Medical history (history of illness) represents an important component in the diagnosis of female 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 suffer a lot … Libido Disorders in Women: 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 hypofunction (here: ovaries; ovaries) with resulting androgen deficiency (lack of male sex hormone). Hypothyroidism (underactive thyroid gland). Addison’s disease (primary adrenocortical insufficiency). Graves’ disease – … Libido Disorders in Women: Or something else? Differential Diagnosis
The following are the most important diseases or complications that may be contributed to by libido disorders in women: Psyche – Nervous System (F00-F99; G00-G99). Depression Erectile dysfunction (ED; erectile dysfunction). Genitourinary system (kidneys, urinary tract-genital organs) (N00-N99). Vaginal dryness – which can lead to colpitids (vaginal infections) or vaginismus (vaginal cramps). 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; furthermore: Inspection (viewing). Skin and mucous membranes Abdominal wall and inguinal region (groin area). Inspection and palpation (palpation) of the thyroid gland. Gynecological examination Inspection Vulva (external, primary female sexual organs). Vagina … Libido Disorders in Woman: Examination
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) [Note: androgen serum concentrations do not correlate with the expression of libido disorder]. DHEA-S (dehydroepiandrosterone sulfate). FSH, estradiol – as far as not yet menopause. … Libido Disorders in Woman: Test and Diagnosis
Therapeutic target Restoration of libido Therapy recommendations Underlying diseases or known causes (risk factors) should be treated accordingly as a matter of priority. The following agents may be used: Insofar as subnormal testosterone serum levels have been demonstrated several times, substitution therapy with DHEA (dehydroepiandrosterone) is indicated. In postmenopause, for these reasons, DHEA treatment* (oral … Libido Disorders in Woman: Drug Therapy
Libido disorders are diagnosed based on history and physical examination.
To prevent female libido disorders, attention must be paid to reducing individual risk factors. Behavioral risk factors Consumption of stimulants Alcohol Psycho-social situation Partnership problems Psychological conflicts Contact disorders Fear of pain during sexual intercourse Mental trauma such as abuse Stress Sexual inclinations deviating from the norm Decreasing interest in sexuality Medication Amphetamines (orgasmic disorder) … Libido Disorders in Woman: 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
Pathogenesis (development of disease) The dopaminergic system (dopamine) is thought to have stimulatory effects on sex drive. Inhibitory (inhibitory) effects are attributed to serotonin metabolism. Somatic factors are distinguished from psychological and social factors that play a role in libido disorders. There is often a combination of various factors such as hormonal disorders and psychological … Libido Disorders in Woman: Causes
General measures Limited alcohol consumption (max. 12 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 (from the age of 45: 22; from … Libido Disorders in Woman: Therapy
