Lack of sexual interest and demands for sexual activity
Introduction
Introduction Low libido refers to the lack or complete lack of desire for sexual life, either continuously or repeatedly. Can be divided into complete sexual desire and low sexual desire. Most people with complete sexual libido only have sex once or less than once a month, but they can passively obey when their spouse asks for sex. Situational sexual desire is low only in the context of a particular environment or a particular sexual partner. Low libido does not rule out the possibility of women reaching sexual arousal and gaining pleasure when passively accepting sex.
Cause
Cause
Western medicine believes that the causes of low sexual desire are more complicated, and are divided into the following aspects:
(1) Mental and psychological factors:
Not enough understanding of sexual physiology or anatomy; no correct understanding of sexual life, thinking that sexual life is dirty, immoral behavior; lack of self-confidence, dissatisfaction with one's appearance or body shape, thus feeling inferior or guilty or Shame; there have been traumatic experiences such as sexual harassment and rape. Fear of sexually transmitted diseases and unwanted pregnancies. Worried about health. Factors such as the indifference of spouses and the uncoordinated sexual life of couples interfere with the artistic conception of sexual life and play a harmful role in the autonomy of sexual life.
(2) Functional factors:
1. Increased cerebral cortex inhibition or excitation. Female cerebral cortex inhibition is more common, which may result in female sexual desire or lack of orgasm.
2. Functional menstrual cycle disorder.
Can cause sexual life disorders, such as functional uterine bleeding can hinder the conduct of sexual life, causing disorders of sex hormones, due to the lack of a certain amount of sex hormone support, resulting in loss of libido, resulting in a series of physical disorders, such as emotional instability, easy Anger, depression, or even lower abdominal pain (such as dysmenorrhea). All of the above can affect sexual function.
(3) Organic factors:
1. Organic lesions in the genital area.
(1) Congenital malformations, such as congenital vaginal stenosis, vaginal diaphragm or mediastinum.
(2) Various acute and chronic injuries of the vulva, vagina and cervix, causing severe pain in sexual intercourse.
(3) The clitoris disorder causes abnormal sensitivity of the clitoris.
(4) uterine prolapse, gynecological tumors, rectal vaginal fistula and other diseases can cause severe pain in sexual intercourse.
(5) Surgical trauma: Some gynecological diseases such as vulvar cancer, vaginal cancer surgery, vaginal wall repair and removal of the uterus for some reasons, postoperative vaginal shortening, scar stimulation can make sexual life to varying degrees influences.
2. Endocrine system diseases: Endocrine system diseases mainly affect the female sexual function are the organic lesions of the gonads (ovary), thyroid, adrenal gland and pancreas. Low estrogen, low hormonal, no desire for sexual intercourse.
3. Nervous system diseases: Brain damage, stroke, paralysis and other neurological diseases can cause female sexual dysfunction, mainly due to lack of orgasm and low sexual desire and even fear of sex life.
4. Other organic lesions: Various organic diseases such as cardiovascular system, respiratory system, digestive system, and exercise system have different effects on sexual function.
(4) Drug factors:
Oral administration of a drug can reduce libido, such as -methyldopa, antihistamines, clonidine, phenytoin, marijuana, ethanol monooxygenase inhibitors, phenothiazine, reserpine, spironolactone and antibiotics Androgen drugs, etc.
Examine
an examination
Related inspection
Sex hormones six tests blood routine urine sex hormone binding protein whole blood glucose Hb
(1) Medical history:
For patients with low libido, our center carefully and accurately understands the medical history before treatment, and asks patients and their spouses about their sexual life in detail. At the same time, the doctor pays great attention to the attitude, is very patient, pays attention to protecting the patient's self-esteem, and combines the husband and wife. The contradictions that have occurred in the medical history are analyzed. After obtaining the complete medical history data, the physical examination and the necessary physical and chemical tests are carried out, and then a clear diagnosis is made.
(two) symptoms and signs:
Sexual desire suppression is common in the clinic, and performance is not interested in sexual behavior from the beginning or is reduced in sexual life acceptance, and it is divided into 4 levels according to its degree:
Grade I: Sexual desire is reduced compared to normal, but spouse requirements are acceptable.
Level II: Sexual desire is normal, but it declines at a certain stage or in a specific environment.
Level III: Sexual desire is consistently low, and the monthly sexual life is less than twice, or although it exceeds this standard, it is passively obeyed under the pressure of the spouse.
Level IV: Sexual desire is consistently low, and disruptive activities last for 6 months.
(3) Gynecological examination:
Insufficient mentality, no organic disease in the reproductive organs; insufficient organic sex, gynecological examination can be seen in congenital sexual organ malformations or acquired organ damage. Check 6 estrogens.
(4) Systemic examination:
Special attention should be paid to checking the development of the body and the development of secondary sexual characteristics.
(5) Laboratory inspection:
Including: 1 blood sugar, urine. 2 sex hormones.
(6) Other inspections:
In the case of organic diseases, our center selectively performs other related tests. Such as cirrhosis of the liver must be done B-test, tuberculosis must take chest X-ray, do sputum culture.
Diagnosis
Differential diagnosis
Distinguish between organic lesions and psychotic lesions.
