Dr Mini Salunkhe: Does sexual desire decrease after having a child?

Here are questions from readers that were addressed by leading obstetrician and gynaecologist Dr Mini Salunkhe. The identities of the solution-seekers have been withheld to protect their privacy.

Does sexual desire decrease after having a child. I had a normal child birth close to a year back and I have noticed that I have lost the desire for sex. This has now estranged my husband and I don’t know what I should do. Do I need to see my gynaecologist or consult a Sexologist? Kindly advise doctor.

It is quite normal to have a decreased sex drive after giving birth and this may last for a few months. This is normally caused by multiple reasons like fatigue, stress, worry, breastfeeding and constant caring of the new born. Hormonal changes in this phase also contribute to increased vaginal dryness and loss of libido, which can be helped with products you can find on a site such as Provestra.com. It would be advisable to consult with your gynaecologist in case this problem persists after several months have gone by.

What are the basic steps one must take to prevent themselves from breast cancer and cervical cancer? I hear diet and stress can cause these cancers; Is this true?

There are two screening methods to help prevent cervical cancer, that is, the PAP Smear test and HPV Testing. Other things that can help prevent cervical cancers are getting an HPV shot (Cervical Cancer Vaccine), limit smoking and avoiding any exposure to the HPV (Human Papilloma Virus). This can be discussed in greater detail with your gynaecologist.

If all is fine with me, how often do I need to visit my gynaecologist for a general checkup? I have minor issues time to time like excessive bleeding but nothing major. Please advise ideal schedule to have gynaecological checkups. I am 34 years old.

I would recommend that you see your gynaecologist every two years for a breast examination/ checkup and cervical screening by PAP smear. Other tests like routine blood counts, sonography and mammography, these will be suggested / decided by your gynaecologist after taking detailed history and overall evaluation.

Doctor, I need your advice. I am 29 and a single parent. I was just informed that surrogacy is no longer permitted for single parents. This is indeed very disheartening and I request you to let me know what option is left for me now?

I understand your disappointment on this recent legislation and, frankly, as of now, the only good option for you would be adoption. This in itself is a lovely way to enjoy having a child and also in the process helping these children.

Thank you, readers for your queries. I hope I have been able to answer them and clarify your doubts. I would be more than happy to take time off to answer all your questions week after week. You can reach me via editorial@pune365.com

Dr Mini Salunkhe