This is Dr. David
at your age of 57, you are most likely after menopause which means your ovaries have stopped making estrogen
this can lead to vaginal dryness and vaginal atrophy which can make intercourse very painful
that is good you are using gel and lubricant. make sure you use plenty of KY jelly
also ask your doctor for vaginal estrogen creams or suppositories such as Vagifem which can help add more estrogen to your vaginal area and help improve vaginal moisture.
in some women, taking estrogen hormone replacement therapy can help improve their libido after menopause at your age.
ask your doctors about these options which I think will help a lot
let me know if you have other questions.
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paroxetine medication can in some patients decrease sex drive and can cause sexual dysfunction and make it harder to climax.
are you taking the paroxetine for depression or anxiety symptoms?