Female sexual dysfunction used to be collectively referred to as frigidity. Because of its unclear concept, it was redefined. They include: low sexual desire? Sexual aversion? Excessive sexual desire? Sexual arousal disorder? Orgasm disorder? Vaginal spasm? Painful sexual intercourse
Sexual hyposexuality disorder
Tao Xin, Department of Infertility and Sexual Medicine, the Third Affiliated Hospital of Sun Yat-sen University
Sexual hyposexuality disorder
Refers to the lack of subjective desire for sexual activities, including sexual dreams and fantasies; Lack of awareness of participating in sexual activities, and no frustration when being deprived of sex. This kind of obstacle will certainly cause great pain and interpersonal difficulties.
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The frequency of sexual activity is not a reliable criterion, because women may be forced to participate in more sexual activities under the pressure of their spouses. Low libido is the most common female sexual dysfunction. Because people's understanding of it is the worst and the most difficult to treat.
Classification of low libido
In 1993, Ma Xiaonian and others proposed that low sexual desire can be divided into: Grade I: sexual desire is weaker than that of normal people, but the spouse's sexual requirements are acceptable. Secondary: Sexual desire weakens after a certain stage or only under certain circumstances. Level 3: Sexual desire has been very low, having sex less than twice a month or passively obeying. Grade Ⅳ: Sexual desire is always low, and sexual activity has been interrupted for more than 6 months.
The cause of disease
Low libido can be an independent sexual problem or secondary to other sexual problems. Low libido is mainly psychogenic.
Hypogonadism: can lead to organic asexuality. Systemic diseases: such as liver and kidney diseases and malnutrition; Overnutrition, obesity, etc. Drugs and other chemical factors: such as antihypertensive drugs, sedatives, antidepressants, etc.
The cause of disease
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Socio-psychological factors: wrong sexual concepts and information. Marital conflict: bringing non-sexual conflict into sexual life. Lifestyle: high work pressure; Poor living environment. Psychological disorder: anxiety about sexual ability. Lack of sexual skills: lack of freshness. Age factors: the peak age of sexual desire for men and women is between 20 and 40 years old, and that for men is around 20 years old; Female sexual desire rises slowly and reaches its peak at the age of 30-40.
diagnose
Part of the reason is the lack of standards for normal sexual interest at different ages.
Judgment of low sexual desire
The judgment of how low the strength ratio is depends on its age, personality characteristics, decisive factors of interpersonal relationship, living background, cultural environment and other factors. ? Scoring can be used to evaluate sexual desire.
Scoring method for evaluating sexual desire
Subjective evaluation: from low sexual desire to high sexual desire, 0-5 points. ? Reproductive reaction: sexual impulse, lubrication, erection, orgasm, 0-5 points. ? Emotional reaction: love, lust, excitement, out of control, hypersexuality, 0-5 points. ? Emotional reaction: excitement, enjoyment, surprise, depression, anger, disgust, fear, guilt, contempt, shyness, 0-5 points. Out of 20 points, less than 8 points is suspected of low sexual desire, and less than 4 points can be judged as low sexual desire.
treat cordially
Sex counseling: it is best to do it in a separate clinic. ? Eliminate concerns. ? Talk about your inner feelings: doctors should be compassionate and patient. ? Keenness: Need to repeat some disturbing and unsolvable psychological puzzles. ? Support: let patients get comfort and encouragement. ? Insight: let patients find problems themselves. ? Advice and guidance. ? Partners also receive counseling services.
treat cordially
A 28-year-old female engineer complained that she had been married for 4 years and her child was 2 years old. Her well-developed skin is white and tender, giving a very sexy impression. She has never had any sexual pleasure, and all kinds of stimuli in sexually sensitive areas can't cause any pleasure. During sexual intercourse, she is like wood, with little secretion. In addition, their four sisters all have the same problems, and their constitutions are not very good, but none of them have any serious diseases. Now the relationship between husband and wife is getting more and more tense.
treat cordially
Example 2 A 40-year-old woman is troubled by the periodic change of sexual desire, which is strong during ovulation and premenstrual period.
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Fierce, and other times the menstruation is very low. In this way, husbands are hardly allowed to touch outside the two peaks. Their relationship is very good, and their marriage relationship has been stable and harmonious. The only drawback is that there is too little time for sexual intercourse, so the husband has to masturbate for the rest of the time to vent his sexual impulses. She rarely gets an orgasm, only when her legs are straight and hyperventilation almost reaches a state of spasm. To this end, she has a strong sense of guilt towards her husband.