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Medication, depression, and  STDs can have side effects on sex life, but in most of the cases a solution can be found to improve the situation.

Among health issues that can affect sexual satisfaction we can find prescription medications for blood pressure and heart related, medications for depression, and diuretics.

Cardiac health and depression can also have significant impact on sexual health, but also alcohol and drug usage.
While a few drinks or grams initially lower one’s inhibitions, they can then lead to risky sexual behavior, mostly among people who only occasionally drink or do drugs.

Sexually transmitted diseases can make sex difficult to proceed, but protection is a must, even more in that case.

Stress can also be a problem for sex life, because in that situation libido goes down, and the ability to accept and give pleasure decreases.

People also often fear to have sex during pregnancy, but sex will not harm the fetus or the woman, so it just depends on the level of desire that can vary from one person to another one.

Menopause can reduce women will to have sex, but many still experience a very healthy sexual life after menopause, so it's wrong to consider it as the end of your sexual life.

Poor body image and self esteem can also affect someone's sexual satisfaction, so people are advised to keep in shape as long as possible if they want to enjoy a long sexual life.