Decrease in sexual desire can be described as the lack or absence of sexual thoughts and fantasies, the frequency of sexual intercourse and reaching orgasm, and the inability to initiate a sexual act, participate in the action, or respond. The cause is usually psychogenic.
It is generally more common in women than in men. Although it is the most common sexual dysfunction in women, it can rank second or even third among women seeking treatment. There is a perception in our society that sexuality is unique to men and that men have the right to want sexuality and enjoy it. According to this perception, sexuality is not a means of pleasure and satisfaction for women, but only a duty. Sexuality is necessary for the satisfaction of men and the continuation of the generation, but it is not important for women to enjoy it. Therefore, it is common to believe that a woman who initiates lovemaking in line with her sexual desire, cares about sexuality, enjoys it, and is active during lovemaking is not tolerated. For these reasons, he ignores the fact that sexuality is a means of pleasure and satisfaction for women and that women also need it. Unfortunately, women may find this situation natural.
Lack of sexual desire, which is considered primary, starts in adolescence and lasts a lifetime. It is generally seen in women who grew up in conservative growing environments. The prohibition of sexuality, the feeling of guilt and sinfulness, causes people to suppress or even ignore sexuality. It can also be perceived as a woman's alienation from her own body.
Secondary lack of sexual desire can be caused by incompatibility between spouses, conflicts, depression, anxiety, various chronic diseases, alcohol and substance abuse, which developed later, although there was no problem in the beginning. It is a condition that occurs due to factors such as drugs, sexual violence and sexual trauma, and sexual dysfunctions in oneself or one's partner.
TREATMENT
A multifaceted approach to treatment is inevitable. Including the spouse in the process is important for differential diagnosis and treatment.
Cases considered primary need regular and long-term therapy, and the recovery rate is less than secondary cases.
Cases considered secondary. cases are easier to treat and recovery rate is higher are very high. The basis of treatment is to solve the underlying problem. Sometimes it is sufficient to make changes in the treatments used, sometimes to treat diseases that may cause depression and anxiety, and sometimes to treat sexual dysfunctions or other problems related to oneself and the partner.
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