Sexual appetite disorder
The term sexual desire disorder ( Appetenz of Latin appetentia , desire ' ), even apathy , listlessness , anaphrodisie , formerly Alibidinie or Alibido , Latin concupiscentiae Impotentia , generally referred to involuntary deficiency ( libido lack) or involuntary decrease (libido reduction) of sexual Imagination and sexual desire (see Sexual Appetence ).
In contrast to asexuality , the persons concerned do not identify themselves with their sexual listlessness, but are under pressure of suffering.
Sexual appetite disorders belong to the category of sexual dysfunction . The condition is the basic problem and does not exist due to (close temporal connection) simultaneous physical illnesses (organic disorders), psychological disorders or the effectiveness of chemical substances. Both psychological and somatic processes contribute to the development of sexual dysfunction, as does the sexual reactions themselves.
Sexual dysfunction due to illnesses ( DSM-IV 607-25) which, in addition to psychological causes, can be responsible for erectile dysfunction , or genital pain syndromes such as vaginismus or dyspareunia do not count among the sexual appetite disorders.
The opposite is described under hypersexuality .
differentiation
ICD-10 and DSM-IV differentiate sexual appetite disorder according to sexual lack of appetite (generally Inhibited Sexual Desire , ISD) and sexual aversion . In the DSM-V , sexual aversion has been deleted as a diagnosis key and a distinction is now made between male and female forms with regard to the appetite disorder.
| DSM-V | DSM-IV | ICD-10 |
|---|---|---|
| Disorder with decreased sexual appetite in men (DSM-V 302.71, Male Hypoactive Sexual Desire Disorder )
Disorders of sexual interest / arousal in women (DSM-V 302.72, Female Sexual Interest / Arousal Disorder ) |
Disorder with decreased sexual appetite (VSA, DSM-IV 302.71, Hypoactive Sexual Desire Disorder ) | Lack or loss of sexual desire (ICD-10 F52.0, Lack or loss of sexual desire ) |
| - | Sexual aversion disorder ( Sexual Phobia, DSM-IV 302.79, Sexual Aversion Disorder ) | Sexual aversion and lack of sexual enjoyment (ICD-10 F52.1, Sexual aversion and lack of sexual enjoyment ) |
Hyposexuality
With the imprecise concept of sexual hypoactivity (hyposexuality), the level of sexual appetite is below average, which is not necessarily felt to be a disadvantage. Hyposexuality can therefore also exist if the criteria of a sexual appetite disorder are not (completely) met.
The possible reasons for hyposexuality are many. The lack of sensation is partly due to hormonal disorders, partly psychological factors are involved in the development.
Hormonal hyposexuality
In what is known as impotentia satisfactionis in men, the ability to erect and ejaculate is given and fertility is not restricted, but intercourse is not experienced as satisfaction. An additional possibly reduced libido can be caused temporarily by stress or in the long term by a lack of the male sex hormone testosterone . A lack of libido in women is not, as previously assumed, due to a lack of testosterone, which is also present in women, but rather an insufficient concentration of the hormone DHEA ( dehydroepiandrosterone ), a precursor of testosterone, produced in the adrenal glands and under certain conditions also of estrogen , the decisive role.
In both women and men, an increased level of the pituitary hormone prolactin ( hyperprolactinemia ) can lead to a loss of libido.
Mentally conditioned hyposexuality
Psychological causes can also lead to hyposexuality. These include severe depression , anxiety disorders or feelings of inferiority . Some people fear sexuality because of a sexually hostile upbringing or a traumatic experience.
Drug-induced hyposexuality
Certain medications such as B. Neuroleptics and SSRI antidepressants ( SSRI-related sexual dysfunction ), which must be taken regularly, can reduce the sex drive.
literature
- Pschyrembel Dictionary Sexuality. de Gruyter, 2003, ISBN 3-11-016965-7 .
Web links
- Rudolf Sponsel: Disorders with Reduced Sexual Appetence Sexual disorders in men. From the perspective of general and integrative psychotherapy (GIPT)
- Lust disorder (Syn .: libido disorder, disorder of sexual desire)
- Sexual requests at sexmedpedia.com
- Psychological causes of erectile dysfunction in impotence-wiki
Individual evidence
- ↑ Hans-Bernd Rothenhäusler, Karl-Ludwig Täschner: Compendium of practical psychiatry: and psychotherapy . Springer-Verlag, August 22, 2012, ISBN 978-3-7091-1237-3 , pp. 385f.
- ↑ DSM-IV : 302.71 Hypoactive Sexual Desire Disorder (decreased sexual appetite)
- ↑ ICD-10 : F52.0 Deficiency or loss of sexual desire
- ↑ DSM-IV : 302.79 Sexual Aversion Disorder (disorder with sexual aversion)
- ↑ ICD-10 : F52.1 Sexual aversion and lack of sexual satisfaction
- ^ The lack of pleasure , at netdoktor.at, accessed on May 16, 2017.
- ↑ Listlessness in men , at sexmedpedia.com, accessed on May 16, 2017.
- ↑ Sexual Desires, at sexmedpedia.com, accessed on May 16, 2017.
- ↑ Libido disorders (no desire for sex) , at chirurgie-portal.de, accessed on May 16, 2017.
- ↑ Psychological causes of listlessness , at fitundgesund.at, accessed on May 16, 2017.
