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Volkar was the principal physician in a private Ob/Gyn practice in Johnstown, PA, and spent 15 years as a staff physician for the University of Pennsylvania Medical Center. Volkar served as Vice-Chair of the Department of Obstetrics and Gynecology at Conemaugh Memorial Hospital in Johnstown, PA, where she became an outspoken advocate for women’s health care in the community. Volkar has published and lectured on topics about the current treatments available for migraines, menstrual migraines, treatment of decreased libido, heart-healthy menopause, and strategic planning for a non-profit women's center.

She also shares her medical expertise through local and national news media, community education events, and Speaking of Women’s Health, a national women’s health program managed by Cleveland Clinic that consists of health conferences, a Web site, and monthly e-mail communications.

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It can cause personal as well as relationship distress.

Yet, women often are too embarrassed to discuss the subject with their health care providers, and many feel their physicians are not comfortable talking about this subject with them either.

It really means we have busy lives and the romance is taking a back seat!

sam Iam: Judith_Volkar_MD: Your lack of sexual drive can be influenced by the fact that you may well be stressed or busy.

Women have an increase in neurotransmission for increased sexual drive around the time of ovulation.

If you are on a birth control pill, it suppresses your ovulation, and that suppression of ovulation in some women can decrease the neurotransmitters that cause sexual drive. Antidepressants are the number one cause of decreased sexual desire. Blood pressure, cholesterol, heart, seizure medications, and even birth control pills for some people, all can decrease sexual desire.There was even a study just published in USA Today that confirmed that what is missing for sexual drive in women is romantic intimacy.The psychiatric term is institutionalization of the relationship.But none of these factors means that sexual intimacy has to disappear!There are a variety of therapies available to help bring back your sexual relationship and restore intimacy.Romantic intimacy gestures lead to emotional satisfaction in women, this makes women more receptive to sexual stimuli; and, therefore, leads to arousal.

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