That sexual drive declines naturally with age based on physiological factors. But sexual desire also encompasses interpersonal and psychological factors that create a willingness to be sexual.
Nick Avery, describes how difficult it is to treat hormone problems because even if you have a blood test progesterone and oestrogen vary widely within the normal range.
Leopold's Maneuvers are difficult to perform on obese women and women who have polyhydramnios. The palpation can sometimes be uncomfortable for the woman if care is not taken to ensure she is relaxed and adequately positioned.
Exercises (called Kegel exercises) can help to strengthen the muscles of the pelvis. How to do Kegel exercises: Tighten your pelvic muscles as if you are trying to hold back urine.
Vestibulectomy, during which the nerve fibers to the area are cut out, may be recommended if other treatments have not been found to be effective.
Vaginal dryness is a common complaint in women and is due to hormonal changes in perimenopause and menopause. Reduced estrogen levels are the main cause of vaginal dryness.