Quick selection: Definition | Frequency | Causes | Diagnosis | Therapy


Defifition

Libido disorders usually come as a libido deficiency, i. as a diminished sex drive, before. In other words, it is a reduced sexual appetite. An excessive libido is rather rare and often occurs in the context of a paraphilia. The latter refers to a sexual behavior that deviates from the social norms or what is usually called "normal". These include e.g. Voyeurism, pedophilia, etc.

Frequency

about 2% of all men

Causes

In principle, both somatic, psychological and social causes come into question.

Somatic causes
# Age
# Comorbidity, e.g. Diabetes mellitus, hypogonadism, renal insufficiency, hepatic insufficiency, arterial hypertension, lipid metabolism disorders, etc.
# Physical disability
# Hormone disorders
# Medicines, addictive substances

Mental causes
# Stress
# Sexually deviant inclinations
# Disturbed body consciousness or body image (inferiority complex)
# Psychiatric disorders

Social causes
# Sexual education (taboo, parent-child relationship)
# Gender-specific role behavior
# Contact difficulties, inhibitions in dealing with other people
# Sexual stimuli in public
# Religious obligations, - taboos
# Partnership conflicts
# Existential fear
# War and / or emergency times

Diagnosis

# Interviewing with queries o.g. causes
# Special questions about sexual appetite

Frequency of craving for sexual activity
Comparison of sexual desire with other persons of the same age
Changes in sexual desire, trigger if necessary
Connection between libido disorder and the occurrence of sexual and / or other problems

# Clinical examination
# Blood test, testosterone, possibly advanced endocrinological clarification (FSH, LH, prolactin, estrogen) or depending on the comorbidities special blood values

Therapy

# if possible, causal therapy
# Psychotherapy, sex therapy, couples therapy, hypnosis