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The low sex desire is called when the desire for sex is lower than average. This decreased libido leads to un-satisfaction in opposite partner. Even the person who suffers with less i.e. diminished sexual desire & low frequency of sex suffers with various psychological depression disorders. Even the relation between the couples deteriorates.
Causes of low desire/low libido are as follows:
1)Hormones Disorder: Hypogonadotropic hypogonadism (hypothalamic or pituitary deficiencies) Hypogonadisms, Hypothyroidisms, Testosterone deficiency, hyperprolactinemias, Hypogonadotropics states: Hypothalamic – pituitary deficiencies: Idiopathic GnRH deficiency, Kallman syndromes, Prader-Willi syndromes, Laurence-Moon-Biedl syndromes, pituitary hypoplasia, Trauma, post surgical, postiradiation, Tumour, Vascular (pituitary infraction, carotid aneurysm), Infiltrative (Sarcoidosis, histiocytosis, hemochromatosis) drug-induced hyperprolactinemia, untreated endocrinopathies, Diabetics Glucorticoid excess, Hypopituitarisms, Cushings disease, Addisons disease. Isolated gonadotropin deficiency (non acquired): Pituitary, Hypothalamic
Associated with multiple pituitary hormone deficiencies: Idiopathic pan hypo pituitarism (hypothalamic defects), Pituitary dysgenesis, Following inflammation, Infiltrative or destructive processes (autoimmune, hemosiderosis), Fertile eunuch syndrome, Idiopathic hypopituitarism.
2)Hypogonadism: Testicular failure, development defect, drugs, trauma, congenital defect, congenital adrenal hyperplasia, Chromosomal defect, testosterone hormone biosynthetic defect, Mumps orchitis leading to testicular atrophy, Primary testicular defect-disorders of testicular differentiation or inborn errors of testosterone synthesis, Klinefelter syndrome, Other X polysomies (i.e. XXXXY, XXXY) Rainbow syndrome.
4)Untreated endocrinopathies & Diabetics.
5)Glucorticoids excess, Cushings disease, Addisons disease.
6)Excess asthenia i.e. chronic asthenia is a also a significant cause of low sex desire.
7)Sickle cell disease, chronic cardiac disease, chronic renal disorder, chronic pulmonary dysfunction, chronic hepatic disease, Infections mono-nucleosis, hepatitis, chronic balanitis, chronic prostatitis, and chronic urethritis.
8)Addiction as chronic alcoholism, chronic smoker, heroin or cannabis use.
9)Drugs: Sedative: Narcotics, tranquillizers, amphetamine, cocaine, many antidepressant, and anti-psychotics, anti -hypertensives, many other drugs.
10)Psychiatric disorder as depression, neurosis, & many other psychiatric disorders.
11)Disorders of sex centre:
Diagnosis: To treat patient of this disorder it is mandatory that detailed history of patient and his partner, general physical examination. After that we advice relevant investigations.
Certain tests are require to confirm the diagnosis of absence of sexual excitation and arousal. Various diagnostic tests that may be requires are:
a)Complete sex hormones profile as Estradiol, SHBG etc.
b)Thyroid function test
e)Investigation for systemic diseases including liver and renal function tests
f)Other tests which may be required depending on likelihood of the any of above causes.
a) Hormone Therapy: It is very effective in curing absence of sexual excitation & arousal, when hormone is the cause for absence of sexual excitation and arousal. It is given in the form of oral tablets. Skin cream, local application of gels. These medicines are given in well tested prescribed doses as described in authentic textbooks. Some hormone precursors have also been used for increasing sexual excitation in many patients in whom no hormone disorder is found.
b) Sex therapy: We teach the patient about the various techniques in a way that it increase the enjoyment of body touch better excitation & arousal in female. This leads to good lubrication of vagina thus women enjoys the sex more pleasurable. Due to this more enjoyment of sex leads to women getting orgasm more often. All this improves the desire of sex as well as enjoyment of sex.
c)Treatment of chronic asthenia is done by replacement of antiasthenic drug with good results.
d)Treatment of Urogenital infection balanitis, prostatitis, and epididymitis gives immediate relief & very dramatic increase in absence of sexual excitation & arousal.
e) Treatment for alcohol and drug addiction.
f)Treatment of psychiatric disorder and other systemic disease.
g)Treatment of sex center disorders h)Detailed Sex Counseling: In which our sex counselors meet with respective patient, talking in detail resulting in detection of primary cause leading to absence of sexual excitation & arousal.
With appropriate drug therapy, sex education and sex therapy patient recover in two months time. The sexual excitation and arousal of patient recovers. Once libido is return to normal her/his family relationship also normalizes.