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	<title>Kinsey Confidential &#187; depression</title>
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	<link>http://kinseyconfidential.org</link>
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		<copyright>2006-2007 </copyright>
		<managingEditor>aschweig@indiana.edu (Kinsey Confidential)</managingEditor>
		<webMaster>aschweig@indiana.edu (Kinsey Confidential)</webMaster>
		<category>posts</category>
		<ttl>1440</ttl>
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		<itunes:summary>Just another WordPress weblog</itunes:summary>
		<itunes:author>Kinsey Confidential</itunes:author>
		<itunes:category text="Society &amp; Culture"/>
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			<itunes:name>Kinsey Confidential</itunes:name>
			<itunes:email>aschweig@indiana.edu</itunes:email>
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		<itunes:block>No</itunes:block>
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			<title>Kinsey Confidential</title>
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		<item>
		<title>Q&amp;A: Does Depression Contribute To Erectile Problems?</title>
		<link>http://kinseyconfidential.org/depression-contribute-erectile-problems/</link>
		<comments>http://kinseyconfidential.org/depression-contribute-erectile-problems/#comments</comments>
		<pubDate>Mon, 14 Dec 2009 14:00:32 +0000</pubDate>
		<dc:creator>Dr. Debby Herbenick (M.P.H., Ph.D.)</dc:creator>
				<category><![CDATA[Content Type]]></category>
		<category><![CDATA[Pleasure & Orgasm]]></category>
		<category><![CDATA[Podcast]]></category>
		<category><![CDATA[aids]]></category>
		<category><![CDATA[condoms]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[erectile problems]]></category>
		<category><![CDATA[erection]]></category>
		<category><![CDATA[HIV]]></category>
		<category><![CDATA[orgasm]]></category>
		<category><![CDATA[sexual problems]]></category>
		<category><![CDATA[sexuality]]></category>

		<guid isPermaLink="false">http://kinseyconfidential.org/?p=1295</guid>
		<description><![CDATA[Researchers have found that even mild depression can interfere with men’s and women’s sexual experiences. Depression can contribute to problems with desire, erections and ease of orgasm. When people feel depressed, they may more easily allow distracting thoughts to get in the way of their arousal, which can contribute to erectile problems.]]></description>
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		<slash:comments>0</slash:comments>
		<enclosure url="http://wfiu.indiana.edu/podcasts/audio/kinsey/09/2109-depression-erection.mp3" length="1523295" type="audio/mpeg"/>
<itunes:duration>3:10</itunes:duration>
		<itunes:subtitle>Yes, the mind-body connection is absolutely important when it comes to menrsquo;s and womenrsquo;s experience of sexuality. Thatrsquo;s not to say that physical problems in ...</itunes:subtitle>
		<itunes:summary>Yes, the mind-body connection is absolutely important when it comes to menrsquo;s and womenrsquo;s experience of sexuality. Thatrsquo;s not to say that physical problems in and of themselves donrsquo;t get in the way of sex or cause sexual problems. It is certainly possible that your blood pressure problems are contributing to your erectile problems.
Depression Can Affect Desire
However, the mind is important too. Time and again, researchers have found that even mild depression can interfere with menrsquo;s and womenrsquo;s sexual experiences. Depression can contribute to problems with desire, erections and ease of orgasm.

When people feel depressed, they may more easily allow distracting thoughts to get in the way of their arousal, which can contribute to erectile problems. If you find yourself saying negative things to yourself about your body, your sexuality, your fantasies or yourself more generally, these may be important to pay attention to.
HIV/AIDS Transmission
You also made a point to mention that your concern or anxiety about HIV/AIDS has gotten in the way of your being able to pursue a sexual relationship with another person. If you want to be intimate with another person, then it may be important for you to find a way to overcome this anxiety ndash; to realize that through careful decision making one can greatly reduce their risk of HIV or sexually transmissible infections (STI).

For example, you and a partner could use condoms for oral, vaginal or anal sex. You and a partner could also agree to get tested together for HIV and other STIs prior to being sexual together.nbsp;In addition, you could be careful to only engage in low risk sexual activities together until you feel more comfortable and confident with each otherrsquo;s HIV status and testing.

