Sunday, July 31, 2011

When There's No Sex Passion Again

Have you ever felt bored with sex that seemed just that's it? Or feel your partner is not attractive anymore? This naturally occurs during the marriage, let alone who had 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, whereas the rest of your married life new corn? There is absolutely no sexual arousal or sexual fantasies even if your wife or your husband so menggairahka? Lest you are suffering from hypoactive Sexual Desire Disorder (HSDS).


Weakening of sexual arousal disorders can be about men and women of all ages. This condition can occur in general or specifically with a particular partner. For that specific thing, 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 disorders of sexual arousal is this happens when the doctor (in this case the psychiatrist) has accounted for the age condition and circumstances of everyday life of the patient which 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 to think about.
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 will also bring changes to improve sexual arousal.


Patients who experience sexual arousal disorder needs 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. Drugs taken orally must also be considered.
Are there medications that can decrease sexual desire such as antipsychotic drugs? 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 case erection penis 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 can be a trigger that can make sexual arousal decreases.


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 is the hormone responsible for sexual arousal.
In addition, I sometimes ask the patient to be examined as well prolaktinnya levels. In men's raised prolactin levels can also cause sexual arousal does not exist


Never forget the improvement of communication and mutual relationship of openness antarpasangan is the best way to help this problem. Household-related problems should be corrected with counseling and possibly psychotherapy. 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. Responsible Omni Psychosomatic Clinic, Alam Sutera, Tangerang.

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