work-related stress and anxiety, concern about sexual performance, marital or relationship problems, depression, feelings of guilt, concerns about body image, and the effects of a past sexual trauma.

How is sexual dysfunction diagnosed?

In most cases, the individual recognizes that there is a problem interfering with his or her enjoyment (or the partner's enjoyment) of a sexual relationship. The clinician likely will begin with a complete history of symptoms and a physical. He or she may order diagnostic tests to rule out any medical problems that may be contributing to the dysfunction, if needed. Typically, lab testing plays a very limited role in the diagnosis of sexual dysfunction.

An evaluation of the person's attitudes about sex, as well as other possible contributing factors (fear, anxiety, past sexual trauma/abuse, relationship concerns, medications, alcohol or drug abuse, etc.) will help the clinician understand the underlying cause of the problem, and will help him or her make recommendations for appropriate treatment.

How is sexual dysfunction treated?

Most types of sexual dysfunction can be corrected by treating the underlying physical or psychological problems. Other treatment strategies include:

Medication — When a medication is the cause of the dysfunction, a change in the medication may help. Men and women with hormone deficiencies may benefit from hormone shots, pills, or creams. For men, drugs, including sildenafil (Viagra®), tadalafil (Cialis®), vardenafil (Levitra®, Staxyn®), and avanafil (Stendra®) may help improve sexual function by increasing blood flow to the penis.

Mechanical aids — Aids such as vacuum devices and penile implants may help men with erectile dysfunction (the inability to achieve or maintain an erection). A vacuum device (Eros) is also approved for use in women, but can be costly. Dilators may help women who experience narrowing of the vagina.

Sex therapy — Sex therapists can be very helpful to couples experiencing a sexual problem that cannot be addressed by their primary clinician. Therapists are often good marital counselors, as well. For the couple who wants to begin enjoying their sexual relationship, it is well worth the time and effort to work with a trained professional.

Behavioral treatments — These involve various techniques, including insights into harmful behaviors in the relationship, or techniques such as self-stimulation for treatment of problems with arousal and/or orgasm.

Psychotherapy — Therapy with a trained counselor can help a person address sexual trauma from the past, feelings of anxiety, fear, or guilt, and poor body image, all of which may have an impact on current sexual function.



https://my.clevelandclinic.org/health/diseases/9121-sexual-dysfunction/management-and-treatment



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