Enyeribe Ejiogu
The experience of Pa. James Amosun, who passed on in 2019 is relatable. Though he took an early retirement from the civil service, to focus on building a successful private enterprise, Pa James had very strong interest in bedroom sports, which he had been quite good at, and even his lovely wife acknowledged as they regaled the inner caucus of their children during a light-hearted moment in the days leading up their 50th anniversary and the 75th birthday of dandy septuagenarian. But then, some health challenges had started to give the intimate couple, who after so long of being together, were still ‘hot’ for each other. Visibly frustrated, Pa James tried to use his experience to counsel his children, and drew guffaws from them as he shared some interesting details – a continuation of the warm, open and transparent manner he raised his children.
At the other end of the spectrum is a yet to be resolved case of a woman not wanting to encourage sexual intimacy with her husband out of an unfounded fear that he might suffer a heart attack and die in ‘active service’ – as one notable female editor used to refer to this unfortunate situation in her popular newspaper column that has been rested. So, the woman chose to ‘switch off’ her libido button, to keep the husband alive.
In a more sexually-liberalised world, and when marital infidelity has become rife, health problems that impinge on sexual intimacy between couples can become a major issue and even threaten a union, if not properly handled with the greater goal of strengthening relationship in mind. Here are some tips…
Stay connected
Being intimate with your partner is one of life’s greatest pleasures. But a long-term health problem can take the joy out of sex. You may not want to have it, can’t get aroused enough, or have trouble reaching orgasm. Knowing what the problem is could be the first step to finding solutions.
Diabetes
High blood sugar damages blood vessels and nerves over time. This can hinder blood flow to your sex organs. Men can have erection and ejaculation problems. Women may have loss of desire, vaginal dryness, painful intercourse, and orgasm troubles. If you control your diabetes, stay active, and eat right, it can help keep sexual and other problems at bay. If they keep happening, tell your doctor about it.
Heart disease
As with diabetes, the problem is blood vessel damage that can lead to sexual problems. And some medications such as those prescribed for high blood pressure, can cause issues as well. Lifestyle changes – your diet and fitness, especially – can make a big difference. If you’ve had a heart attack and worry that sex could trigger another one, ask your doctor about when you can be sexually active again.
Depression
Your mind and body go hand in hand. One of the symptoms of depression can be a drop in your sex drive. Tell your doctor or a therapist if you’ve been feeling down for a while. Treatment, which may include talking with a counsellor, making lifestyle changes, and medications, can help. Some antidepressants can dim desire and lead to erection problems in men. Lowering the dose or switching medications may help.
Cancer
Sex may be the last thing on your mind when you have cancer. But when you are ready to be intimate, the disease and some of the treatments can make that harder to do. Chemotherapy may make you too tired or sick for sex. You might have pain from the cancer. Hormone therapies may affect your sex drive. And some surgeries may affect your body image. Connect in other ways until you’re ready for sex.
Chronic pain
It’s hard to think about sex, let alone do it, if you have pain that won’t quit. If your medications don’t control your pain well, your doctor may need to change the dose or change the drug prescribed. Or the medicine may be the problem. Some pain medications have sexual side effects because they affect your nervous system. Either way, talk to your doctor.
Arthritis
Sore joints and other arthritis symptoms can cramp your sex life. But you can still be intimate and comfortable if you think ahead:
• Plan sex for the time of the day when you normally feel your best.
• Take your pain medicine at least 30 minutes beforehand.
• Support your joints with pillows or rolled sheets.
• Use massage to soothe sore muscles and joints and as foreplay.
• Nap before sex, if tiredness is a problem.
Low testosterone (Low T)
Men who don’t make enough of the male hormone testosterone may find that their sex drive is stuck in neutral. Sometimes, it’s due to a problem in brain areas that tell the testes to make testosterone. Type 2 diabetes and liver or kidney disease also make it more likely. Your doctor may give you a blood test to check for these. Lifestyle changes and taking care of any other conditions you have can help. Some men may need testosterone replacement.
Menopause
Natural menopause, the time in a woman’s life is when oestrogen levels drop and periods have stopped, isn’t a medical condition. But falling oestrogen can cause vaginal drying and thinning. That can make sex hurt. Vaginal moisturizers and lubricants can help. Low-dose oestrogen you put inside your vagina reverses dryness and thinning. If you have bad hot flashes too, hormone replacement therapy may be an option. Talk with your doctor about the pros and cons.
HIV and AIDS
HIV affects your body’s ability to make hormones. This includes testosterone and oestrogen, which can lead to problems with sex and desire. Medications that keep the virus in check can hamper your sex life, too. Protease inhibitors are linked to erectile dysfunction in men. Your doctor may suggest counselling or other treatments.
Multiple sclerosis (MS)
MS affects your nervous system. Sexual desire begins in the brain. It sends messages to the rest of your body via nerves that run down the spinal cord. If MS damages these paths, it can affect movement, arousal, and orgasm. It also can make you tired and give you muscle spasms. But there may be treatments that can help, so tell your doctor what’s going on.
Parkinson’s disease
Because it affects movement, Parkinson’s can make sex tough. It can also bring lack of desire, pain, and orgasm problems. Some of the treatments can cause the opposite problem. Meds that raise levels of a brain chemical called dopamine can make it harder to control your impulses, which for some people can cause problems including sex addiction. Your doctor may need to adjust your dose.
Loss of bladder control
This is more common in seniors, especially women. Extra pressure on your belly during sex may make you leak urine. You may avoid intimacy. Try changing positions and going to the bathroom before sex. Talk to your doctor, as treatment usually can help.
Inflammatory bowel disease (IBD)
If you have Crohn’s disease or colitis, digestive symptoms such as needing to go to the bathroom a lot, pain, and fatigue can all get in the way of sex. It’s important to take your medicines as directed, even when your symptoms aren’t bad, so that you can continue to feel your best. Some people need intestinal surgery to make a way for their stool to collect in a bag worn outside of the body. Support groups or therapy can help you adjust to these changes.
PTSD (Posttraumatic Stress Disorder)
PTSD can happen if you’ve had or seen a scary event like an assault, a bad car wreck, or combat. Symptoms include flashbacks, which feel like you’re reliving the trauma. If you have PTSD, you may feel fear instead of pleasure. A mental health expert with experience in PTSD can help. Talk therapy and medications may treat it successfully.
• Adapted from WebMd.com