alt.sex.column: The new 49

Pub date September 22, 2009
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SectionSex Blog

By Andrea Nebmerson. View more alt.sex.columns here.

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andrea@mail.altsexcolumn.com

Dear Andrea:


I’ve always had a pretty good sex life, with no problems getting it up or keeping it up, until recently. I’m now 59 and suddenly, even a la Viagra, it’s just about impossible. It is even difficult for me to get an erection masturbating. I had my doctor give me a whole series of tests and everything seems OK, so I am mystified. Perhaps it is just age (whatever that means, since I have been and remain quite athletic)? Any thoughts or clues? Or is my sex life pretty much over with?

Love,

Feeling Down

Dear Down:

I’m feeling a little down too, just reading this. No way should your sex life just be over, and no way should we assume that that bunch of tests was testing for the right things. As much as we (the sex educator "we") often direct help-seekers right back to their medical providers, medical providers frankly kind of suck at solving sex problems.

Did the doctor test your testosterone? Did s/he check it more than once? Did you get a prostate exam? How about your blood sugar? Are you on beta-blockers or similar for high blood pressure? And, perhaps most important, did s/he send you on for a cardio work-up? I don’t want to scare you, but inability to get blood to the pelvis may be indicative of inability to get blood circulating nicely everywhere else, and that’s never good.

There is much discussion lately of desire disorders, the sudden (media) prevalence of which is a bit mysterious, not to mention a bit subjective. One person’s desire disorder is another’s normal sex drive, and refreshing as it has been to see women’s sexuality taken seriously, there may be a bit of — dare I call it hysteria?- around women and desire going on out there. But more on all that later. This sounds physical.