Sexual reluctance, in other words, loss of libido refers to decreased interest in sexual activity. It may be considered normal for people to have sexual reluctance over time, but long-term lack of sexual desire can become an important health problem that can cause problems for both sexes in relationships.
What are the Causes of Sexual Reluctance in Women?
It is normal for women to have fluctuations in sexual desire. Sexual reluctance may occur in women at the end of relationships or at the beginning of a new relationship, after changes that greatly affect lifestyle, or in cases of menopause, pregnancy and illness. However, if this condition persists for a period of 6 months or more, it is defined as hypoactive sexual desire disorder (HSAD). This disorder can vary from little sexual desire to no sexual desire.
Estrogen level decreases with advancing age in women. Following the decrease in estrogen level, a decrease in blood flow to the vaginal area may also occur, which is one of the causes of sexual reluctance in women.
Joint inflammation (arthritis), coronary artery disease, diabetes, decrease in estrogen level, hormonal changes during or after pregnancy In addition to these physical problems, sexual reluctance may occur in women due to emotional problems such as depression and anxiety.
Another reason for sexual reluctance in women is relationship problems. . For most women, the level of intimacy in a relationship regulates the libido. For this reason, problems such as the problem of trust in the relationship and unresolved arguments may cause sexual reluctance.
If women with sexual reluctance apply to health institutions, treatment planning is guided by research to determine the root cause of this situation. First of all, the past medical history of the people and the evaluation of the drugs they use constitute the first stage of elucidating the underlying cause. In the next stage, various laboratory tests may be requested by the physician.
SHBG (sex hormone binder I protein), TT (clotting time), Prolactin and TSH hormone (thyroid stimulating hormone) levels are among the biochemical parameters examined for the diagnosis of sexual reluctance.
How is the Treatment of Sexual Reluctance in Women?
First of all, the correct diagnosis must be made for the correct treatment. Various drugs such as antidepressants should be examined as they may cause sexual reluctance. If the reason for sexual reluctance is the current medical drugs, it is extremely wrong to terminate the use of drugs without the knowledge of the relevant physician.
At the same time, limiting the use of alcohol and tobacco, performing activities such as yoga or exercise that reduce stress level may be beneficial in eliminating sexual reluctance in women.
What are the Causes of Sexual Reluctance in Men?
Men's lack of sexual desire is a health condition that is on the rise today. Erectile dysfunction is one of the most common causes of sexual activity in men, but sexual reluctance may develop as a result of alcohol and tobacco use, burnout or problems with relationships.
Besides these reasons, sexual reluctance may occur in men due to testosterone deficiency, hyperprolactinemia (higher than normal levels of prolactin hormone in the bloodstream) or drugs used for various treatments.
Erectile dysfunction or premature ejaculation (premature ejaculation) The reason may be due to the change in testosterone hormone levels in people who only complain of sexual reluctance without such problems. Decrease in testosterone level is a matter to be careful about, as negative changes may occur on body and mental health apart from sexual reluctance. In order to detect this decrease in testosterone hormone level, the hormone level in the blood can be biochemically examined. lyre If the detected value is below approximately 300 nanograms per deciliter (300 ng/dL), the testosterone hormone level is considered to be below normal. After sexual arousal in men, the muscles in the penis begin to relax. As a result of relaxation in the muscles, blood flow to the penile region increases. After the chambers in the penis are filled with blood, there is a transition to growth and erection.
Following the end of the erection, the blood in the penile region is removed through the veins and the penis returns to its original state. Problems related to the initiation or maintenance of this process are called erectile dysfunction.
People with diabetes, hypertension or various heart diseases have a predisposition to develop erectile dysfunction. While masculine dysfunction was detected in 10 out of every 100 men in the age range of 49, almost 1 out of every 3 men was found to have erectile dysfunction when the age range exceeds 60. As it may be a harbinger of a heart attack in the future, one should be careful.
Another condition that can cause sexual reluctance in men is premature ejaculation. Premature ejaculation is defined as the inability of the person to control the ejaculation that occurs before, immediately or shortly after sexual intercourse. Premature ejaculation may occur depending on its presence.
How is the Treatment of Sexual Reluctance in Men?
In order to plan treatment for sexual reluctance in men, as in women, the underlying cause must be determined first. After the application to health institutions, the first physical examination is performed in the diagnostic approach.
Electrocardiogram (ECG), blood sugar level, blood glucose level after physical examination The level of fatty substances in the circulation, the level of testosterone and prolactin hormones constitute diagnostic tools that can be evaluated within the scope of sexual reluctance test. If necessary, drugs that will provide testosterone support can be prescribed if the physician deems it appropriate.
Apart from hormone therapy, vasodilator drugs, the active ingredient of which provides enlargement of the vessels in the penile region, is a treatment method that can be beneficial if the cause of sexual reluctance is erectile dysfunction. Psychological support may be beneficial.
Many lifestyle or food choice changes for both men and women can be beneficial in eliminating sexual aversion:
- Consuming chocolate in addition to fruits such as avocados, figs and bananas.
- People who have self-confidence problems due to their bodies start a healthy diet program and start physical activity
- Limit alcohol consumption
- In order to eliminate sexual reluctance due to stress, activities that reduce stress such as meditation should be started. ensuring participation
- Sleeping regularly and adequately
- Overcoming the communication problem for solving problems in relationships
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