The case history (medical history) represents an important component in the diagnosis of male libido disorders. Family history Social history What is your occupation? Is there any evidence of psychosocial stress or strain due to your family situation? Do you suffer from any psychological conflict? Do you have contact disorders? Do you have sexual inclinations … Male Libido Disorders: Medical History
Endocrine, nutritional, and metabolic diseases (E00-E90). Acromegaly (Giant Growth) Diabetes mellitus (diabetes) Lipid metabolism disorders such as hypercholesterolemia or hypertriglyceridemia. Hyperprolactinemia (elevated serum prolactin levels). Hyperthyroidism (hyperthyroidism) Hypogonadism – gonadal (testicular) hypofunction with resulting androgen deficiency (lack of male sex hormone). Hypothyroidism (hypothyroidism) Addison’s disease (primary adrenocortical insufficiency). Graves’ disease – form of hyperthyroidism caused … Male Libido Disorders: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by male libido disorders: Psyche – Nervous System (F00-F99; G00-G99). Depression Erectile dysfunction (ED; erectile dysfunction). Further Social isolation
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin, mucous membranes and body structure Inspection and palpation (palpation) of the thyroid gland. Inspection and palpation of the mammae (mammary glands) [very rare: galactorrhea/diseased mammary discharge] [due todifferential … Male Libido Disorders: Examination
Pathogenesis (development of disease) Libido disorders occur in about two percent of men.One distinguishes somatic, i.e. physical factors from psychological and social factors that play a role in libido disorders. Often, several factors such as hormonal disorders and psychological influences occur together. Estrogens increase libido, frequency of sexual fantasies, frequency of masturbation and sexual intercourse … Male Libido Disorders: Causes
General measures Nicotine restriction (refraining from tobacco use). Limited alcohol consumption (max. 25 g alcohol per day). Aim for normal weight! Determination of BMI (body mass index, body mass index) or body composition using electrical impedance analysis. BMI ≥ 25 → participation in a medically supervised weight loss program. Falling below the BMI lower limit … Male Libido Disorders: Therapy
Libido disorder is usually diagnosed on the basis of history and physical examination. Laboratory parameters of the 1st order – obligatory laboratory tests. Small blood count Testosterone (male sex hormone) PRL (prolactin) Laboratory parameters 2nd order – depending on the results of the history, physical examination, etc. – for differential diagnostic clarification. Fasting glucose (fasting … Male Libido Disorders: Test and Diagnosis
Therapeutic target Restoration of libido Therapy recommendations Underlying diseases or known causes (risk factors: e.g., hyperprolactinemia/increased blood prolactin levels) should be treated as a priority. Soweitmehrfach ein subnormaler Testosteron-Serumspiegel* gewiesen worden worden, is a substitution therapy (supply of substances that are normally available to the body through its own organ performance) with testosterone indicated. If … Male Libido Disorders: Drug Therapy
Libido disorders are diagnosed based on medical history and physical examination. Furthermore, serum testosterone levels are measured.
To prevent male libido disorders, attention must be paid to reducing individual risk factors. Behavioral risk factors Consumption of stimulants Alcohol Psycho-social situation Psychological conflicts Contact disorders Stress Sexual inclinations deviating from the norm Partnership problems Medications that can lead to male libido dysfunction Antidepressants Selective serotonin reuptake inhibitors (SSRIs, selective serotonin reuptake inhibitors) – … Male Libido Disorders: Prevention
Libido disorders are characterized by a lack or increase in sexual drive. Warning signs (red flags) of libido loss Medical history: Alcohol dependence Partnership problems Indications or symptoms of depression
