Change of libido: causes, diagnosis, and treatment
About the Symptom
Changes in libido are a widespread issue faced by individuals of various ages and genders. Symptoms can manifest in different forms: from a complete lack of interest in sexual life to excessive desire. These changes may be caused by both physical and psych-emotional factors, such as stress, fatigue, hormonal imbalances, or various diseases. Key symptoms of reduced libido include decreased sensitivity, diminished desire for intimate relationships, and lack of pleasure from sexual activity.
On the other hand, increased libido may be expressed through frequent sexual fantasies, a need for regular sexual contacts, and excessive aggressiveness in approaches to the opposite sex. These symptoms may be related to hormonal changes, such as fluctuations in testosterone or estrogen levels, as well as psychological states, including depression or anxiety. It is important to understand that changes in libido do not always occur in isolation and may signal physiological or emotional disturbances that require the attention of a specialist.
Diseases
Changes in libido can be a symptom of various diseases that affect a person’s physical, mental, or hormonal state. One of the main factors contributing to a decrease or increase in libido is endocrine disorders. For example, malfunctions in the thyroid gland can lead to both hypo- and hyperthyroidism, which in turn affects the levels of sex hormones and results in changes in sexual desire.
Other conditions that cause changes in libido include mental disorders such as depression, anxiety disorders, and stress. These conditions often lead to a decreased interest in sexual activity. Additionally, some chronic diseases, such as diabetes or hypertension, can also negatively impact libido as they affect circulation and the overall well-being of the patient.
- Endocrine disorders (e.g., hypo- and hyperthyroidism)
- Depression and anxiety disorders
- Diabetes
- Hypertension
- Cardiovascular problems
- Psychosomatic disorders
- Sexually transmitted infections
- Use of certain medications (e.g., antidepressants)
Diagnosis
Diagnosing changes in sexual desire is a complex, multi-step process that requires a comprehensive approach. The primary task of physicians is to identify the causes of changes in libido, which can be both physical and psychological. Various examination methods may be employed, including detailed medical history collection, physical examination, and laboratory tests. Based on the gathered information, the specialist can identify factors affecting the patient’s sexual desire and recommend an optimal treatment course.
The clinic offers various diagnostic services to thoroughly assess the patient’s condition. Specialists may use questionnaires to evaluate the level of sexual desire, as well as different studies to rule out diseases that could be causing the changes. Key aspects of diagnosis include a professional approach, confidentiality, and individualization of the examination for each patient.
- Complete blood count and hormonal studies
- Use of psychological questionnaires and tests
- Ultrasound examination of the pelvic organs
- Consultation with a psychotherapist
- Testing for sexually transmitted infections
- Specific tests to assess sexual desire
Which doctor to consult
When experiencing changes in sexual desire, it is important for patients not to delay visiting a doctor, as this symptom may be associated with various medical conditions or psycho-emotional disorders. The first step in diagnosis should be to see a general practitioner or family doctor, who can assess overall health and identify possible causes for changes in libido. If necessary, they will refer you to other specialists to more accurately determine the nature of the problem.
It is important to remember that changes in sexual desire can be viewed as a symptom of a broader range of diseases; therefore, professional help from multidisciplinary doctors may be necessary. Specialists such as endocrinologists, psychotherapists, or sexologists can provide more in-depth diagnosis and treatment focused on the specific causes of changes in libido.
Treatment directions:
- Sexologist
- Endocrinologist
- Psychotherapist or psychologist
- Gynecologist (for women)
- Andrologist (for men)
- Urologist (for men)
Types of Changes in Sexual Desire
Changes in sexual desire can manifest in different forms, and understanding these types is key to diagnosing and prescribing appropriate treatment. The main types of changes in sexual desire include hypoactive sexual desire, which is characterized by a decrease in interest in sex and intimate relationships, as well as an increased sexual desire or hypersexuality, where the need for sexual acts becomes excessive and can interfere with daily life. These conditions can arise from various reasons, including physical, psychological, and sociocultural factors.
Other variations of changes in sexual desire include sexual avoidance, where a person consciously avoids sexual contact, and sexual anorgasmia, where despite having sexual desire, there is an inability to achieve orgasm. It is important to understand that each of these conditions can be triggered by both emotional experiences and medical conditions, so their interpretation requires an individualized approach and quality diagnosis.
- Hypoactive Sexual Desire
- Hypersexuality
- Sexual Avoidance
- Sexual Anorgasmia
- Sexual Dysfunction
Reasons for Changes in Libido
Changes in libido can be caused by a variety of factors, ranging from physical to psychological. Physiological changes, such as hormonal fluctuations, can significantly affect the level of libido. For example, in women, the levels of testosterone and estrogen may vary depending on the menstrual cycle, pregnancy, or menopause. In men, changes in testosterone levels can also be related to age and other medical conditions, such as hypogonadism.
Moreover, emotional state and mental health play an important role in changes in sexual desire. Stress, depression, and anxiety can negatively impact the desire and ability to enjoy intimacy. It is essential to consider the influence of social factors, such as relationships with a partner, as well as external circumstances, such as work or family issues, on overall well-being and sexual activity.
Common reasons for changes in libido include:
- Hormonal changes
- Psychological disorders (e.g., depression, anxiety)
- Medications (antidepressants, antihypertensives)
- Medical conditions (diabetes, obesity, cardiovascular diseases)
- Physical fatigue and lack of sleep
- Relationships and communication with a partner
- Stress and life changes
Common Related Pathologies
Changes in sexual desire may be associated with a number of medical and psycho-emotional conditions. Often, such changes are symptoms of more serious illnesses that require qualified medical intervention. Understanding these pathologies is important for timely diagnosis and treatment, as ignoring the problem can lead to a deterioration in the quality of life and the psycho-emotional state of the patient.
