Certain prescription drugs can get in the way of a healthy sex life. If you suspect your medications are hampering your sex life, talk to your doctor or pharmacist to see if there are any alternatives you can try. The SSRI antidepressants, such as Prozac, Paxil and Zoloft, are notorious for causing sexual side effects. But an equally effective antidepressant, Wellbutrin, is much less likely to limit erotic fun.

While most doctors are reasonably well informed about drugs' sexual effects, your doctor may be unfamiliar with all the sexual adjustments your particular situation requires. Fortunately, the organizations focused on the major chronic conditions, such as the American Heart Association, the American Lung Association, the American Diabetes Association, etc., can be great sources of information. They can connect you with experts knowledgeable with the sexual implications of your condition. You might also join a support group. The members know exactly what you face sexually, and can probably offer good suggestions.

Sex toys can be a great boon to lovers with erotic limitations. You might browse a sex toy catalogue online. Vibrators, in particular, can be the older couples' friend.

Finally, if you want individual coaching, the nation's sexuality organizations can refer you to sex therapists who specialize in sex and chronic conditions and disabilities. Visit the American Association of Sex Educators, Counselors, and Therapists, the Society for Sex Therapy and Research, or the American Board of Sexology. Sex therapists practice in every major metropolitan area. Most couples see sex therapists weekly for a few months.

Michael Castleman publishes GreatSexAfter40.com.

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