A healthy lifestyle (see below) is important for maintaining a healthy sex life. Treatment of medical problems (such as diabetes, high blood pressure, and cardiovascular disease) may improve sexual function. Blood vessels and nerves are part of the complex control of sexual response. Because of this important involvement of blood vessels, diseases such as diabetes affect sexual health. Some medications can have adverse effects on sexual desire, response, and ability to have an orgasm. Your doctor may suggest alternatives if sexual response changes with the use of particular medications. When sexual problems are part of relationship issues or there are emotional concerns, counseling may be suggested. Not all women have sexual concerns after menopause, and some may feel more sexually free since there is no further chance of pregnancy. Also, women may gain self-confidence as they age. That can improve mental health and often translates to more confidence and comfort with sexual matters.