The main feature of reduced sexual desire disorder is the lack of sexual affect. It is the lack or absence of sexual fantasies and desire to engage in sexual activity. When evaluating this disorder; Cultural, religious, social, psychological and physical characteristics must be carefully examined.
The individual usually does not initiate sexual activity, or when the partner initiates it, he/she participates reluctantly and is guided according to his/her wishes. If this situation continues for a long time, women will be disappointed, they will be afraid to say no, and illness and fatigue will be their excuses. This may occur due to cultural and sociological upbringing or psychological disorders. The simplest one is the reluctance towards the spouse that occurs in unwanted marriages made as a result of arranged marriages in our country.
In studies in Western societies, 30-49% of the reason for women's sexual complaints is lack of sexual desire. However, this rate is between 8-15% in our country and the reason for this is that this situation is not perceived as a problem and they do not consult a doctor. One of the important points is that the desire frequency of the couple is compatible with each other. This problem can often occur as a reaction to abusive relationships. Here, issues such as the way the marriage is established, the spouse's approach to sexuality and sexual behavior characteristics, etc. should be taken into consideration.
In societies and cultures where sexuality is suppressed and prohibited, acquiring wrong information about sexuality, sexual phobia, wrong beliefs and expectations about sexuality, starting from childhood. It is inevitable that women will become alienated from sexuality and even their own bodies as a result of the process that progresses by suppressing their sexual impulses and isolating all kinds of sexual activities from their minds. Another problem is that this is not seen as a disorder and a solution is not sought.
In the treatment, the aim is to change the sexual system of the woman and enable her to participate in the sexual experience. For this reason, the conflicts and dynamics in the relationship need to be reviewed, and the spouse is expected to participate in these therapies.
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