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Re: no sex drive or orgasms

From: anonymous@obgyn.net
Wed, 26 Jan 2000 23:14:04 -0600 (CST)


At Wed, 26 Jan 2000, D. wrote: >
>At Wed, 26 Jan 2000, anonymous@obgyn.net wrote:
>
> The overwhelming
>>majority of sexual dysfunction is transient and self-limited, both in
>>males and females, and is much more likely to be the result of fatigue,
>>depression, anxiety, situation, anger, fear, etc. than it is to be the
>>result of diabetes, hypertension, neurologic dysfunction, surgery,
>>medication, etc.
>
>I hate to jump in mid-stream, but Dr. Mcintosh's comments are very much
>in line with my experience treating patients over the past 10 years. The
>top instigating factors for diminished libido in my practice are fatigue
>and stress, followed by relationship issues. There are also physical
>factors that can lead to decreased libido in women, including diminished
>estrogen, decreased testosterone, medication usage, prior chemotherapy
>or radiation therapy, or diminished blood flow to the pelvic organs.
>However, regardless of the latest "hot" research on viagra, I sincerely
>doubt that decreased pelvic blood flow will ever be in the top 5 causes
>of diminished libido. If this turns out to be the case in your
>situation then you may be better off as part of a research protocol,
>since those doctors will have the most experience with this condition.
>However, I would respectfully suggest that you at least consider all the
>other possible causes of diminished libido.
>
>I have been a part of this forum since it's inception, and have found
>that some folks will post a question but already know the answer they
>want to hear. When a doctor responds but it is not the "right" answer,
>the flames begin. The doctors on this forum (and in offices and
>hospitals) do not always have the right answer, and sometimes make
>mistakes. It is certainly unwise to take health advice from anyone over
>the Internet without also adding your own investigation. However, after
>reading Dr. McIntosh's response, I see nothing that should have led to
>such a stringent response by you. He was being sincere, answered based
>on significant clinical experience, and has volunteered his time to help
>you and others. If you do not agree, fine. You are free to seek the
>services of a local gynecologist or an academic center.
>
>--
>David Ashley Hill, MD
>Associate Director
>Department of Obstetrics and Gynecology
>Florida Hospital Family Practice Residency
>http://home.mpinet.net/dahmd
>
>My apologies, but due to time constraints I am unable to answer private e-mails.

Hi!

I believe this snippet of the response by Dr. Mc Intosh was an answer to my post. I would like to comment on Dr Hill's response to it. I was talking only about what I have read about erectile dysfunction in males, not about libido or anything to do with females. I also hope my post was not considered a "flame" because it definitely was not intended to be. I thought I was adding to the discussion. Maybe my saying I didn't want to contradict the doctor was taken as sarcasm, if so I apologize for what may have been a poor choice of words.

Chris S.




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