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It is easy for a cycle to occur where the sexual dysfunction leads to a negative self-image and a negative self-image leads to more sexual dysfunction. 12:47 Risk factors for poor sexual health after transplant include time since transplant, chronic pain, fatigue, depression and age which naturally increases the rate of erectile dysfunction. 16:23 Therapies for erectile dysfunction include much more than oral medication, which is often not covered by insurance and does not address issues with libido. 16:23 Lifestyle modifications like taking care of your body through diet, exercise and grooming can be beneficial for sexual dysfunction after transplant. 19:45 Hormone therapy, vacuum devices, injection therapy and prosthetics are common therapies for men with sexual dysfunction after transplant. 24:58 Patients experiencing a loss of libido first rule out medicals causes and then address other potential causes such as stress, anxiety around sex, and emotional issues with their partner to determine what may be causing lack of libido. 32:11 Improving intimacy with your partner can be achieved through keeping a desire diary, sexting with your partner, and considering what turns you both on and incorporating that into your sex life. 34:49 Two goo dresources for men experiencing sexual difficulties after transplant are Cancer.org and Sexhealthmatters.org This presentation took place at the 2020 Celebrating a Second Chance at Life Symposium. 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