i used to have a very healthy sex life. i just cannot stand it any more. it is sometimes painful but even when it isn't i hate it. i really want it back. i have tried a lot of things. i am wondering if my medication has anything to do with it. i havn't had an orgasm in almost 4 yrs. is there any hope or is it over for me? i should add that with my chronic back pain it makes it difficult to do as well.