Patient's question:
Detailed medical condition and consultation purpose: Married for ten years. No orgasm, hoping to get answers and a treatment plan.Duration and persistence of the current illness: None.
Current general condition: No interest in sex.
Medical history: Moderate cervical erosion.
Previous diagnoses and treatment history and effectiveness: None.
Ancillary tests: None.
Other: None.
First follow-up question: Thank you, Maple Leaf, I think my situation is not very related to your answer. Over the years, my husband has tried every possible method, but it has been ineffective.
Doctor's answer:
Hello:Sexual apathy, also known as sexual desire inhibition, refers to a persistent or recurrent insufficient or complete lack of sexual fantasies and desire for sexual activity. It is a disease that affects both men and women. In traditional Chinese medicine (TCM), it is referred to as "yin lěng" (cold yin) and "nǚ zǐ yīn wěi" (female yin impotence).
### 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 (STDs).
(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 lead to dysfunction in the spinal cord's central nervous system, gradually causing aversion to sexual activity and inhibiting sexual desire.
(4) Poor Spousal Relationship or Differing Views on Sex: Lack of proper sexual knowledge, or prolonged inability for women to achieve climax and pleasure, leading to boredom with sexual life.
2. Organic Factors: Almost all chronic diseases can lead to sexual apathy, primarily by affecting the nervous and endocrine systems, thereby reducing the level of sexual hormones in the blood.
3. Medication Factors: Certain medications can lower sexual desire. Examples include antihistamines, marijuana, phenytoin, reserpine, spironolactone, and anti-androgen drugs.
#### (2) Traditional Chinese Medicine (TCM):
TCM believes that the root of sexual apathy lies in the heart, liver, spleen, and kidneys. The causes include insufficient innate and acquired nourishment, emotional distress, 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