What are the reasons for decreased sexual pleasure?

Patient's question:

I find that the pleasure I experience during sex is not as intense as it used to be. I am 30 years old and have been married for two years. Our married life is normal. Why is this happening?

Doctor's answer:

Generally, it is a lack of interest in sexual activity, known as hypoactive sexual desire. The reasons for this can include early resumption of sexual activity after childbirth, excessive fatigue, improper contraceptive measures, and reproductive system diseases. These factors can lead to aversion or disgust towards sexual activity.
Western medical treatment primarily involves psychological therapy and medication. Psychological therapy methods include eliminating fear, overcoming biases about sex, and improving marital relationships, among others. Medication treatment mainly involves the use of sex hormone drugs and antidepressants. For cases caused by organic diseases, appropriate medication should be selected based on the underlying condition.

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