How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask Dr. David Your Own Question

Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45171
Experience:  Board Certified Physician
41363181
Type Your Medical Question Here...
Dr. David is online now

HiI am a heterosexual woman with a male partner whom I

Resolved Question:

Hi

I am a heterosexual woman with a male partner whom I love very much. Although he would love us to have an active sex life, and gives me a lot of affection, he struggles with arousal and a low sex drive. He assures me that he is still attracted to me but feels that his drive is 'dormant'. We have been to relate counselling, this helped us to be more open to discuss the problem and develop our non sexual intimacy time. However the low sex drive issue remains and this is causing us both pain. I am quite a sexual person and usually have no problem enjoying sex. We are both quite anxious people and my partner in particular suffers with anxiety problems with a very stressful job that he is trying to leave. We feel desperate at times. We have had two occasions recently where my partner has become aroused and ejaculated which was great but the sex drive seems to have diminished again. Over the whole time we have been together we have only had full sex once as my partner finds it painful, although any physical causes of the pain have been ruled out by doctors. Any help appreciated. Also my partner tried hypnotherapy but this was very painful for him and wasn't effective.
Submitted: 3 years ago.
Category: Medical
Expert:  Dr. David replied 3 years ago.

Dr. David :

This is Dr. David

Dr. David :

has he had his testosterone levels checked by blood work?

Dr. David :

he could have low testosterone levels.

JACUSTOMER-yf7jsekl- :

Yes they have - they were normal

Dr. David :

is he on medications for his anxiety?

Dr. David :

some anxiety medications can affect sexual function.

JACUSTOMER-yf7jsekl- :

Yes he is, citalopram (20mg). We did have a better sex life before he went on those. He has tried to come off before but the doctor put him on other medication which didn't agree with him so he went back on the citalopram.

Dr. David :

yes, citalopram can affect sexual function and cause sexual side effects like this.

Dr. David :

it is a very common side effect

Dr. David :

he might benefit from viagra or cialis or lavitra to help him with erections

Dr. David :

also bupropion SR or wellbutrin can help.

Dr. David :

read here

Dr. David :

http://www.ncbi.nlm.nih.gov/pubmed/11894796

Dr. David :

here is another good article with many treatment options

Dr. David :

http://www.medscape.com/viewarticle/430614_5

JACUSTOMER-yf7jsekl- :

thanks for that. Once he is out of this very stressful job, I will encourage him to come off it. He has had problems with ED in a previous relationship, he tried Viagra but he says he didn't work and it upset him further. I will encourage him to try the others. He is very sensitive about it, but also committed to tackling the issue -

Dr. David :

I see

Dr. David :

read those articles I have given you.

Dr. David :

and have him talk to his doctors about the options for therapy.

Dr. David :

some of them are over the counter.

Dr. David :

gingko biloba and urecholine

Dr. David :

let me know if you have other questions.

Dr. David :

if done for now, please leave +++ positive feedback below the chat box

Dr. David :

you can always reach me as Dr. David if you have other questions.

Dr. David :

you might have to scroll down to see the feedback area.

Dr. David :

thanks for using JustAnswer.com

Dr. David :

do you see the feedback area below?

JACUSTOMER-yf7jsekl- :

That's great, in your opinion how much of ED and low drive is psychological and how much is medical? He has always struggled with confidence with sex and had some medical interventions on his penis at an early age which didn't help. Some kind of infection or other. His GP referred him to a sex therapist but she suggested the hypnotherapy which hasn't worked. I think there is someone else she is going to refer him to. He just feels very frustrated with it all so I suppose I can help by keeping on encouraging him to look for answers. It sounds like there are a lot of options we haven't tried yet.

Dr. David :

in his situation, most of his problems are coming from his medication citalopram.

Dr. David :

yes there are a lot of options to try.

Dr. David :

but it sounds like he has a complicated prior past sexual history.

JACUSTOMER-yf7jsekl- :

Thanks, XXXXX XXXXX to know about the citalopram. When he came off it before he did it for a week and said his sex drive didn't feel any different, but I suppose it takes longer than a week for the drug to leave the system

Dr. David :

yes, it can take several weeks for the medication and sexual side effects to go away

JACUSTOMER-yf7jsekl- :

Great, thanks so much, that's very helpful. I will discuss those other options with him and encourage him to come off the citalopram when he can. I think that has answered all my questions. Regards.

Dr. David :

you are welcome

Dr. David :

don't forget to leave +++ postiive feedback below when done

Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 45171
Experience: Board Certified Physician
Dr. David and 8 other Medical Specialists are ready to help you

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Family Physician

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
< Previous | Next >
  • http://ww2.justanswer.com/uploads/FA/FamilyPhysician/2013-8-31_191624_JA550x500Photo.64x64.jpg Family Physician's Avatar

    Family Physician

    Doctor

    Satisfied Customers:

    2418
    GP with over 27 years experience including emergency medicine
  • http://ww2.justanswer.com/uploads/DO/DoctorRich/2012-9-12_72454_Doctorweb.64x64.jpg Dr. Natasha's Avatar

    Dr. Natasha

    Doctor

    Satisfied Customers:

    7887
    American Board Certified in Emergency Medicine, Ivy League trained
  • http://ww2.justanswer.com/uploads/DR/DrK99/newpic2.64x64.jpg Dr. K.'s Avatar

    Dr. K.

    Board Certified MD

    Satisfied Customers:

    255
    Board certified with experience in primary care.
  • http://ww2.justanswer.com/uploads/agketch/2008-7-14_184046_drketchresized.jpg Dr. Ketch's Avatar

    Dr. Ketch

    Board Certified Physician

    Satisfied Customers:

    76
    Medical Degree, Former Assistant Professor at School of Medicine at Yale University
  • http://ww2.justanswer.com/uploads/JA/JACUSTOMERjtu60wne/2011-2-14_183449_passportphoto2.64x64.jpg docwithheart's Avatar

    docwithheart

    Board Certified Physician

    Satisfied Customers:

    0
    Board certified pediatrician, with special experience in general pediatrics, hospital pediatrics, and pediatric cardiology
  • http://ww2.justanswer.com/uploads/DR/drappapo/2013-8-16_22576_drdavid.64x64.jpg Dr. David's Avatar

    Dr. David

    Board Certified Physician

    Satisfied Customers:

    224
    Treat children/young adults, former chief resident, multiple publications
  • http://ww2.justanswer.com/uploads/TA/tazechip/2012-6-7_135230_drpic.64x64.png Dr. Chip's Avatar

    Dr. Chip

    Board Certified Physician

    Satisfied Customers:

    12373
    20 yrs. in practice, includinge surgery, general medicine, addiction medicine and pain.
 
 
 

Related Medical Questions