Bipolar disorder can cause asexuality after taking medication

Mental disorders: sexual listlessness

What is sexual listlessness?

Sexual listlessness (often called libido disorder or disorder with decreased sexual appetite) is one of the most common sexual dysfunction. Its central characteristic is a persistent lack or loss of sexual fantasies, thoughts and feelings that persists for a period of six months. Affected people are hardly physically attracted to other people, and they feel little or no need for sexual contact. In a partnership, too, they usually do not take the initiative. However, if sexual intercourse does occur, you may find it satisfactory.

Most patients report that their desire for sex has subsided at some point. A small part has never been there. The listlessness affects either all forms of sexuality or only partial areas. For example, there may be a desire for masturbation, but the desire for sexual intercourse is absent.

Since the desire for sex differs from person to person, the question of how much pleasure is actually "normal" is not easy to answer. There is no objective criterion. In practice, sexual listlessness is when the desire to have sex occurs only once a month or less and this causes great distress and interpersonal problems in the person. In contrast, the term asexuality denotes a completely lacking sexual interest, which those affected do not miss.

How common is sexual listlessness?

Significantly more women than men suffer from sexual listlessness; it is considered the most common sexual dysfunction in women. In a survey of over 4,000 German women over 20 years of age, around 15 percent said they suffered from sexual disinterest. However, the topic still seems to be a taboo, even to a gynecologist: About half of those affected only mentioned their problem after they were specifically asked about it. Therefore, the frequency of the disorder seems to be underestimated rather than overestimated. In surveys, between 17 and 35 percent of women report a reduced need for sex, and around half suffer from it. In men, around five percent are affected.

How is it created?

Sexual aversion can have very different reasons. Most of the time, various psychological, organic and social factors have a negative effect on sexuality, with psychological causes playing a major role.

Psychological factors: Problems and arguments in the partnership, work stress, chronic stress, but also fear of failure, dissatisfaction with one's own body and low self-esteem all contribute to the development of the disorder. Stressful sexual experiences such as erectile dysfunction or previous abuse can also lead to listlessness.