hypersexuality
Introduction
Introduction Hypersexuality means that sexual desire is too strong. It occurs mostly in adolescence or early adulthood. Both men and women can occur, and the situation of extreme sexual desire is called pornography. It is seen in males as male sex sorrow (satriasis) and in females as female erotic nymph (nymphomania). At present, there is no epidemiological data on the disease in China, but it is reported in the literature that this is an extremely rare situation. Sexual desire is also called sexual exuberance or excessive sexual desire. Chinese medicine says it is easy to move. It means excessive sexual excitement, too fast, too much drama and more than normal. Young people have normal sexual life 1 or 2 times a week. It is normal for newlyweds to reunite their sex life after marriage for a long time. Those who are sexually motivated, that is, sexual intercourse every day, even demanding sex life many times, staying up all night, can not meet the sexual desire requirements. Sexual libido is different from sexual desire. The latter shows a slight increase in the number of sexual life, 3 to 4 times a week. Newlyweds or married couples do not reunite their sexual life for a long time. This sexual desire is too strong.
Cause
Cause
The causes of pornography can be divided into two categories: physical and psychogenic. The former includes temporal lobe lesions, brain syphilis, excessive use of cannabis leaves or cocaine, and extensive use of testosterone. When a woman has an adrenal or ovarian tumor, she sometimes has sex. Psychogenic people can be seen in certain obsessive-compulsive disorder, mania, schizophrenia and paranoid psychosis. They can also be found in people who have no mental illness but have subconscious psychopathy.
There are two causes of endocrine disorders and mental factors that cause sexual libido. After the reduction of ovarian estrogen secretion in menopausal women, the pituitary gonadotropin is secreted and secreted too much, so there is a strange rebound phenomenon, which is characterized by hypersexuality. When hyperthyroidism occurs, especially in mild hyperactivity, 10%-20% of people will have hypersexuality.
1. Mental and psychological factors: influenced by certain sexual cultures, especially pornography, masturbation, pornography, etc., excessive stimulation leads to abnormal sexual desire and long-term excitement, and there are mental illness or cognitive impairment. Such as mania, schizophrenia.
2. Organic and physiological factors: multiple neuroendocrine disorders caused by various diseases, such as pituitary tumors, testicular stromal cell tumors, intracranial tumors.
3. Drugs, food factors: such as direct use of gonadotropins, testosterone drugs, long-term use can lead to increased concentrations of such hormones, decreased metabolism of drugs, food, can lead to sexual interest, use can increase nervous excitement Sexual and inflammatory desires with increased sensitivity, such as taking certain "aphrodisiac" and "masturbation" can lead to sexual libido.
In addition, menopausal women are prone to manic symptoms, manifested as unreasonable suspicion that the spouse has an external heart, is a "dream", and sometimes unfounded suspected husband and third party to murder themselves, called "victimized delusion", they can occur simultaneously . This mental disorder can cause a decline in the inhibition of sexual excitement, regardless of men and women, more than 60% of people have a tendency to hyperactivity.
Examine
an examination
Related inspection
Prolactin (PRL) excitatory test bromocriptine (BCT) inhibition PRL test CT examination
Clinically, there are very few complaints about sexual desire. Unless it is discovered through sexual counseling or by a spouse, it is quite rare for a person to seek medical care by himself. It is often the case that newlyweds consult. Generally speaking, newly married Yaner, especially in the first half of the marriage, males have stronger requirements for sexual life. Frequent sexual intercourse is a normal phenomenon, which requires the understanding of the wife and does not have to worry about any illness.
It is generally believed that a person's sexual excitement and sexual behavior are satisfactory to both spouses, although there is an increase, but without adverse consequences, it cannot be considered morbid. Because each person's environment is different, especially it is difficult to distinguish between normal sexual desire and hyperactive sexual desire, there is no exact standard of judgment.
At the time of diagnosis, attention should be paid to the frequency and duration of sexual intercourse is not a diagnostic indicator of hypersexuality. Some couples adapt to high-frequency sexual intercourse, only when the patient is unable to hold back due to excessive sexual tension, resulting in a series of emotional, behavioral or sexual objects. When you change, you can be considered morbid.
Auxiliary examination: other tests such as sex hormones, even including head CT examination (excluding brain tumors).
Diagnosis
Differential diagnosis
Sexual libido needs to be differentiated from ejaculation, yang, sexual metamorphosis, sexual hooliganism and "flower idiot".
(1) No ejaculation: The whole process of sexual intercourse includes sexual desire (sexual excitement), penile erection, orgasm (ejaculation), and refractory period after sexual gratification. Although sexual desires are frequent, they can complete the whole process of sexual intercourse. And this behavior is carried out between husband and wife, non-ejaculation can have frequent sexual intercourse or sexual intercourse for too long, but no orgasm and ejaculation, that is, can not complete the whole process of sexual intercourse, no refractory period, can repeat sexual intercourse.
(2) Sexual metamorphosis (sexual desire inversion): Departmental psychological abnormalities. It is characterized by sexual arousal, choice of sexual objects, and ways to satisfy sexual desires, which are different from normal sexual activities. Generally, sexual satisfaction is obtained by deviating from the normal way, such as fetishism, dew, and homosexuality.
(3) Yang Qiang (an abnormal erection of the penis): occurs after sexual intercourse, penile erection without sexual desire, pain, persistence, acute onset, and easy to leave the characteristics of permanent impotence sequelae.
(4) Sexual hooliganism: Sexual hooligan crimes are obvious and often have planned and premeditated crimes. In order to harm women's interests and achieve their own satisfaction, in addition to insulting women, it will also cause vicious cases such as rape and even murder.
(5) Flower idiot (psychosis): It is an abnormal sexual performance in the case of disturbance of consciousness. As to whether the sexual desire is too psychiatric, it must be identified by a neuropsychologist.
The above-mentioned idiots, sexual metamorphosis, and sexual hooliganism occur between non-marital couples, which is completely different from sexual desire and cannot be confused.
