factors likely contributing to Sally’s disinterest in sex and why?
In menopause age, there is a drop in estrogen and testosterone hormone which affects the women sexual drive. The drop in these hormones affects the likelihood of being aroused which can be used to explain the disinterest. Sally reports to be working full time and mostly experiencing fatigue on a daily basis which makes her to lack time set aside for sex. Rheumatoid arthritis is a chronic disease that alters arousal, orgasm and sexual drive. It is also associated to depression and anxiety symptoms Sally might be encountering
changes you could recommend to Sally to improve her sexual relationship with Jack
I would recommend Sally to attend counselling, this will enable her to cope with the menopausal changes as well as the depressive and anxiety symptoms associated with RA she was diagnosed with. The use of medication to stabilize her hormones will also improve her arousal rates and sexual drive in general. Setting aside time for intimacy is vital as both of them are busy with work and gets home too fatigued to engage in sex. Weight gain should be controlled as it also reduces the sexual drive.
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Case 2
Harry and Jim should not be denied permission to have sex by the facility. This is because, Harry disclosed to them that he is gay, allowing his partner in the facility is an agreement to them being close to each other. Denying them permission will be discriminative to them and might affect their total wellbeing.
Harry have not revealed to his new physician of being gay because of the fear of discrimination or the uncertainty regarding how the doctor will take it. He is justified because disclosure of sensitive information requires development of a trusting relationship which takes time to be developed.
The doctor should understand that needs of gay patients which might be different from his other patients. He should ensure his attitude is ok to avoid making them feel discriminated in any form or perception. He should research with relation to LGBT group to identify how they respond to issues so that they do not fall out of treatment.
