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Dr Karthiyayini

Dr Karthiyayini Mahadevan  |920 Answers  |Ask -

General Physician - Answered on Mar 27, 2024

Dr Karthiyayini Mahadevan has been practising for 30 years.
She specialises in general medicine, child development and senior citizen care.
A graduate from Madurai Medical College, she has DNB training in paediatrics and a postgraduate degree in developmental neurology.
She has trained in Tai chi, eurythmy, Bothmer gymnastics, spacial dynamics and yoga.
She works with children with development difficulties at Sparrc Institute and is the head of wellness for senior citizens at Columbia Pacific Communities.... more
Asked by Anonymous - Feb 20, 2024Hindi
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Mam can woman have sex after menopause. she is at 45 now

Ans: Yes
Menopause is another phase of womanhood. There may be dryness, depression as part of menopausal symptoms which need to be addressed through proper understanding and support
DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.
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Relationships Expert, Mind Coach - Answered on Mar 17, 2023

Asked by Anonymous - Mar 15, 2023Hindi
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Hi Anu !! I am 53 year & my wife is 52 years. She underwent a surgery in 2021 for removal of a simple ovarian cyst and was back to normal routine after few months. However, we are not able to have sexual intercourse since then due to it being extremely painful for her. She has also lost all interest in sex & we try it occasionally only upon my insistence. Prior to her surgery, we had a rocking sex life but now it has come to an abrupt end & it feels very depressing at times, particularly for me. Life seems lack-lusture now. Is it normal or we need to have some medical or psychological intervention. My wife says we are now anyway too old to expect frequent sexual encounters as before. She had her menopause about 3 years back. Pls help, I am confused, just like teenagers are when they are at the doorsteps of adulthood.
Ans: Dear Anonymous,
Two things strike me as I read what you have shared.
1. The effects of the surgery and medications that are possibly not making intercourse a pleasure
2. The effects of menopause which she possibly is undergoing that can temporarily deter the body from being active for any form of sexual intimacy

So, isn't it fair to actually focus on her as she is dealing with two major challenges at this point in time? I do understand that as a man, the way the body works is not at the same pace as it is for a woman. That's how there is a mismatch during key phases of life; childbirth, menopause, illness...
For a woman, her body will cooperate for any form of intimacy only if she 'feels' it from within...with pain and physiological changes during menopause due to hormonal his and lows, it is a challenge.
Work together as a couple on this; understand what is going on with her and what she 'feels'

Address the 'feeling' part and you will get answers to what's going on with her mind and body. Is consulting an option? Yes, it is but after you have tried working together on this. Sometimes, it is good to rule out any medical issues that is causing her to still have pain or a fear due to that pain can be eliminated by working with a mental health professional. Also a Mind Expert, will be able to work on her beliefs on intimacy, sex etc after a certain age...
One can be sexually active as long as they wish to, but it need not be cut short due to health issues or belief issues. Be compassionate as you speak with her and I am sure, things will get better...

All the best!

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Kanchan

Kanchan Rai  |295 Answers  |Ask -

Relationships Expert, Mind Coach - Answered on Dec 24, 2023

Asked by Anonymous - Dec 23, 2023Hindi
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Hii, I am a married man aged 54 years. My wife is aged 50 years. she has undergone menopause about a year ago. Since then her sexual desire has finished and she is not at all interested in sex. On the other hand, I am sexually active having urge for sex. We have't had sex for last more than six months. I am now getting restless. My friend has suggested that I should go for paid sex to satisfy my urge, but I feel it will be like cheating on my wife who has been faithful to me for the whole life. I am in a fix. Please advice,
Ans: Dear Anonymous,
I understand that your situation is challenging and can be emotionally difficult. It's important to approach such matters with sensitivity and communicationTalk to your wife openly and honestly about your feelings and desires. It's crucial to have a calm and non-confrontational conversation. Express your needs and concerns while also being empathetic to her perspective. Menopause can lead to changes in a woman's libido due to hormonal shifts. It may be beneficial for your wife to consult with a healthcare professional to discuss her symptoms. There could be medical interventions or lifestyle changes that may helpWhile sex is an important aspect of a relationship, intimacy can take many forms. Explore other ways to connect emotionally and physically that don't necessarily involve sexual activity. This may help strengthen your bond with your wife If you find it challenging to cope with your own feelings and desires, seeking individual counseling for yourself could be beneficial. A counselor can provide support and help you navigate your emotions. If both you and your wife are open to it, you might discuss the possibility of finding a solution that respects both of your needs and boundaries. This could involve finding a compromise or an arrangement that works for both parties Remember, every relationship is unique, and there is no one-size-fits-all solution. The key is to communicate openly, seek understanding, and work together to find a resolution that respects both partners' feelings and needs.

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