Have you ever felt bored with sex that seemed just-that's it? Or feel the couple no longer attractive? This occurs naturally throughout the marriage, let alone who has entered a long period, over 10 years.
To overcome this, one of them by doing variations of lovemaking. However, if you've had no sex drive, while the rest of your married life new corn? There is absolutely no sexual desire or sexual fantasies even if your wife or your husband so menggairahka? Lest you suffer from hypoactive Sexual Desire Disorder (HSDS).
Weakening sexual desire disorder can be about men and women of all ages. This condition can occur in general or specifically with a particular partner. For that specific case, I've discussed in previous articles Psychogenic Sexual Dysfunction. This time we will discuss about why HSDS could happen and how to handle it.
One thing that is most important in diagnosing sexual arousal disorder is this happening when the doctor (in this case a psychiatrist) has considered the conditions of the age and circumstances of daily life of the patient that could affect sexual arousal.
That is when all these conditions in normal circumstances, the patient still complained of impaired sexual arousal, then this is a sign that should be considered.
Mental disorders such as depression must also be removed. We know that in patients with depression often decreases sexual desire. It is not included in the conditions of decreased sexual arousal disorder as the disease HSDS.
If it is found in patients with depressive disorder, then the physician should focus on the treatment of depressive disorders that usually it will also bring changes to improve sexual arousal.
Patients who experience sexual arousal disorder need to be asked to complete a physical abnormality that can cause this to happen such as a terminal illness (cancer) or decrease the symptoms of adrenal gland function in men. The drugs taken should also be considered.
Are there drugs that can decrease sexual desire such as antipsychotic medication? Do not forget to ask how the sexual function of both partners, whether the man get an erection and the woman could lubrication? Remember to sexual dysfunction, although there is passion, erectile function in this penile erection can not be obtained.
One more thing not to miss is to assess whether there are problems in the household. Often this is a condition that triggers the occurrence of decreased sexual desire. Antarpasangan family problems unresolved could become triggers that can make sexual desire decrease.
Management
Examination of testosterone levels is one that needs to be done if it does not prove the existence of a depressive disorder or general medical disorders that affect the sexual disorders. Testosterone is a hormone found in men and women which is the hormone responsible for sexual arousal.
In addition, sometimes I ask the patient to be examined prolaktinnya levels as well. Among men, elevated prolactin levels can also cause sexual arousal does not exist
Do not ever forget the improvement of communication and mutual relationship of openness antarpasangan is the best way to help this problem. Household-related problems should be fixed by counseling and psychotherapy possible. Talk to both of these things with your doctor together because the problem of sexual arousal is a problem mate, not individuals.
Dr. Andri SpKJ, Psychiatrist with a specialty in the field of Psychosomatic and Liaison Psychiatry.
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