Painful sex. A lack of desire. An inability to lubricate. These are some of the most common sexual complaints facing women as they age, yet a majority of women are not getting the help they need from their doctors to solve those problems, according to a new study from the University Hospitals Cleveland Medical Center.

On the very first episode of the MTV reality series “Teen Mom,” back in 2009, the cameras were rolling as Catelynn, one of the girls on the show, talked to her doctor about birth control. She made the decision to get a Mirena intrauterine device, known as an IUD; it’s more than 99% effective in preventing pregnancy and lasts for five years.