解构性行为：你的性欲是什么对你的健康说

While a change in your interest and desire for sex may signal a medical problem or side effect, it’s not considered a red flag. If you consider your libido levels too low, or too high, treatments are available.

如何定义或描述您的性欲？也称为性欲，性动力是一种非纯粹的术语，这意味着与伴侣或自己的性活动的热情或兴趣。它的存在（或缺乏其）可以表明您的心理和物理功能的状态。

To get a sense of the factors involved, as well as an idea of where you may fall on the continuum, check out the减少性欲筛选者。请记住，性欲EBB和流动自然。今天可能不会继续下去。

What controls the sex drive is actually a very complex intertwining of biological, psychological, and social-cultural influences. “All of that comes together to create the sex drive. Some of it is not well understood, but we do know that certain ducks have to be in a row,” saysSharon J. Parish, MD纽约市威尔康德医学院临床精神病学和临床医学教授。性欲级别可以受到以下影响：

• Abuse of alcohol and drugs
• Anxiety, stress, and depression
• Disease
• Fatigue level
• 虐待史
• Life circumstances
• 药物
• 绝经
• Quality and novelty of relationship
• 宗教us mandates
• Sensory stimuli

有诊断条件（低）性欲和过度活跃（高）性欲。但总的来说，如果对您或您的伴侣是问题，那么性欲级别（高或低）只是一个问题。“如果一对夫妇每周一次或每周两次或两次同意，那就适用于它们，那很好。即使有差异的差异，兴趣不同，它也不一定是病态的。如果从自己的正常突然变化，我只会关心医生，“教区博士说。

• 去你的内科医生或初级保健医生进行医疗工作。许多疾病，包括糖尿病，thyroidproblems, cancer, and cardiac problems, as well as disease treatments, such as radiation for cancer, can lead to low desire. Depending on what is found, your doctor may refer you to a specialist.
• 要排除药物副作用，请与您的医生讨论您目前的任何药物，补充剂或草药。有些人可以对性行动产生令人沮丧的影响;但也许你的医生可以找到替代方案。例如，选择性血清素再摄取抑制剂（SSRIS）,抗抑郁药such asCelexa (citalopram),Lexapro (escitalopram),paxil（paroxetine）, andZoloft (sertraline)，已被证明可以减少性欲。但是Astudy published in February 2015 in the journalObstectrics & Gynecologysuggested that a different type of antidepressant, namedWellbutrin (bupropion), cantreat depression没有对性欲的负面影响（1）。其他可以在你的性风格中放置痉挛的药物是beta-blockersand抗组胺药，和女性只是，避孕药。
• Ask about libido-enhancing medication.addyi（flibanserin）公关工作是美国fda批准的首个产品吗emenopausal women. “I have had good response toAddyiin my patients. It won’t give you a sex drive of a 15-year-old boy, but it will make you more receptive. I tend to use it in premenopausal women but I do use it off label with postmenopausal, and it seems to work," says Becky K. Lynn, MD, assistant professor of obstetrics and gynecology at Saint Louis University in Missouri.
• Men witherectile dysfunctionmay benefit from伟哥（西地那非柠檬酸盐）。

RELATED:针灸有助于提高你的性欲，生活和快乐

Testosterone Replacement Therapy

When the levels of the steroid hormonetestosteronego down in either gender, so can libido. It’s a normal part of the aging process, but decline in testosterone can be related to surgical menopause and removal of the ovaries, as well as other medical conditions. You doctor can determine through a验血if this has happened to you. Unlike menopause, where the clinical consequences ofestrogendeficiency is known, the clinical consequences of testosterone level decline is not well established.

Treatment options may include:

适合男性

Atopical testosterone gel or cream (AndroGel, Testim)may be used, or a testosterone transdermal system patch (Androderm) can be applied once a day to mimic the daily secretion of testosterone. Another option is an injection of testosterone cypionate, which patients can learn to give themselves at home.

The newest product available is a testosterone pellet, Testopel, that’s placed by a physician underneath the skin of the buttock under local anesthesia. It offers a time-released dosage of testosterone over three to six months. Oral forms of testosterone aren’t yet available in the United States, but some are under development.

女用

The Food and Drug Administration (FDA) hasn’t approved testosterone supplements as a treatment for women with low libido, but there is substantial research supporting its efficacy in women, including a研究发表于此New England Journal of Medicine。“Clinicians sometimes prescribe the gel or patch to women as an off-label use. As in men, the adverse effects of testosterone therapy can be minimized with proper dosing and following blood levels,” says Parish.

“很多次，问题只是这对夫妇很无聊。没有新颖的，这是人类性欲的吻，“Lou Paget, a sex educator certified with theAmerican Association of Sexuality Educators, Counselors, and Therapistsand author ofThe Great Lover Playbook。

Other problems include lack of communication, trust, and intimacy, pent up resentment, and body insecurity.

Most of these problems can be dealt with through honest face-to-face conversation when you’re vertical — not horizontal. Why? Because when you’re horizontal you often have heat of the moment involved. These conversations may include comments like "This is what I’d like to try, this is how I feel,” or be part ofcounseling with a trained sex therapist, in which you will explore emotional issues that may contribute to sexual dysfunction throughcognitive behavioral therapyor谨慎治疗。

These are what Parish calls “modifiable risk factors.” If you aren’t getting enough sleep or exercise, if you never have privacy, or if you aren’t making your relationship a priority, your sex drive is going to take a hit. Also, do you drink or smoke too much? If you can’t work these issues out with your partner, a licensed therapist can help.

有些人通过使用草药补充剂采取互补方法来找到成功。只要确保您不要在不先与您的医生交谈的情况下添加任何补充剂，维生素或草药，因为有些人可以与您的药物互动。

RELATED:8 Natural Cures for Erectile Dysfunction

“草药壮阳人是地球的药用礼物，你的性欲，你有一个聚宝盆可供选择。有些人可能会增加你的“感觉良好”脑化学品，称为神经递质;其他人刺激你的生殖器中的神经，或支持你的肾上腺，通过帮助你来提升你的性欲stress levels。许多草药增加了一氧化氮（不）水平，这会增加对你的生殖器的血流，“说Laurie Steelsmith, ND, acupuncturist and coauthor of伟大的性生活，自然。她建议：

Herbs

• Chinese ginseng。“I use this a lot with both sexes; men do well with ginseng along with the L-arginine to support their frequency and intensity of their erections,” says Dr. Steelsmith.
• Cordyceps
• 达米阿
• Gingko Biloba.
• 玛卡
• Muira puama

补充

L-arginine can be taken as a supplement or a cream applied directly to genitals. A在期刊上发表的小型研究Archives of Sexual Behavior发现6,000毫克（Mg）的L-精氨酸作为膳食补充剂（以及6毫克Yohimbine）显着增加了体育的性反应。（2) Another研究，发表在Journal of Sex & Marital Therapy, showed that more than 70 percent of women who took the product ArginMax For Women — which contains L-arginine,参，银杏毕洛波巴,damiana，维生素和矿物质 - 经历了性欲增加，性欲更高的性和性高潮，增强的阴蒂感觉，减少vaginal dryness，改善了整体性满足，没有显着的副作用。（3)

Note: An earlier version of this story oversimplified an issue regarding sex drive. That section of the story was removed on 2-14-19.