in men loss of sexual desire It is a urological health problem that can affect men of all ages and backgrounds. This situation can lead to structural, hormonal and psychological problems. Sexual reluctance is a problem that deeply affects men's social lives and marital relationships. Therefore, it is definitely recommended to visit a urologist for treatment.
In order for a woman or man to have a healthy sexual life, they must be psychologically and physiologically healthy. Although it is considered normal at times for a person to not think about anything sexual or to be reluctant to have sexual intercourse, if this reluctance continues for 6 months or longer, it should be treated.
Loss of sexual desireIt is also defined as a decrease in sexual desire by men or women. Sexual reluctance does not change when the person is sexually aroused. In other words, the person is reluctant even when sexually aroused. Physical and psychological fatigue, as well as changes in quality of life, can also cause changes in sexual drive.
Symptoms of Sexual Reluctance
The main symptom of sexual aversion is a decrease in the frequency of sex. In case of sexual reluctance, the frequency of sexual intercourse is reduced to once a month. It can also reduce the pleasure experienced during sexual intercourse. The person has feelings of fatigue, weakness and depression. Symptoms of sexual reluctance in men can be listed as follows;
- Frequency of having sexual intercourse once a month or less
- Feeling cold during sexual intercourse
- Not thinking about sexuality or feeling sexual desire, not feeling this desire or rarely feeling it
- Having erection problems and/or short ejaculation time
- Sexual intercourse is not possible without medication.
What are the types?
Loss of sexual desire It is examined in 3 different types. These:
- Primary Sexual Aversion: In the first sexual reluctance that begins during adolescence, the person has no interest or desire in any sexual activity.
- Secondary Sexual Reluctance: It is explained as the person who was previously sexually active but later lost his/her activity. This situation, which occurs later, is usually seen after negative situations.
- Situational Sexual Reluctance: This is a situation where a person loses sexual desire from time to time. This is usually caused by tiring and stressful days, financial worries, and mood swings.
Loss of sexual desire
Sexual reluctance in men and women is affected not only by organic factors but also by psychological and social factors. In general, we list the reasons for sexual reluctance as follows:
- aging process,
- not enough time,
- Relationship-marriage problems,
- excessive stress,
- surgeries,
- Insufficiency of male hormone,
- hormonal problems,
- Anti-depressant type drugs,
- Diseases such as cardiovascular diseases and diabetes, thyroid problems, kidney and liver,
- Wrong lifestyle such as excessive alcohol and smoking,
- Angry, anxious or depressed mood
- such as fear of contracting a sexually transmitted disease or becoming pregnant,
Sexual Reluctance Caused by Physical Factors
There are many reasons for this that directly concern human health. Advanced age, menopause, those who have not had sexual intercourse for a long time, the use of some medications, heart, thyroid disease, multiple sclerosis, Parkinson's disease, diabetes, blood pressure, cervical and vaginal infections, vaginal fungus, dryness and alcohol consumption, as well as many organ failures. Related diseases are often among the physical factors that contribute to sexual reluctance.
Hormonal changes; High levels of the hormone prolactin, known as the milk hormone, in both men and women, decreased levels of the hormone testosterone in both sexes, decreased estrogen during menopause, and adrenal insufficiency can also cause impaired immunity, sexual coercion. Structural and functional disorders of the sexual organs, urinary or gynecological disorders that affect sexual function are also among the physical causes of decreased libido.
Causes of Sexual Reluctance in Men?
First, you should test your male hormones and other hormones to understand how organic the problem is. A person's lifestyle plays a big role in sexual reluctance. Vessels and nerves in the genital area begin to age. Of course, the psychological and emotional aspects of the job should not be forgotten. Today's modern and stressful lifestyle puts men in a state of stress and anxiety. Stress hormones have the effect of reducing male hormones in the body that control sexual drive and arousal. When we consider the factors that reduce libido, relationship status is also of particular importance. Therefore, it is important to develop a personalized treatment plan based on the underlying causes of sexual reluctance.
Sexual Reluctance in Men
Regarding sexual reluctance in men, it should be known that sexual desire has physical, psychological and social dimensions. Therefore, it is very important to evaluate all the factors underlying your sexual reluctance, especially during the diagnosis process. Apart from organic hormonal deficiencies, health problems, drug use and malnutrition, sedentary lifestyle, smoking, excessive alcohol consumption and high stress should also be included in the evaluation. We can list the important factors related to reluctance in men as follows:
- Stress, Weight, Alcohol, Smoking, Inactivity: Stress hormones have the effect of reducing male hormones in the body that control sexual drive and arousal. In addition, lifestyle mistakes such as being overweight, being inactive, smoking and drinking alcohol also disrupt sex hormones. The veins and nerves in the sexual area begin to age.
- Difficulty in Sexual Concentration: In this disorder, the time spent on relationships, emotional sharing and sex decreases. Sexual drive gradually decreases. This condition impairs both sexual drive and the ability to have an erection. In fact, premature ejaculation can become a habit due to this low concentration and stress.
- Reluctance Created by Performance Anxiety: When erection is impaired in these men, severe performance anxiety begins. Due to this serious concern, many men are looking for solutions in performance drugs. It is said that erectile dysfunction pills, premature ejaculation pills and herbal products are used. Soon performance becomes associated with these drugs and men can no longer have sex without these drugs.
Diagnosis
Correct diagnosis is important in cases of sexual reluctance. Because the problem may be in the lack of sexual reluctance itself, or the man's sexual reluctance may have developed due to erection problems or premature ejaculation. In the first stage, the patient's history is listened to and a physical examination is performed. Hormonal and blood-affecting parameters were evaluated. Testicular size, body hair and breast growth are also checked.
Treatment of Sexual Reluctance
In order to develop a treatment plan for sexual reluctance in women as well as men, the underlying cause must first be determined. After the application is submitted to the health institutions, a medical examination is performed first in the diagnosis process.
After physical examination, electrocardiogram, blood glucose levels, blood fat structure level, testosterone and prolactin hormone levels constitute diagnostic tools that can be evaluated within the scope of sexual reluctance test.
At the same time, ultrasound imaging may be used to check blood flow in the penile area.
In cases where the underlying cause is determined to be low testosterone level, testosterone boosting drugs may be prescribed if your doctor deems it appropriate.
In addition to hormone therapy, vasodilators, which are active substances that expand the vessels in the penile area, are a treatment that can be useful if the cause of sexual reluctance is erectile dysfunction.
If the problem causing sexual reluctance in men is mental problems such as performance anxiety or depression, patients can benefit from psychological support provided by specialist doctors.
For both men and women, many lifestyle changes or food choices can be helpful in reducing sexual desire:
- Consuming chocolate with fruits such as avocado, figs and bananas.
- People who have self-confidence problems due to their physique can start a healthy nutrition and physical activity program.
- Reducing alcohol consumption.
- Regular and adequate sleep.
- Solving communication problems between couples.
- Participating in stress-reducing activities such as meditation to resolve stress-related sexual reluctance.
Treatment of Sexual Desire in Women
For correct treatment, it is necessary to first make a correct diagnosis. Various medications such as antidepressants should be checked as they can cause sexual reluctance. If the reason for the reluctance is the current medication, it is extremely wrong to discontinue the medication without the knowledge of the relevant physician.
If the underlying cause of a woman's lack of sexual desire is determined to be lower than normal estrogen levels, estrogen therapy may be considered for treatment.
At the same time, limiting alcohol and tobacco use and engaging in stress-reducing activities such as yoga or exercise can help eliminate sexual aversion in women.
