Q:
Ive been married for five years and though we used to have sex everyday, we now have it once a month. Does that happen to every couple? My wife also takes Prozac. Does that affect her sex drive?

A:
What you describe is the inevitable waning of initial sexual passion that can be caused by sexual habituation. After approximately three to seven years of marriage, it takes increased levels of stimulation to produce the same level of sexual excitement you had as newlyweds. This is when most couples find it necessary to explore new and different sexual and emotional experiences for continued fulfillment. When that doesnt happen, marriages often become sexless, infidelity increases, and divorce becomes an issue.

While Prozac is known to lower sexual desire, her depression may be the most significant factor in her diminished libido. Some oral contraceptives can also lower sex drive, which is why your wife should consult her doctor about her medications and consider possible alternatives.

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