General Management Strategies

■ Medical illnesses need evaluation and specific treatment.

■ Screen for and treat depression with psychotherapy or medication.

■ Reduce dosages or change medications that may alter sexual interest (i.e., switch to antidepressant formulations that have less of an impact on sexual functioning such as bupropion [Wellbutrin] or nefazodone [Serzone]).

Combine buspirone (Buspar), an antianxiety agent, with a selective serotonin reuptake inhibitor to counteract the sexual side effects. Address menopause and hormonal deficiencies.

Sexual intercourse during pregnancy is NOT related to bacterial vaginosis or preterm birth in normal, healthy pregnancies. But there are certain obstetrical conditions in which coitus should be avoided (i.e., placenta previa, abruptio placentae, premature labor, and premature rupture of membranes).

Little is known about how being a new mother affects sexual desire and response.

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