5 Things Your Doctor Didn't Tell You About Sex

By Lauren Streicher, MD

If you are like 97% of women, your annual visit has come and gone and for the third year in a row, despite the fact that your doctor asked you if you had any other concerns or questions, you just couldn’t bring yourself to spit out that one question you really wanted to ask. You just wish it wasn’t up to you to bring up that you can't have an orgasm , sex hurts like hell and what about that funny odor? No wonder you have no libido and no little pink pill is going to fix it.

Well, problem solved.  Sex Rx: Hormones, Health, and Your Best Sex Ever, speaks to women about the physical, hormonal and medical aspects of maintaining all aspects of peak sexual health with up to date information (OK, the now out of date libido section says that flibanserin might get approved! humor, and best of all, no stirrups.

The goal of Sex Rx is help you achieve “SexABILITY,” my term for the ability to enjoy fulfilling, exciting sex by working with, if not overcoming, your body’s unique challenges. Just because you didn't get a solution to your problem at your last doctor visit doesn't mean there isn't one.

For example, did you know…

1. Your diabetes may be getting in the way of your ability to have an orgasm. Your doctor asked about decreased sensation in your feet, but he or she didn’t mention that your clitoris might also be a little numb from vascular or neurologic changes that commonly occur with diabetes.

2. Your vibrator won’t mess with your pacemaker. No way do you want to tell your cardiologist that you are terrified that sex with your regular partner “Bob” (AKA Battery Operated Boyfriend) will cause a pacemaker malfunction. Rest assured, clitoral or vaginal vibration will not unpace your pacemaker.

3. Your birth control pills can dry up your vagina. You know that menopause is years away, yet lately, even though you are totally in the mood, your vagina is more like the Sahara desert than the waterfall it used to be. While it’s not typical, around 3 percent of the population has this distressing side affect from hormonal contraception.

4. A headache with an orgasm may be a sign of a serious problem. You mentioned your bad headache to your doc, but neglected to mention that, oh, by the way, the really bad headache is simultaneous with an orgasm.  That’s one you want to check out sooner rather than later since 4 to 12 percent of patients with a sub-arachnoid hemorrhage report that a severe headache at the time of climax was their first indication of a problem.

5. The recurrent vaginal infections may be because you use Vaseline as a lubricant.Vaseline makes your chapped lips feel so much better that it stands to reason it would be the perfect product to keep your other lips moist as well. Unfortunately, Vaseline has been shown to double the chance of bacterial vaginosis, the most common cause of odor and irritating vaginal discharge.

 Sex Rx speaks to all women who struggle with physical or hormonal issues related to sexual function — menopause, incontinence, stress, chronic lack of sleep — as well as medical conditions such as heart disease, diabetes, cancer, and more. No it won't help you fix your broken relationship, but it will help you fix your broken vagina.

Updated August 21, 2015. Original published Apr 9, 2014 EveryDay Health