Patient's question:
I don't like my husband touching me.Doctor's answer:
Hello, the causes of sexual apathy are very complex and can mainly be attributed to the following three aspects:A. Age Factors: After the age of 50, as one grows older, the demand for sexual desire tends to gradually decrease. This is an objective law of sexual aging, but the fluctuation in sexual desire is very significant. It varies greatly among different ethnic groups, at different times, and in different environments.
B. Psychological Factors: Some individuals, due to a lack of sexual knowledge, may experience a decline in sexual desire due to failures in masturbation or their first sexual encounter. Some believe that "one drop of semen is equal to ten drops of blood," viewing semen as precious and thus feeling regretful, leading to a lack of ejaculation during intercourse. Over time, these individuals may gradually reduce or completely lose their desire for sexual activity. Other couples may experience disharmony in their relationship or inconsistent sexual compatibility, leading to sexual apathy. Some may fear pregnancy or childbirth, while others hold incorrect views on sex, considering it immoral or vulgar. Conversely, some may develop a sense of guilt due to past mistakes in sexual activity or psychological trauma, which inhibits the excitement of the sexual desire center in the cerebral cortex.
C. Medical Factors: Physical weakness, excessive fatigue, chronic illnesses, and endocrine function changes, particularly insufficient testosterone secretion by the testes, can all lead to a decline in sexual desire. Additionally, conditions such as liver cirrhosis, congestive heart failure, hypopituitarism, hypothyroidism, menopause, and chronic renal failure may also cause sexual apathy. Certain medications, such as antihistamines, verapamil, clonidine, propranolol, and hydralazine, can also contribute to this condition.
How to Treat Sexual Apathy:
The treatment of sexual apathy should be targeted at its underlying causes. For men, after the age of 50, as they grow older, the decline in testosterone levels