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Antipsychotics eg, olanzapine or risperidone Antiepileptics lamotrigine, gabapentin, and topiramate Antihypertensives: Whenever possible, medications that cause symptomatic sexual dysfunction should be replaced to improve sexual functioning. The odds of being polymedicated also increase with advanced age, and common medication interactions tend to occur more often in the elderly population. It is important for physicians to provide the opportunity to discuss these topics with their elderly patient population. I worry that my pelvic floor is going to cave in like a Chilean mine.

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But I have to find out, as every woman does.

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Surgery and its contribution to sexual function should not be ignored. These disorders are subclassified as hypoactive sexual desire disorder HSDDsexual aversion, female sexual arousal disorder, female orgasmic disorder, and sexual pain disorder, encompassing dyspareunia and vaginismus. The incidence of sexual dysfunction in women with hypothyroidism is unknown. Orgasmic disorder is the persistent or recurrent difficulty, delay in, or absence of attaining orgasm following sufficient sexual stimulation and arousal that also causes personal distress. Alternatively, orgasms may be experienced before the maximum arousal, and further orgasms may occur at peak arousal and during its very gradual resolution. As much as they seem to care, they are here for the same thing I want. Chronic disease also interferes indirectly with sexual function by altering relationships and self-image and causing fatigue, pain, disfigurement, and dependency.

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