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.If so, you can test yourself.Stop drinking or taking other drugs for one month and see112how your sex life is affected.Do not judge your sexual success or failure on the basis of just one encounter.Rather, look at your total record for a month.If you think that a month does not give a full picture, then try sex without alcohol orother drugs for 2 or 3 months.If you cannot stop substance abuse for at leasta month, then most likely you do have a problem.For most men and women,one or two drinks do not interfere with sex.The more you drink, however, themore likely alcohol will interfere with sex.How prescribed drugs, street drugs,and over-the-counter drugs affect sex cannot be known for certain.When You Are Taking Prescribed MedicationsYou should never change or stop taking a prescribed drug without first talkingto your doctor.In most cases, your doctor may be able to change your medicinewithout the change affecting your health.You may think that your sexual problembegan after you started taking a certain drug.If so, then talking to your doctor is certainly worthwhile.Specific SuggestionsYou and your doctor might have agreed either to stop or change your medication.If so, ask your doctor how long the old medication stays in your system, and howlong it takes for the new one to take effect.Do not expect any change until theold medication is out of your system.You should not conclude anything until youhave had sex several times over a period of at least 1 month.You cannot concludeanything after having sex only one or two times.After your doctor has changed your prescription and you have had sex a numberof times, you might still be having problems.If so, then the medication may notbe the problem.At this point, you should talk to your doctor again or concludethat the sexual problem may be a result of other factors.When You Are Experiencing a Chronic IllnessMost of the time with spinal cord injury, not being able to have sex occurs rightaway.If this is the case, it is clear that the injury has caused the problem.With certain diseases, not being able to have sex comes on slowly over a long periodof time.These include diabetes and multiple sclerosis.A slow onset of sexualproblems may also precede cardiovascular disease such as stroke and heart attack.Men may notice that their erections are less firm or that orgasms are less intense.113Women may notice a decrease in vaginal wetness and a decrease in the number of orgasms (see Suggested Readings for more information).Specific SuggestionsIf you have one of these diseases, it is quite likely having an effect on your sex life.However, these diseases by no means condemn you to a life without sex.At worst, you may need to adjust your approach to sex.In most cases, medicaland psychological assistance can help you find a sex life that you can enjoy.It is crucial to follow your doctor’s advice to keep your illness under control as muchas possible.In many cases, controlling the disease can bring back your ability to have sex.The next step is to make sure that conditions for sex are favorable for the mostpart.Also make sure that both you and your partner can accept a sex life that does not exactly match what you enjoyed in the past.Because of your disease, you maybe more open to factors that may interfere with sex.For example, noises or fatigue might interfere with sex now, when they did not before.The best approach is foryou and your partner to accept the changes in sexual functioning.This means totake the attitude “whatever happens, happens.” This approach means you mustenjoy each encounter for what it is and not compare it to past ones.Some people may choose to use a medical method to help them perform better.For men, these include a number of options that range from prescribed drugsto surgical implants.You should discuss the good and bad points of each optionwith a doctor or therapist who has knowledge of them.There are fewer medicaloptions for women.A decrease in vaginal wetness and orgasm may have a medicalcause.One is menopause, and the other is a disease.A doctor can best advise awoman on the use of lubricants or other methods.When You Are Experiencing an Acute Medical ConditionChapter 3 talked about medical factors that can have a direct or an indirect effect on sex.They affect sex only because they make sex less appealing or less comfortable.Most of the time, there are many ways to make sex more enjoyable.It iscrucial to seek out solutions rather than to withdraw and avoid sex.You can tryhaving sex less often.You can try having sex under certain conditions.You mightchange the types of sexual behaviors you enjoy.All of these ways are far betterthan stopping sex entirely.114Specific SuggestionsIf a medical condition is having an indirect effect on your sex life, you shouldfind out about the condition.You can find this information in books and arti-cles or through local support groups.For many of these conditions, there isreading material that can help you adjust to your disease.The latest readingswill discuss sex and give some advice and tips (see Suggested Readings for moreinformation).The first step is to wait until your medical condition is stable and not likely to get worse.During this time, you and your partner must show physical affectiontoward each other.This is a way to be intimate and does not have to lead to sex.Affection can keep you from being isolated [ Pobierz całość w formacie PDF ]
