My wife doesn't like sexual intercourse, what should I do?

Patient's question:

Our sex life is very unpleasant!!!!!!

Doctor's answer:

Hello: Treatment Methods:
(1) Western Medicine Treatment: The cause of sexual apathy is often not singular, so treatment requires different approaches based on the specific cause. Sexual apathy lacks objective signs and primarily relies on patient self-reporting. It only shows effectiveness when the patient genuinely requests treatment; otherwise, it may have the opposite effect.
Western medicine treatment mainly includes psychological therapy and medication. Psychological therapy methods include eliminating fear, overcoming biases about sex life, improving marital relationships, and other aspects. Medication treatment primarily involves sex hormone drugs and antidepressants. For organic diseases, corresponding medication should be chosen based on the primary disease.
(2) Traditional Chinese Medicine Treatment:
1. Syndrome Differentiation and Treatment: The pathogenesis of this condition is characterized by qi stagnation, phlegm obstruction, yang deficiency, essence deficiency, and insufficient qi and blood. Therefore, the treatment principle is to regulate qi, resolve stagnation, dry dampness, transform phlegm, invigorate yang, nourish essence, and replenish qi and blood.
(1) Liver Qi Stagnation Syndrome
Symptoms: Low libido, insufficient sexual sensitivity, depression, irritability, chest tightness, distending pain in the breasts and hypochondria, lower abdominal pain during menstruation, with menstruation occurring either earlier or later. Thin, white coating on the tongue.
Treatment: Soothe the liver and resolve stagnation.
Prescription: Shuang Miao Dan (a modified version of Dr. Chang's empirical formula).
(2) Kidney Yang Deficiency Syndrome
Symptoms: Low libido or complete lack of libido, cold pain in the lower back and knees, feeling cold in the limbs, loose and watery stools, clear and long urination, thin and cold leukorrhea, delayed menstruation, reduced volume and pale color. Pale tongue with a thin, white coating.
Treatment: Warm the kidneys and invigorate yang.

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