In short, you may be able to find ways of managing your anxiety around HIV transmission so that you can pursue a satisfying, healthy relationship with another adult. Yes, there is risk involved in sex ndash; but it is also risky to remain isolated and alone if what you want is to connect with another human being.
More Information
You may find it helpful to meet with a therapist who can help you to manage issues related to depression or anxiety as well as your sexual concerns. You can find a trained sex therapist through the American Association of Sex Educators, Counselors and Therapists at www.aasect.org.</itunes:summary>
		<itunes:keywords>Content,Type,,Pleasure,,Orgasm,,Podcast</itunes:keywords>
		<itunes:author>aschweig@indiana.edu</itunes:author>
		<itunes:explicit>no</itunes:explicit>
		<itunes:block>No</itunes:block>
	</item>
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		<title>Q&amp;A: My Husband Stopped Sleeping With Me</title>
		<link>http://kinseyconfidential.org/husband-stopped-sleeping-with-me/</link>
		<comments>http://kinseyconfidential.org/husband-stopped-sleeping-with-me/#comments</comments>
		<pubDate>Mon, 30 Mar 2009 14:00:04 +0000</pubDate>
		<dc:creator>Dr. Debby Herbenick (M.P.H., Ph.D.)</dc:creator>
				<category><![CDATA[Content Type]]></category>
		<category><![CDATA[Podcast]]></category>
		<category><![CDATA[Relationships & Love]]></category>
		<category><![CDATA[Special]]></category>
		<category><![CDATA[flagged - still needs some edits]]></category>
		<category><![CDATA[anxiety]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[desire]]></category>
		<category><![CDATA[erection problems]]></category>
		<category><![CDATA[intimacy]]></category>
		<category><![CDATA[lack of sex]]></category>
		<category><![CDATA[marriage]]></category>
		<category><![CDATA[relationship issues]]></category>
		<category><![CDATA[sex therapy]]></category>

		<guid isPermaLink="false">http://wfiutest.rtv.indiana.edu/?p=912</guid>
		<description><![CDATA[It can feel confusing and frustrating to want to be sexually intimate with one’s partner and for that partner to decline invitations to have sex. People stop having sex for many reasons and it is impossible for us to know why your husband stopped having sex with you.]]></description>
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		<slash:comments>0</slash:comments>
		<enclosure url="http://wfiu.indiana.edu/podcasts/audio/kinsey/09/1403-kinsey-sexless-marriage.mp3" length="1598105" type="audio/mpeg"/>
<itunes:duration>3:19</itunes:duration>
		<itunes:subtitle>Irsquo;m sorry to hear about this drastic change in your sex life. It can feel confusing and frustrating to want to be sexually intimate with ...</itunes:subtitle>
		<itunes:summary>Irsquo;m sorry to hear about this drastic change in your sex life. It can feel confusing and frustrating to want to be sexually intimate with onersquo;s partner and for that partner to decline invitations to have sex.

This can feel particularly upsetting when itrsquo;s unclear why sex has stopped. After all, how can you fix a relationship problem if you donrsquo;t understand how it started in the first place, or the reasons behind it now?
Many Possible Reasons
People stop having sex for many reasons and it is impossible for us to know why your husband stopped having sex with you.

Since it seems as though the two of you have discussed the possibility of him seeing a doctor in regard to the lack of sex, I wonder if you noticed physical problems ndash; such as difficulties with erections ndash; that might be contributing to the lack of sex.

Sometimes men begin to notice erection problems during sex with a partner, or even during their own masturbation, and they begin to shy away from sex for fear of failure.

Other times men, like some women, may choose to stop having sex because they lose desire for sex. Desire can decrease for any number of reasons including relationship problems or health problems.

Even if your husband doesnrsquo;t want to talk to a doctor about his sex life, I wonder if he could be encouraged to see a doctor for an annual wellness exam in case he has any health conditions that should be addressed.

Whether his choice to stop having sex is related to physical problems, anxiety, depression, or relationship issues is anyonersquo;s guess. However, sexual intimacy is clearly important to you and you have a right to understand more about these changes to your sexual life and marriage.
Consider Therapy or Counseling
You might ask your husband if he would consider going with you to meet with a sex therapist or marriage counselor.