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.If so, you can test yourself.Stop drinking or taking other drugs for one month and see112how your sex life is affected.Do not judge your sexual success or failure on the basis of just one encounter.Rather, look at your total record for a month.If you think that a month does not give a full picture, then try sex without alcohol orother drugs for 2 or 3 months.If you cannot stop substance abuse for at leasta month, then most likely you do have a problem.For most men and women,one or two drinks do not interfere with sex.The more you drink, however, themore likely alcohol will interfere with sex.How prescribed drugs, street drugs,and over-the-counter drugs affect sex cannot be known for certain.When You Are Taking Prescribed MedicationsYou should never change or stop taking a prescribed drug without first talkingto your doctor.In most cases, your doctor may be able to change your medicinewithout the change affecting your health.You may think that your sexual problembegan after you started taking a certain drug.If so, then talking to your doctor is certainly worthwhile.Specific SuggestionsYou and your doctor might have agreed either to stop or change your medication.If so, ask your doctor how long the old medication stays in your system, and howlong it takes for the new one to take effect.Do not expect any change until theold medication is out of your system.You should not conclude anything until youhave had sex several times over a period of at least 1 month.You cannot concludeanything after having sex only one or two times.After your doctor has changed your prescription and you have had sex a numberof times, you might still be having problems.If so, then the medication may notbe the problem.At this point, you should talk to your doctor again or concludethat the sexual problem may be a result of other factors.When You Are Experiencing a Chronic IllnessMost of the time with spinal cord injury, not being able to have sex occurs rightaway.If this is the case, it is clear that the injury has caused the problem.With certain diseases, not being able to have sex comes on slowly over a long periodof time.These include diabetes and multiple sclerosis.A slow onset of sexualproblems may also precede cardiovascular disease such as stroke and heart attack.Men may notice that their erections are less firm or that orgasms are less intense.113Women may notice a decrease in vaginal wetness and a decrease in the number of orgasms (see Suggested Readings for more information).Specific SuggestionsIf you have one of these diseases, it is quite likely having an effect on your sex life.However, these diseases by no means condemn you to a life without sex.At worst, you may need to adjust your approach to sex.In most cases, medicaland psychological assistance can help you find a sex life that you can enjoy.It is crucial to follow your doctor’s advice to keep your illness under control as muchas possible.In many cases, controlling the disease can bring back your ability to have sex.The next step is to make sure that conditions for sex are favorable for the mostpart.Also make sure that both you and your partner can accept a sex life that does not exactly match what you enjoyed in the past.Because of your disease, you maybe more open to factors that may interfere with sex.For example, noises or fatigue might interfere with sex now, when they did not before.The best approach is foryou and your partner to accept the changes in sexual functioning.This means totake the attitude “whatever happens, happens.” This approach means you mustenjoy each encounter for what it is and not compare it to past ones.Some people may choose to use a medical method to help them perform better.For men, these include a number of options that range from prescribed drugsto surgical implants.You should discuss the good and bad points of each optionwith a doctor or therapist who has knowledge of them.There are fewer medicaloptions for women.A decrease in vaginal wetness and orgasm may have a medicalcause.One is menopause, and the other is a disease.A doctor can best advise awoman on the use of lubricants or other methods.When You Are Experiencing an Acute Medical ConditionChapter 3 talked about medical factors that can have a direct or an indirect effect on sex.They affect sex only because they make sex less appealing or less comfortable.Most of the time, there are many ways to make sex more enjoyable.It iscrucial to seek out solutions rather than to withdraw and avoid sex.You can tryhaving sex less often.You can try having sex under certain conditions.You mightchange the types of sexual behaviors you enjoy.All of these ways are far betterthan stopping sex entirely.114Specific SuggestionsIf a medical condition is having an indirect effect on your sex life, you shouldfind out about the condition.You can find this information in books and arti-cles or through local support groups.For many of these conditions, there isreading material that can help you adjust to your disease.The latest readingswill discuss sex and give some advice and tips (see Suggested Readings for moreinformation).The first step is to wait until your medical condition is stable and not likely to get worse.During this time, you and your partner must show physical affectiontoward each other.This is a way to be intimate and does not have to lead to sex.Affection can keep you from being isolated [ Pobierz całość w formacie PDF ]