Sexual health workshop - part one

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Desire for sex, sex drive, or libido - whatever you choose to call it - is one of the strongest urges experienced by humans

Why we get turned on

Sex drive varies considerably from person to person, and each individual can experience changes in their sex drive from time to time. Some people are driven by a powerful libido that fuels sexual activity at least once a day. For others, sex drive is low-key and is satisfied by sexual intimacy occurring less than once a month.

Sexologists describe two main types of sex drive:

  • Physical libido: the aggressive, testosterone-dominant sex drive, in which there is a drive to find a sexual mate

  • Psychological libido: the receptive, oestrogen-dominant sex drive, in which there is a passive willingness to accept the sexual overtures of a potential mate

    There is a little of each drive in everyone. Men are said to reach their peak physical sex drive in their teens, while their psychological sex drive peaks after the age of 50 when testosterone levels fall. Women are said to reach their physical sexual peak in their thirties or forties while their psychological sex drive reaches its maximum, like men, in their fifties.

    It is easy to take your sex drive for granted when it is working normally and helping you maintain a healthy, loving relationship. When it fails, however, it can have a devastating effect on your life. Low sex drive is common. Surveys suggest it affects 20 per cent of the population at any one time, including 30 per cent of middle-aged women, 60 per cent of stressed executives, over 70 per cent of postmenopausal women and 80 per cent of new mothers.

    Top turn-offs

    Loss of sex drive may be due to a variety of reasons, and the most common culprits are:

  • Anxiety, stress and overwork
  • Lack of exercise and physical unfitness
  • Tiredness and lack of energy
  • Being overweight
  • Pregnancy and breast-feeding
  • Depression
  • Side-effects of some drugs - including the oral contraceptive Pill
  • Hormonal changes during menopause

    You and your sex drive

    Everyone has a different sex drive, and this can vary significantly from person to person and from time to time. As long as you and your partner are both happy with the frequency at which you make love, you should consider your sex drive to be normal for you. However, if one partner develops a lower sex drive, while that of their partner remains unchanged, this can cause problems in a relationship; often leaving the partner with the lower libido feeling pressurised, and the other feeling neglected or unloved.

    For women, a regular sex life seems to help an irregular menstrual cycle and reduce symptoms of PMS. Interestingly, research in the US suggests that women who have regular sex every week (except during menstruation) tend to be more fertile, with oestrogen levels about twice as high as those who are less sexually active. This seems to be especially important around the menopause, as women having regular sex experience less hot flushes and tend to age more slowly than those who do not have sex at least once a week.

    Sexual activity is also good for keeping the pelvic floor muscles toned, as well as improving general fitness.

    It is easy to take your sex drive for granted in helping to maintain a healthy, loving relationship. When it fails however, it can have a devastating effect on your life.

    Help for low sex drive

    It can be embarrassing to talk about low libido but there are several things you can try before plucking up the courage to seek medical help.

    Lifestyle changes

    Several diet and lifestyle changes can help toincrease your sex drive - especially where this is due to stress, tiredness, lack of fitness or overwork:

  • Slowly lose any excess weight through a sensible healthy eating plan
  • Take regular, brisk exercise for at least 30 minutes a day to increase levels of testosterone - don't over-train, however, as this can have the opposite effect
  • Reduce stress levels, as high stress triggers hormone changes that can switch sex drive off
  • Avoid excess alcohol
  • Avoid smoking cigarettes - they can lower oestrogen levels and reduce sex drive
  • Take regular time out to relax
  • Ensure you get plenty of sleep
  • Spend quality time with your partner, sharing fun experiences that help to draw you closer together

    Now you have got to the roots of what really turns you on, find out how to boost your sex drive in Part Two of the Sexual Health Workshop.

    Dr Sarah Brewer is the author of Increase Your Sex Drive - the Amazing Power of Supplements, Herbs and Instant Aphrodisiacs (Thorsons £7.99).