What are the Causes of Sexual Reluctance in Women?
It is normal for women to have fluctuations in sexual desire. At the end of bonds or at the beginning of a new interest, after changes that greatly affect the life style, or in cases of menopause, pregnancy and illness, sexual reluctance may occur in women. However, if this condition persists for a period of 6 months or more, it is defined as female sexual interest/arousal disorder.
In women, estrogen levels decrease with advancing age. Following the decrease in estrogen level, a decrease in blood flow to the vaginal area may also occur, and this is one of the causes of sexual reluctance in women.
Inflammation of the joints (arthritis), coronary artery disease, diabetes, decrease in estrogen level, hormonal changes during or after pregnancy, tension, exhaustion or as a side effect of various drugs, sexual reluctance may occur in women.
In addition to these physical problems, sexual reluctance may occur in women due to psychiatric issues such as depression and anxiety.
Another reason for sexual reluctance in women is bond problems. For more than one woman, the level of intimacy in the connection has a libido-regulating effect. Therefore, the problem of belief in the connection and unresolved arguments can cause sexual aversion.
If women with sexual reluctance apply to health institutions, treatment planning is guided by research to determine the root cause of this condition. First of all, the past medical history of the individuals and the evaluation of the drugs they use constitute the first stage of elucidating the underlying cause. In the next stage, various laboratory tests may be requested.
SHBG (sex hormone binding protein), TT (clotting time), Prolactin and TSH hormone (thyroid stimulating hormone) levels are in the middle of the biochemical parameters examined for the diagnosis of sexual reluctance.
What is the Treatment of Sexual Reluctance in Women?
For correct treatment, first of all, it is necessary to make an accurate diagnosis. Various drugs such as antidepressants should be examined as they may cause sexual reluctance. If the reason for sexual reluctance is the currently used medical drugs, it is extremely wrong to terminate the use of drugs without the knowledge of the relevant physician.
If the underlying cause of sexual reluctance in women is determined to be lower than usual estrogen levels, estrogen therapy may be considered in the treatment.
At the same time, limiting the use of alcohol and tobacco, doing activities such as yoga or exercise that reduce the tension level can be beneficial in eliminating sexual reluctance in women.
What are the Causes of Sexual Reluctance in Men?
Sexual reluctance in men is a health condition that is increasing nowadays. One of the most common sexual dysfunctions in men is sexual interest/arousal disorder. When looked closely, sexual reluctance may develop in men as a result of alcohol and tobacco use, burnout or problems with bonds.
Apart from these reasons, sexual reluctance may occur in men due to testosterone deficiency, hyperprolactinemia (having a higher than usual level of prolactin hormone in the bloodstream) or drugs used for various treatments.
It may be useful to examine changes in testosterone hormone levels in individuals who only have sexual aversion without problems such as erectile dysfunction (erectile dysfunction) or premature ejaculation (premature ejaculation). Decrease in testosterone level is a bet that needs to be taken care of, as adverse changes may occur on body and mind health as well as sexual reluctance.
With advancing age, a decrease in the level of testosterone hormone, most of which is produced in the testicles, is a physiological condition. To detect this decrease in testosterone hormone level, the hormone level in the blood can be biochemically examined. The determined values are interpreted by comparing them with the normal values according to age.
In order for the penis to function in sexual intercourse, it must be erect. After sexual arousal in men, the veins and muscles in the penis begin to relax. This relaxation results in an increase in blood flow to the penile region. After the chambers in the penis are filled with blood, there is a transition to growth and hardening.
Following the end of the erection, the blood in the penile region is removed through the veins and the penis returns to its original state. Problems with starting or maintaining this process are called hardening trouble.
There is a predisposition to the development of erectile dysfunction in people with diabetes, hypertension or various heart diseases.
As a result of studies on the prevalence of erectile dysfunction in men; While it was detected in 10 out of every 100 men in the age range of 40-49, it was found that almost 1 out of every 3 men had erectile dysfunction when the 60-year-old and older group was examined.
Another condition that can cause sexual reluctance in men is premature ejaculation. Premature ejaculation is defined as the inability of the person to control the ejaculation that occurs before, immediately or within a short period of time after sexual intercourse.
While sexual performance problems are among the leading causes of premature ejaculation, premature ejaculation may also occur due to tension, depression, loss of self-confidence and unresolved problems in attention.
How is the Treatment of Sexual Reluctance in Men?
In order to plan treatment in case of sexual reluctance in men, as in women, the underlying cause must be determined first. After the application to the health institutions, the first physical examination is performed in the diagnostic approach.
After the physical examination, electrocardiogram (ECG), blood sugar level, blood lipid profile, testosterone and prolactin hormone levels constitute diagnostic tools that can be evaluated within the scope of sexual reluctance test.
At the same time, ultrasonography imaging can be used to examine the blood flow in the penile region.
If the underlying cause is determined to be low testosterone level, drugs that will provide testosterone supplementation can be prescribed if the relevant physician deems it appropriate.
Apart from hormone therapy, vasodilator drugs, the active element of which provides enlargement of the vessels in the penile region, is a treatment procedure that can be beneficial if the cause of sexual reluctance is erectile dysfunction.
If the problem that causes sexual reluctance in men is psychiatric problems such as depression or performance anxiety, mental reinforcement by specialists may be beneficial.
Many lifestyle or food choices to be made for both men and women can be beneficial in eliminating sexual reluctance:
- Healthy eating program and initiation of physical activity
- Limiting alcohol consumption
- Ensuring participation in activities that reduce tension, such as meditation, in eliminating sexual reluctance due to stress.
- Regular and adequate sleep
- Overcoming the problem of communication in order to analyze the problems that occur in relations