What is it?
Lack of libido or low sex drive is the term used to describe a lack of interest in sexual activity. Sexual desire or libido is a complex condition produced by a combination of biological, personal and relationship factors. One of the most common reasons people seek treatment is because their partner is not satisfied. The “identified patient” (the one who is less interested in sex) seeks treatment because their partner is frustrated, angry or resentful. Ironically, the “lack of libido” often conceals a desire for more non-sexual sharing and intimacy.
What causes low libido?
Acute or chronic medical or psychiatric conditions, especially depression, as well as chronic alcohol or marijuana use and certain prescription drugs e.g. antidepressants (medication used to treat depression) and antihypertensives (drugs to treat blood pressure), can all lower feelings of sexual desire. It is often difficult to separate how much the patient’s sexual interest is affected by biological and psychological factors, especially when there is chronic illness, chronic pain, fatigue or body image problems (e.g. following surgery for cancer). Personal factors such as stress or tiredness from work, too little or too much exercise, as well as feelings of dissatisfaction in the relationship are also strong causes of lack of interest in sex.
How is low libido treated?
Whilst antidepressants can be helpful if the person is depressed, they can also lower sexual interest.
If low libido is caused by confirmed androgen deficiency, testosterone replacement may be needed.
Individual or couple counselling can be very helpful in identifying and addressing the issues that have caused the “identified patient” to withdraw emotionally from the sexual arena
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