Causes, diagnosis and treatment of female sexual arousal disorder

Causes, diagnosis and treatment of female sexual arousal disorder

The so-called female sexual arousal disorder means that in married life, a woman has no response to her husband\’s touching and teasing. This is a form of female sexual dysfunction. Although this is a relatively common sexual dysfunction among women, few doctors in China are doing diagnosis and treatment in this area.

Female sexual arousal disorder is divided into two types: primary and secondary. The former has no response to any stimulation since the day of sexual activity; the latter has had it before Sexual response and orgasm, but for various reasons, now there is no normal response to the sexual stimulation of the spouse.

The causes of female sexual arousal disorder are very complex. Some people do not respond to their spouses, but they respond to their lovers; they do not respond to general sexual stimulation, but they respond to strong stimulation (such as kissing sensitive spots, oral sex, etc.); they do not respond at night, but they respond during the day; There is no response on the bed, but there can be response in other places such as the car and so on. Decreased hormone levels, diabetes, inflammation, breastfeeding and other conditions can cause sexual arousal disorders, but more of the causes are psychological. For example, anger and fear (facing rape), having a tryst with a lover and being afraid of being discovered, unhappy mood, suspicion that your spouse has a third party, guilt (such as adultery or incest), shyness (such as for the first time or being single), nervousness (such as during ovulation) Sexual arousal disorder may occur in situations such as sexual intercourse in the hope of pregnancy), dislike (such as being coerced or sexually harassed by colleagues), grief (such as shortly after the loss of a loved one), etc. It is easy for everyone to understand these examples of people who are obviously affected by \”bad mood\”. However, some cases are more difficult to understand and require in-depth and thorough consultation.

In the current diagnosis and treatment of sexual dysfunction, although there are no direct doctors accepting the diagnosis and treatment of sexual dysfunction, psychologists and sex therapists are involved, and sometimes Patients are often asked to go to the hospital for prescribed medications. In fact, the biggest problem in sexual dysfunction is not something that can be solved by drugs, but requires in-depth consultation to obtain the patient\’s chief complaint. For example, is it primary or secondary? Does it happen occasionally or often, with your spouse or with your lover? Do you have any special sexual hobbies, sexual excitement points (especially abnormal sexual excitement points), sexual behavior, sexual pleasure, any major events you have experienced recently, strong wishes, etc. (such as wanting to get pregnant or fearing pregnancy)?

Like other diseases, sexual dysfunction should also undergo a series of tests. The first step is toExclude inflammation of the reproductive organs and endometriosis, obtain the patient\’s sexual experience and sexual orientation, and determine whether there are any factors that lead to sexual dysfunction. Only after a detailed medical history, a comprehensive evaluation of the patient\’s physical and mental status, an understanding of his psychological history, love history, and an evaluation of his relationship with his partner, can we do targeted work on the patient, explain the reasons for its occurrence, and behaviorally Guide their sexual life and give them certain auxiliary drugs.

Due to the complex causes of sexual dysfunction, understanding the medical history requires a lot of time and dialogue, and guiding the patient\’s behavior sometimes requires the participation of his or her spouse. In addition, sexual dysfunction involves a high degree of involvement of the patient. Privacy, therefore, diagnosis and treatment are generally only possible after one-on-one psychological consultation and thorough examination.

A patient underwent surgery for double hydrosalpinx. Dominant follicles were found after surgery. However, during intercourse during the time arranged by the doctor, the patient found that there was less vaginal secretion during intercourse, making love very unpleasant. This is a typical secondary sexual arousal disorder. The biggest reason may be that the expectations for the effects of surgery, pregnancy, etc. are too high after surgery, which makes the couple subconsciously very nervous when making love. Secondly, there is not enough time for foreplay. If the couple is not so anxious and can always wait until the stimulation is sufficient and there is more vaginal secretion before inserting, the situation should be much better.

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