Perhaps reassure him ndash; and mean it ndash; that your goal is to work on becoming closer and strengthening your marriage, rather than being to get him to have sex. After all, if you can get your relationship intimacy back on track, you may have a chance ndash; over time ndash; of restoring your sex life.

You can find a sex therapist through the web site of the Society for Sex Therapy and Researching, and you can locate marriage therapists through the web site of the American Association of Marriage and Family Therapists.
Further Reading
Finally, consider reading The Seven Principles for Making Marriage Work by Dr. John Gottman.</itunes:summary>
		<itunes:keywords>Content,Type,,Podcast,,Relationships,,Love,,Special,,flagged,-,still,needs,some,edits</itunes:keywords>
		<itunes:author>aschweig@indiana.edu</itunes:author>
		<itunes:explicit>no</itunes:explicit>
		<itunes:block>No</itunes:block>
	</item>
		<item>
		<title>&#8220;Post-Abortion Syndrome&#8221; &#8211; Do Abortion And Depression Go Together?</title>
		<link>http://kinseyconfidential.org/post-abortion-syndrome-depression/</link>
		<comments>http://kinseyconfidential.org/post-abortion-syndrome-depression/#comments</comments>
		<pubDate>Thu, 11 Dec 2008 10:13:57 +0000</pubDate>
		<dc:creator>Natalie Ingraham (M.P.H.)</dc:creator>
				<category><![CDATA[Blog Post]]></category>
		<category><![CDATA[Content Type]]></category>
		<category><![CDATA[Sex Research]]></category>
		<category><![CDATA[abortion]]></category>
		<category><![CDATA[abortion syndrome]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[evidence]]></category>
		<category><![CDATA[john hopkins university]]></category>
		<category><![CDATA[mental health problems]]></category>
		<category><![CDATA[psychological distress]]></category>
		<category><![CDATA[sex research]]></category>
		<category><![CDATA[unwanted pregnancy]]></category>

		<guid isPermaLink="false">http://www.kinseyconfidential.org/2008/12/11/do-abortion-and-depression-go-hand-in-hand/</guid>
		<description><![CDATA[According to researchers at John Hopkins University, there is no scientific evidence that abortion causes psychological distress, or a "post-abortion syndrome," also including that efforts to show abortion does cause negative mental health outcomes appear to be politically motivated.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Viagra And Sexual Side Effects Of Antidepressants</title>
		<link>http://kinseyconfidential.org/viagra-sexual-side-effects-antidepressants/</link>
		<comments>http://kinseyconfidential.org/viagra-sexual-side-effects-antidepressants/#comments</comments>
		<pubDate>Wed, 23 Jul 2008 15:53:55 +0000</pubDate>
		<dc:creator>Dr. Debby Herbenick (M.P.H., Ph.D.)</dc:creator>
				<category><![CDATA[Blog Post]]></category>
		<category><![CDATA[Content Type]]></category>
		<category><![CDATA[Sex Research]]></category>
		<category><![CDATA[antidepressants]]></category>
		<category><![CDATA[arousal]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[julia heiman]]></category>
		<category><![CDATA[kinsey institute]]></category>
		<category><![CDATA[lubrication]]></category>
		<category><![CDATA[orgasm]]></category>
		<category><![CDATA[sex research]]></category>
		<category><![CDATA[sexual side effects]]></category>
		<category><![CDATA[viagra]]></category>

