Patient's question:
Decreased libido, short intercourse time. Sperm has yellow granular substances.Doctor's answer:
Hello: It is best to consult a specialized clinic for examination. If the decreased libido is purely due to a physiological cause, the treatment principle should focus on addressing the underlying cause, while also employing psychotherapy and sensate focus training, which can be expected to yield good results.(1) For those with decreased libido caused by depression, medication, or organic factors, active treatment of the primary disease is necessary.
(2) Psychotherapy and sensate focus training are effective for most patients. However, the following points must be addressed before training begins:
① Assess whether the patient has 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 start of treatment, try to identify the relevant causes. If the cause is unclear, inform the patient that successful treatment depends on changes in attitude, desires, or behavior. Avoid making overly optimistic promises;
③ The focus of treatment should be on improving the sexual relationship between partners, rather than identifying who is healthy and who is not;
④ Help correct harmful beliefs about the mutual influence of sexual activity between partners. 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 belief that men should initiate sexual activity and quickly show sexual arousal, or that when the woman first requests sex, it may cause emotional changes in the man.
c. The belief that sexual activity always leads to intercourse or sexual climax;
⑤ The treatment should approach the issue from multiple angles, promoting communication and discussion about the autonomy of sexual activity between partners, focusing on emotional expression rather than treating sexual arousal or intercourse as the goal of training, and encouraging both partners to initiate sexual activity.