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Question:
My wife and I have been married for 21 years. The past four months my wife says she has lost her sexual desire, although we had sex in the last month and I brought her to orgasm. She is 43. I don't think it is the start of menopause because she is too young. She says she is feeling depressed and having mood swings. Her lost desire has been causing problems and tension within our marriage. I talked to her about getting help for this problem, but she does not want to. I don't know what to do. How can I do to handle the situation?

Answer:
by Joy Davidson:
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You've stated that your wife is depressed, which would certainly account for her loss of libido. Appetites (sexual and otherwise), sleep patterns and concentration can all be impaired by depression. However, clinical depression is a serious condition which should never be diagnosed or treated by husbands, lovers, friends--or advice columnists. Your wife should see a professional in person. You can encourage her to do so while offering support in the form of patience, understanding, affection, and acknowledgement that your priority is her emotional well-being--not your own sex life. Consider the possibility that tensions within your marriage have led to your wife’s depression and loss of interest in sex, not the other way around. Separating the chicken from the egg here is the job of a pro. If your wife won’t see someone by herself, offer to go with her. You might be surprised and benefited by the outcome. And just to complicate matters further, be aware that 43 is not too young to experience the onset of mid-life hormonal changes. The transition is a process, not an event -- and it can take up to ten years. During the first phase, known as "perimenopause", women begin to experience an array of marked symptoms that can include irregular periods, mood swings, dips in sexual desire, hot flashes, vaginal dryness and sleeplessness. There are as many ways to cope with these changes as there are approaches to medicine. Options include herbs, vitamins, hormones, exercise, meditation, and diet. If you’d like to learn more, pick up “No, It's Not Hot in Here: A Husbands Guide to Understanding Menopause” by Dick Roth.

Reviewed by: Kathleen VanKirk DHS

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