What losing interest in sex says about you

1. Could she get pregnant?

Q: “Is it possible for a woman to get pregnant if ejaculation occurs just outside her vagina on her underwear/knickers?” - Anonymous male, 50.

Dr Pixie says: "No! Definitely not. The sperm won't survive the trip the egg! To get pregnant you have to have sex, what you describe isn't sex so don't worry."

2. Can you lose interest in sex?

Q.“I was wondering if it’s possible to lose interest in sex? I am 29 years old, I've got a four-year-old and a nine-month-old and for nearly two years now I have not been interested.

"It’s putting a big strain on my relationship - I don’t know what to do.” - Anonymous woman, 29

Dr Pixie says: "Yes it is possible to lose interest in sex. Reading the first line of this question makes me realise you must be tired looking after your two children.

"This won't help your desire for sex, neither will making the issue confrontational. Talk to your partner about your feelings and concerns and allow him to talk to you about his.

"See your GP to ensure you are in good health by having a chat, a check and some blood tests. If no underlying cause is unearthed, consider couples counselling, don’t brush it under the carpet."

3. Can I double up on my pill?

Q: “If you accidentally miss a birth control pill and do the deed, will doubling them up act as emergency contraception?” Anonymous female, 27.

Dr Pixie says: "If you are forgetful consider a coil, an implant or the injection to ensure you are covered.

"Missing one pill or starting a pack a day late doesn't not put you at risk of pregnancy.

"You should take the pill as soon as you remember it - even if this means taking two in 24 hours. Missing two or more pills in a row makes the contraceptive method less reliable so you can't consider it covered.

"If in doubt, discuss the morning after pill with your pharmacist or family planning clinic. You can also avail of it online via Superdrug Online doctor ."

4. I ejaculate too quickly

Q5: “I ejaculate too quickly - after just two minutes - and can't enjoy sex. Why?” Anonymous male, 38.

Dr Pixie says: "Premature ejaculation is not uncommon so rest assured you are not alone. It can be a frustrating problem for both partners. Worrying about it often make it worse.

"Thankfully it is rarely due to any sinister underlying disorder. Often it is found to be just 'one of those things' but that doesn't mean it shouldn't be taken seriously.

"I urge you to discuss it with your GP as there are medications which can be trialled."

5. We don't have sex anymore

Q: “My husband and I don't have sex anymore. I take lots of medication ( quetiapine, venlafaxine folic acid, naproxen, lansoprazole and aripiprazole .) Would any of these have an effect on libido?" - Anonymous female, 54.

Dr Pixie says: The female libido is a complex entity. Firstly at your age you are by now, I assume, in the menopause. This shift in hormone balance may make you lose your mojo.

"Some of the drugs you are taking may impact your libido. You should seek advice from your GP or pharmacist before you consider changing or reducing any of these.

"Sometimes adverse effects where libido is concerned are a trade off if the drug serves to tackle other more important symptoms.

"Libido may be the first thing to lag if you are depressed or feeling fatigued.

"It may also crash if you are stressed or suffering from thyroid dysfunction. Take the time to talk to your GP about both symptoms and medication to try and tease out what's up. Don’t suffer in silence."

6. How can I tell when I am ovulating?

Q6: “How can a woman calculate when she’s ovulating and most likely to conceive?” Anonymous female, 39

Dr Pixie says: I’m hoping you are asking this because you want to fall pregnant rather than prevent it as this isn't a reliable way in which to prevent pregnancy."