Patient's question:
Decreased libido, short intercourse time. Sperm has yellow granular substances.Doctor's answer:
Hello: It is best to have a check-up at the specialized outpatient clinic. If the decreased libido is purely due to psychological factors, the treatment principle should focus on identifying and addressing the underlying cause, while also incorporating psychotherapy and sensate focus training, which can be expected to yield good results.(1) Etiological Treatment
For individuals with decreased libido caused by depression, medication, or organic factors, active treatment of the primary condition is necessary.
(2) Psychotherapy and Sensate Focus Training
Most patients can achieve good results with this approach. However, the following preparations should be made before training:
① Assess the patient's motivation to seek treatment. If the individual with decreased libido has no interest in receiving treatment, the therapy will likely be ineffective, or even counterproductive.
② Help the patient understand and accept their condition. At the beginning of treatment, try to identify the underlying cause as much as possible. If the cause is unclear, it should be explained to the patient that successful treatment depends on changes in attitude, desires, or behavior. Overpromising should be avoided.
③ The focus of treatment should be on improving the marital sexual relationship, rather than identifying who is healthy or who has a condition.
④ Help correct harmful beliefs about the mutual influence of marital sexual activity. Common misconceptions include:
a. Individuals with decreased libido believe that sexual satisfaction and pleasure depend solely on their initial sexual interest.
b. Fixed sexual norms, such as the expectation that men should initiate sexual activity and quickly show sexual arousal, or that when the woman first suggests sexual activity, it may cause emotional changes in the man.
c. The belief that sexual activity will always lead to intercourse or an orgasm.
⑤ Treatment should address multiple aspects, promoting communication between the patient and their partner and discussing the autonomy of sexual activity. Focus on emotional expression rather than treating sexual arousal or intercourse as the goal. Encourage both partners to initiate sexual activity.