Patient's question:
During sexual activity, you are sensitive and get erect quickly. The duration of sexual activity is usually between 2-4 minutes.Doctor's answer:
Before treatment begins, it should be done as much as possible according to the relevant causes, helping patients recognize their condition and formulate appropriate treatment measures. If low libido is related to environmental or family factors, the problem should be pointed out to the patient, and suitable solutions should be proposed. For those with abnormal experiences during childhood or adolescence, psychoanalytic therapy can be tried to identify the underlying reasons or traumatic factors suppressing libido, combined with sexual education for targeted treatment.A harmonious marital relationship, mutual understanding, respect, and open communication are necessary conditions for improving low libido. Improving the sexual relationship between spouses should be a key focus of treatment. The treatment plan should be tailored to specific situations and needs, and before formulating it, the types of sexual behavior between the couple should be pre-assessed. There are three types of thoughts that mutually influence and may harm the sexual relationship between spouses:
Guidelines:
The first thought is that sexual satisfaction and pleasure depend on initial sexual interest. This idea confuses sexual contact and sexual arousal. If, due to certain objective reasons, a person temporarily lacks interest in sexual activity, they may later believe they cannot participate in sexual activity.
The second thought is that sexual activity always leads to intercourse and orgasm.
The third thought is that habitual sexual routines cannot be changed.
These three thoughts are often directly or indirectly transmitted from one spouse to another, leading to outdated and involuntary sexual behavior. To address these misconceptions, treatment should focus on the following aspects. First, discuss these thoughts directly and repeatedly with the patient couple, explaining their relationship to low libido, encouraging them to alleviate their concerns, and helping them identify factors affecting sexual interest. Second, guide the patients in specific methods, such as sensate focus exercises, with a gradual approach.
Lifestyle Care:
Pay attention to verbal and non-verbal communication. Do not treat sexual arousal and intercourse as the goal. Encourage sexual activity when there is no frustration or discomfort, thereby reinforcing one's views and boosting confidence. For patients with sexual dysfunctions such as erectile dysfunction or premature ejaculation, symptomatic treatment should be provided. Often, after improvement in sexual function, libido also returns to normal. Short-term use of male sex hormone therapy, such as oral methyltestosterone or intramuscular testosterone enanthate, may also yield certain therapeutic effects.