Often people wait a long time before seeking medical care for a sexual problem either because they are embarrassed or because they are not taking it seriously and that can compound the issue, even when it stems from a physical problem that has a straightforward, physical solution. “By the time you talk to someone [about your physical problem], the pain is also in your head,” says Dr. Relationship issues can cause libido problems as can a whole host of personal or cultural factors and a referral to a couples counselor or sex therapist may be in order..
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