Sexual apathy generally refers to low libido, which may be caused by non-disease factors such as cervical columnar epithelium ectopia, or by disease factors such as endocrine disorders, vaginitis, cerebral infarction, cerebral hemorrhage, depression, etc.
1. Cervical columnar epithelium ectopia: Cervical columnar epithelium ectopia is a physiological change of cervical columnar epithelium, which is generally related to the level of estrogen in the receptor. A small amount of vaginal bleeding may occur after sexual intercourse, accompanied by pain. The pain may cause fear of sexual life, which leads to decreased libido. It can be treated under the guidance of a doctor by electrocoagulation, cryotherapy, laser treatment and other methods.
2. Other reasons: such as changes in the relationship between husband and wife, lack of sexual knowledge, imbalance between work and life, and mutual distrust between husband and wife, which may cause girls to have no interest in sex and decreased libido. Generally, it can be improved through timely communication between husband and wife.
1. Endocrine disorders: Generally, it is caused by the production of autoantibodies, endocrine gland tumors, etc., which lead to excessive or insufficient hormone production. Endocrine disorders will cause girls' hormone levels to drop, so there will be a decrease in sexual desire. Girls will also have symptoms such as dark complexion, acne, irritability, insomnia, etc., and can be treated with drugs such as mifepristone tablets according to the doctor's advice, or take drugs such as motherwort granules, or undergo surgical treatment, such as pituitary transplantation.
2. Vaginitis: Vaginitis may be caused by not paying attention to personal hygiene or unclean sexual intercourse. Inflammatory stimulation may cause increased vaginal secretions or vaginal dryness, pain during sexual intercourse, and cause girls to have a decrease in sexual desire. Girls will also have symptoms such as vulvar itching and vulvar burning. Under the guidance of a doctor, metronidazole tablets, tinidazole tablets, miconazole nitrate capsules and other drugs can be used for treatment. Generally, surgical treatment is not required.
3. Cerebral infarction: Cerebral infarction is often related to factors such as high blood pressure and abnormal blood lipids. When girls have the disease, their blood vessels will be blocked and their nerve function will decline to varying degrees. This may lead to decreased sexual function and decreased libido in girls. Girls may also experience symptoms such as headache, hemiplegia, and vomiting. You can use aspirin vitamin C enteric-coated tablets, clopidogrel bisulfate tablets, warfarin sodium tablets and other drugs for treatment under the guidance of a doctor. You can also undergo surgical treatment under the guidance of a doctor, such as craniotomy decompression.
4. Cerebral hemorrhage: Cerebral hemorrhage is often related to factors such as obesity, long-term smoking, and alcoholism. When a girl's brain hemorrhage is severe, the nerves that control the activity will be damaged, resulting in insufficient dopamine secretion from the nerve center, which will affect sexual function and cause decreased libido. Girls may also experience symptoms such as numbness of the limbs, difficulty understanding, and difficulty walking. You can use aminocaproic acid tablets, furosemide tablets and other drugs for treatment under the guidance of a doctor. You can also undergo surgical treatment under the guidance of a doctor, such as craniotomy hematoma removal and craniectomy decompression.
5. Depression: Depression is generally caused by genetic, psychosocial, neurochemical and other factors. When it occurs, the mental activity of the brain will be inhibited, which will lead to girls' lack of interest in sex life and loss of libido. Girls will also experience symptoms such as listlessness, weight loss, difficulty falling asleep, self-blame, and anxiety. Under the guidance of a doctor, sertraline hydrochloride tablets, bupropion hydrochloride tablets, mirtazapine tablets, agomelatine tablets and other drugs can be used for treatment. Supportive psychological treatment can also be carried out under the guidance of a doctor.
6. Other reasons: Diseases such as uterine prolapse, vulvar cancer, and bipolar disorder may also cause girls to lose libido. Girls can follow the doctor's advice for causal treatment. For example, girls with bipolar disorder can use lithium carbonate tablets, lamotrigine tablets and other drugs for treatment. They can also undergo electroconvulsive therapy such as vagus nerve stimulation and deep brain electrical stimulation. Girls with vulvar cancer can undergo chemotherapy under the guidance of a doctor. Common chemotherapy drugs include paclitaxel injection, etc., and extensive vulvectomy can also be performed.
If a girl has a loss of libido, she should go to the hospital's psychology department, gynecology department, or internal medicine department for medical treatment in a timely manner, complete blood routine, physical examination, vaginal secretion examination, etc. After the diagnosis is confirmed, she should receive treatment under the guidance of a doctor. She must not take, stop, or change medication without authorization.
This answer comes from: Yang Fangru - Chief Physician, Department of Psychology - Xiangya Hospital of Central South University
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