Ep 15: How To Fix My Low Sex Drive? l Solution For Low Libido
“How to fix my low sex drive?” If this is a question you’ve asked yourself then worry no more!
On this episode of #AskTheSexpert, Dr. Karthik converses with host Artika Singh about low sexual desire in men and women and what could be the possible reasons and solutions to treat it. Join the conversation to understand it all, as he explains the science and psychology behind it.
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Guest bio
Dr. Karthik has obtained his MD in Neuropsychiatry from JSS Medical College. Following his on-field training he has practiced at Manipal Fertility for over 4 years out of his 13 years of practice. He also hold additional certification in andrology and sexual medicine and will be using the same knowledge to talk to us about important topics including viagra use. He also teaches undergraduates and post graduates in the field of sexual medicine and psychiatry.
"when we talk about sexual health, it goes down in four phases. Okay. First is your desire, next is your erection, next is your ejaculation, next is your resolution. Now, it is designed in such a way that only if desire is normal the subsequent three stages are normal, only if arousal-erection is normal only then the ejaculation will look normal. So if the desire at the initial phase only is gone wrong, then subsequently the person would not have a proper erection, or an ejaculation or resolution."
- Dr. Karthik, Psychiatrist, Allo Health
Viewer’s QnA from the podcast
Q: My wife feels like having sex much more than I do. How do we make this work?
As I told you, desire is something very subjective. It depends from you know, from it has its roots, from childhood, basically from it depends from the way you're educated about sex, whether it has been stigmatized, in which community belong to, how do you talk about it, how open you are about it, all these things. Now, what we say is that at least up in a married couple, at least once a month is something which is okay, something really less than that- it requires help. Now there can be certain discrepancies. One person might be wanting more, one person might be wanting less. The basic point here is if a person is like, you know, really pathologically there is very less desire, not even once a month then it requires medical help. Otherwise it's better you consult a therapist, try to work it out somewhere in between from point A to point B, somewhere in between, you have to compromise. And that is where something goes into. Okay, but then this is not something very simple where you can, you know. Okay, I can just ended by telling you, just do it try to do it more end of story. But that that is not how it works- if you're not feeling like doing it, either if wife is feeling too much that is a problem. Or if you're not feeling I mean, if you're if you are not at all feeling like having sex, then it is too less. Then there is a problem on both sides. Somewhere you will have to consult a therapist, work it out. That is how it goes. Yeah, I think that was where we ended our last discussion as well. That therapy could be an answer to even figuring out what's happening. And then, you know, However, this is more odd because HSDD is more commonly found in women in India, actually. Now, various reasons, again, the most common being pregnancy. Whenever a lady delivers a baby, it's nature's way of, you know, telling it have sex a bit less during that time because whenever you know you're breastfeeding the baby, a hormone called prolactin increases in the body that naturally inhibits your sexual desire. So if the wife is in the lactating period, naturally her desired would be low. But sometimes there are very, very rare instances where the prolactin hormone naturally increases because of a small tumor or because of certain drugs that you're taking you know- in most of psychiatric drugs, you give antipsychotics for some psychosis patients like schizophren!a or anything of that sort or for mood disorders where you try to control the brain to an extent. Once that happens because of those drugs, also prolactin might increase. Even that can lead to such issues. However, there are better drugs right now. If you are facing any of these issues, you consult your doctor. He or she can change the drugs. Or there a lot of other methods which can be used.
Q: I've heard weight gain is linked with not wanting to have sex. Is that true?
Yes, definitely true, because what happens is when there is obesity, when there is increased peripheral fat in the body, your sex- male sex hormone is converted into female sex hormone. Now, the way I told you, whether in men or in women, testosterone is the major hormone which actually helps you get a desire. Now if you
Q: Is low sexual desire equal to being asexual, i.e. never wanting sex?
It's a different spectrum. Maybe- the highest order of hypoactive sexual desire disorder would be asexuality, but in hypoactive sexual desires, or at least the patient realizes that he has a problem. That is, he has a reduced desire. So he comes to you for treatment. Asexual is a term where you're not attracted to anything at all. You don't have an object to which you are sexually attracted. MM Okay. So asexuality is probably the extreme form, if you ask me. It's more complicated. Right. And rather a form of sexuality, like a low sexual desire, could mean that there are still- yes low sexual desire is a problem. Is a diagnosis. Asexuality is something related to your whole sexuality as well. You don't feel like doing it at all. I think. But the confusion is quite common, I feel because of similar definitions, and I'm sure this is something that worries a lot of people. In simple terms, asexual person is very happy with not having sex also, he doesn't need. Not a concern. HSDD the patient actually, you know, is finding it bothersome, is unable to find the desire to have it.
Read transcript
Sexpert + Topic Intro
Allo
#AskTheSexpert
was started with the intention
of normalizing conversations
around sexual wellness and sexual health.
In the episodes
so far,
we've talked about a lot of topics,
but there's one thing
we are yet to talk about-
not wanting to have sex,
or having a different desire towards sex.
Welcome. You're watching
Allo #AskTheSexpert, I