		<guid isPermaLink="false">http://www.kinseyconfidential.org/2008/07/23/viagra-may-counteract-sexual-side-effects-of-antidepressants/</guid>
		<description><![CDATA[Between 40 and 60% of women taking SRIs, a common type of anti-depressants, experience sexual side effects, including loss of arousal, lubrication and orgasm problems.  Researchers, including Dr. Julia Heiman of The Kinsey Institute, found that women given Viagra were more likely to report improvement in sexual functioning than those on a placebo.]]></description>
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		<slash:comments>0</slash:comments>
		</item>
		<item>
		<title>Q&amp;A: Anti-Depressants, Sexual Side-Effects &amp; Ability To Orgasm</title>
		<link>http://kinseyconfidential.org/anti-depressants-sexual-side-effects-ability-orgasm/</link>
		<comments>http://kinseyconfidential.org/anti-depressants-sexual-side-effects-ability-orgasm/#comments</comments>
		<pubDate>Thu, 08 May 2008 14:00:54 +0000</pubDate>
		<dc:creator>Dr. Debby Herbenick (M.P.H., Ph.D.)</dc:creator>
				<category><![CDATA[Content Type]]></category>
		<category><![CDATA[Pleasure & Orgasm]]></category>
		<category><![CDATA[Podcast]]></category>
		<category><![CDATA[alternative therapies]]></category>
		<category><![CDATA[antidepressants]]></category>
		<category><![CDATA[anxiety]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[desire]]></category>
		<category><![CDATA[female orgasm]]></category>
		<category><![CDATA[female sexuality]]></category>
		<category><![CDATA[high blood pressure]]></category>
		<category><![CDATA[orgasm]]></category>
		<category><![CDATA[sexual side effects]]></category>

		<guid isPermaLink="false">http://www.kinseyconfidential.org/2008/05/08/qa-anti-depressants-and-the-ability-to-reach-orgasm/</guid>
		<description><![CDATA[QUESTION: I’m being treated for depression but I’m worried that the antidepressant may ruin my sex life.  Is it true that medications can keep you from having orgasms?]]></description>
		<wfw:commentRss>http://kinseyconfidential.org/anti-depressants-sexual-side-effects-ability-orgasm/feed/</wfw:commentRss>
		<slash:comments>0</slash:comments>
		<enclosure url="http://podcastdownload.npr.org/anon.npr-podcasts/podcast/385/510276/90267613/WFIU_90267613.mp3" length="1434272" type="audio/mpeg"/>
<itunes:duration>2:51</itunes:duration>
		<itunes:subtitle>Yes, some medications do have what we call sexual side effects. They are particularly common among some, but not all, anti-depressants although other medications such ...</itunes:subtitle>
		<itunes:summary>Yes, some medications do have what we call sexual side effects. They are particularly common among some, but not all, anti-depressants although other medications such as certain medications for high blood pressure, pain relief and allergies may have sexual side effects too.
Ability To Orgasm
These side effects may affect a man or womanrsquo;s ability to have an orgasm, ease of having an orgasm, desire, arousal or ejaculation.

That said, not every drug affects everyone in the same way, and some antidepressants have fewer or different side effects than others. It is important to talk with your healthcare provider about any concerns you may have.

In addition, patients are generally advised not to stop taking a medication without first consulting with their healthcare provider.
Anxiety And Depression Also Factors
Bear in mind, though, that medication is not always the culprit when it comes to sex.  In fact, the problems the drugs are prescribed for, such as anxiety or depression, can also put a damper on sexual interest or function.  Manufacturers of various drugs now list possible sexual side effects in instructions and ads ndash; a big change from years past.
Sexual Side Effects, Dosage and Alternative Therapies
Nonetheless, have a conversation with your healthcare provider about your concerns.  Ask if the drug is known to have sexual side effects.  You may not want to reject a recommended prescription until yoursquo;ve tried it.  It may not affect your libido or orgasms at all, and may give you emotional relief to enjoy your relationship and sexual interactions.

Also, you might ask if the dosage can be adjusted or how much time to give yourself to test the benefits and the side effects.

If you are already in treatment and are experiencing loss of sexual function or pleasure, discuss alternative therapies or ways to compensate for the effects.  Sometimes couples find that they can adjust their foreplay, or sexual sharing, in ways that work for them.

Adapt a ldquo;proactiverdquo; stance in working with your healthcare provider  - and your partner, if you have one - to find a path most conducive to your health, sexual functioning, and well-being.</itunes:summary>
		<itunes:keywords>Content,Type,,Pleasure,,Orgasm,,Podcast</itunes:keywords>
		<itunes:author>aschweig@indiana.edu</itunes:author>
		<itunes:explicit>no</itunes:explicit>
		<itunes:block>No</itunes:block>
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