Patient's question:
1. Can you introduce about hypoactive sexual desire?2. If it has been confirmed that it is hypoactive sexual desire, what measures should be taken for treatment?
Doctor's answer:
Hello, hyposexuality is also known as sexual desire inhibition. It refers to the persistent or recurrent lack of sexual fantasies and desire for sexual activity, or a complete absence of such desire. It is a disease that affects both men and women. Traditional Chinese Medicine (TCM) refers to it as "yin cold" and "female yin weakness" among others.### I. Etiology and Pathology:
#### (1) Western Medicine:
1. Psychological Factors: There are generally the following categories:
(1) Sexual Trauma Factors: Such as sexual assault, incest, fear of pregnancy, or fear of contracting sexually transmitted diseases.
(2) Chronic Fatigue: Due to work stress, busy social engagements, or excessive mental labor, which affects the function of the central nervous system.
(3) Abstinence or Excessive Indulgence: Over time, this can disrupt the function of the spinal cord's central nervous system, leading to a gradual aversion to sexual activity and the suppression of sexual desire.
(4) Poor Spousal Relationship or Differing Views on Sex: Lack of proper sexual knowledge, or prolonged failure of women to achieve climax, leading to boredom with sexual life.
2. Organic Factors: Almost all chronic diseases can lead to hyposexuality, primarily by affecting the nervous and endocrine systems, thereby reducing the level of sexual hormones in the blood.
3. Medication Factors: Certain oral medications can lower sexual desire, such as antihistamines, marijuana, phenytoin, reserpine, spironolactone, and anti-androgen drugs.
#### (2) Traditional Chinese Medicine:
TCM believes that the root of hyposexuality lies in the heart, liver, spleen, and kidneys. The causes include insufficient innate and acquired nourishment, emotional injury, prolonged illness leading to physical weakness, and an excess of phlegm and dampness internally. The fundamental pathogenesis involves qi stagnation, phlegm obstruction, depletion of essence, and insufficient qi and blood.
### II. Main Symptoms:
Mild cases involve low sexual desire, where married individuals have little desire for intercourse and do not demand it even if they go months without it. Severe cases...