One of the most common pathologies associated with changes in sexual desire is depression. This condition can reduce interest in sexual activity in both men and women. Other important conditions include hormonal disorders such as hypothyroidism, hyperthyroidism, and changes in testosterone levels, which can also lead to decreased sexual desire. Additionally, certain diseases such as diabetes can affect sexual desire and function due to impaired circulation and nerve disorders.
Common Related Pathologies:
- Depression and anxiety disorders
- Hormonal disorders (hypothyroidism, hyperthyroidism)
- Diabetes
- Cardiovascular diseases
- Psychosexual disorders
- Chronic liver or kidney diseases
- Neuropathies and other neurological disorders
Expert Opinion
The change in sexual desire can have many causes, which often depend on the individual’s characteristics. A sexologist emphasizes that it is crucial to understand that fluctuations in libido can be related to both physical conditions, such as chronic diseases or hormonal disruptions, as well as psychological factors, such as stress, depression, or interpersonal relationship issues. These aspects require a comprehensive approach to diagnosis and therapy.
According to experts, it is important not to ignore changes in sexual desire, as this may be a signal of more serious problems. If you notice sharp changes in libido in yourself or your partner, it is recommended to consult a specialist for diagnosis and to choose the optimal treatment strategy. Consulting a doctor can help identify the root cause of the changes and, if necessary, offer suitable therapy options—be it medication, psychotherapy, or other correction methods.
Treatment of Changes in Sexual Desire
Treatment of changes in sexual desire involves a comprehensive approach, as this symptom can be caused by a variety of factors—from physical to psychological. It is important to first determine the cause of the change in libido in order to subsequently choose the most effective therapy methods. This may include both medication and psychotherapy. Psychological aspects in such cases often play a crucial role, and working with a qualified specialist can significantly improve the patient’s condition.
After conducting diagnostics and identifying possible causes of changes in sexual desire, the doctor may recommend various treatment methods. These may include hormonal medications that adjust testosterone or estrogen levels, as well as antidepressants that help manage emotions and stress. It is important to note that treatment should be individualized, taking into account all the nuances of the patient’s health and lifestyle.
- Psychotherapy (individual and group)
- Hormonal therapy
- Medication (antidepressants, dopamine antagonists, etc.)
- Cognitive-behavioral therapy
- Physiotherapy (if necessary)
- Lifestyle changes (proper nutrition, physical activity)
Complications
Changes in sexual desire can not only be an expression of individual characteristics or temporary factors but also a manifestation of serious medical issues. The complications that arise from changes in sexual desire can affect both physical and mental health. For example, problems with libido can lead to a significant decrease in quality of life, deterioration of interpersonal relationships, and an increase in stress and depression levels. Thus, it is important to pay attention to symptoms and seek professional help at the first signs of change.
There are also physiological complications, which may include sexual dysfunctions such as erectile dysfunction in men or anorgasmia in women. These conditions can occur against a backdrop of neuroses, hormonal disorders, or as a side effect of certain medications. It is important to remember that ignoring issues with sexual desire can lead not only to decreased self-esteem but also to psychosexual disorders that require a comprehensive treatment approach.
- Deterioration of psycho-emotional state
- Problems in intimate life
- Development of depression and anxiety disorders
- Sexual disorders (erectile dysfunction, anorgasmia)
- Decline in the quality of interpersonal relationships
FAQ
What is a change in sexual desire and how does it affect the quality of life?
Changes in sexual desire are a deviation from the normal level of sexual interest, which can manifest as either an increase or a decrease in desire. These changes may be caused by various factors, including hormonal fluctuations, stress, psychological issues, or physical illnesses. Such changes can significantly impact the quality of life, including partner relationships, emotional well-being, and overall psycho-emotional health, creating difficulties in intimate life and leading to feelings of dissatisfaction or isolation.
What are the main reasons for changes in sexual drive and how can they be diagnosed?
Changes in sexual desire can be caused by a variety of factors, including hormonal fluctuations, emotional disorders, physical and mental health, as well as the effects of medications or drugs. In men and women, this may manifest as a decrease or increase in the desired level of sexual activity. To diagnose the causes of changes in sexual desire, a comprehensive examination is conducted, including medical history, physical examination, and possibly laboratory tests for hormone levels, psychological state, and the presence of conditions that may affect sexual attraction. It is important to consult a specialist for an accurate assessment of the situation and appropriate testing.
How can changes in sexual desire be effectively treated and what methods exist?
Changes in sexual desire can be the result of various factors, such as stress, hormonal changes, the use of certain medications, as well as psychological disorders. For effective treatment, it is important to identify the root cause and use a comprehensive approach. Treatment methods may include therapy aimed at addressing psychological issues, hormonal therapy to correct sex hormone levels, as well as adopting a healthy lifestyle and maintaining emotional well-being. In some cases, consultation with several specialists may be required, such as a sexologist, endocrinologist, and psychotherapist, to develop an individualized treatment plan.
How is the change in sexual desire related to a person’s psychological state?
Changes in libido can be closely related to a person’s psychological state, as emotions, stress, depression, and anxiety can significantly affect sexual desire. For example, increased levels of stress can lead to a decrease in libido, while feelings of happiness and life satisfaction can increase it. Psychological disorders, such as depression, are often accompanied by a reduced interest in sexual activity, which can become a serious issue for many people. In this context, working on emotional well-being, such as therapy or counseling with a specialist, can help improve libido and attitudes toward sex in general.