Obniżone libido
Epidemiologia

Obniżone libido, definiowane jako utrata popędu seksualnego, jest powszechnym zaburzeniem dotykającym około 40% kobiet i 3-28% mężczyzn, z wyraźnym wzrostem częstości u kobiet po menopauzie (52,4% po naturalnej, 12,5% po chirurgicznej) oraz u mężczyzn w wieku 60-80 lat. Hypoactive sexual desire disorder (HSDD), charakteryzujące się obniżonym libido wywołującym znaczny dystres, dotyka około 10% kobiet przed menopauzą i 1,5% mężczyzn. Czynniki ryzyka obejmują status związku, aktywność seksualną, wykształcenie, stosowanie leków psychotropowych (szczególnie SSRI), choroby przewlekłe (cukrzyca, nadciśnienie, choroby wieńcowe), zaburzenia hormonalne (spadek estrogenów, niedobór testosteronu, niedoczynność tarczycy), a także czynniki psychospołeczne, takie jak depresja, stres i problemy w relacji partnerskiej. Epidemiologiczne dane wskazują na zmienność częstości występowania HSDD w zależności od wieku i płci, z najwyższym dystresem seksualnym u kobiet w wieku 40-64 lat (około 33%).

  1. Epidemiologia obniżonego libido
    1. Rozpowszechnienie w różnych grupach wiekowych
    2. Rozpowszechnienie HSDD
    3. Czynniki ryzyka i korelacje
  2. Współwystępowanie z innymi schorzeniami
    1. Zaburzenia endokrynologiczne i hormonalne
    2. Choroby przewlekłe
    3. Zaburzenia psychiczne i stres
  3. Wpływ obniżonego libido na jakość życia
  4. Niedorozpoznawanie i niedoleczenie
  5. Znaczenie badań epidemiologicznych
    1. Kolejne rozdziały

Epidemiologia obniżonego libido

Obniżone libido (utrata popędu seksualnego) jest powszechnym zaburzeniem, dotykającym znaczną część populacji. Szacuje się, że problem ten dotyczy około 40% kobiet na całym świecie oraz 3-28% mężczyzn, w zależności od badanej populacji i stosowanych kryteriów diagnostycznych.12 To zaburzenie jest szczególnie częste wśród kobiet, gdzie niska potrzeba seksualna stanowi najczęściej zgłaszany problem w obszarze zdrowia seksualnego.3

Rozpowszechnienie w różnych grupach wiekowych

Częstość występowania obniżonego libido różni się znacząco w zależności od wieku, płci oraz statusu hormonalnego:4

  • Wśród kobiet w wieku przedmenopauzalnym występowanie obniżonego libido szacuje się na 26,7%
  • U kobiet po naturalnej menopauzie odsetek ten wzrasta do 52,4%
  • Kobiety po chirurgicznej menopauzie wykazują najwyższy wskaźnik hypoactive sexual desire disorder (HSDD) – 12,5%

4

Badania australijskie wykazały, że niska potrzeba seksualna wzrasta wraz z wiekiem – od 27,4% w grupie 18-24 lata do 91,6% wśród kobiet w wieku 75-79 lat. Jednak co istotne, dystresu związanego z niskim libido (epidemiologiczne HSDD, eHSDD) doświadcza najwięcej kobiet w wieku średnim – między 40 a 64 rokiem życia (około 33%), następnie odsetek ten spada do 7,3% w grupie 75-79 lat.5

U mężczyzn, chociaż problem występuje rzadziej niż u kobiet, niskie libido zgłasza nawet 19-57% mężczyzn homoseksualnych oraz 6-19% młodych mężczyzn (18-29 lat).2 Wiek stanowi istotny czynnik ryzyka, przy czym mężczyźni w wieku 60-80 lat są szczególnie narażeni na spadek libido.6

Rozpowszechnienie HSDD

Hypoactive sexual desire disorder (HSDD), czyli zaburzenie polegające na obniżonym libido wywołującym znaczny dyskomfort, dotyka około 10% kobiet przed menopauzą w Stanach Zjednoczonych, co przekłada się na około 6 milionów kobiet.7 Wśród mężczyzn, HSDD występuje u około 1,5% populacji.7

Na podstawie badań epidemiologicznych można stwierdzić, że HSDD występuje u:8

  • 8,9% kobiet w wieku 18-44 lat
  • 12,3% kobiet w wieku 45-64 lat
  • 7,4% kobiet powyżej 65 roku życia

89

Warto zwrócić uwagę, że choć częstość występowania niskiego pożądania seksualnego ogólnie wzrasta z wiekiem u kobiet, to poziom związanego z tym dystresu maleje, co skutkuje względnie stabilną częstością występowania HSDD w ciągu dorosłego życia.8

Czynniki ryzyka i korelacje

Badania epidemiologiczne wskazują na liczne czynniki, które mogą zwiększać ryzyko obniżonego libido:1011

  • Status związku – bycie w związku zwiększa prawdopodobieństwo wystąpienia HSDD (p < 0,001)
  • Aktywność seksualna – osoby nieaktywne seksualnie częściej doświadczają HSDD (p < 0,001)
  • Wykształcenie – wyższy poziom edukacji koreluje z wyższym wskaźnikiem HSDD (p = 0,001)
  • Stosowanie leków psychotropowych – związane ze zwiększonym ryzykiem HSDD (p < 0,001)
  • Pochodzenie etniczne – azjatyckie pochodzenie wiąże się z niższym ryzykiem HSDD (p < 0,001)

10

Do istotnych czynników zwiększających ryzyko obniżonego libido należą także:126

12

W międzynarodowym badaniu Global Study of Sexual Attitudes and Behaviours, obejmującym 13 882 kobiet i 13 618 mężczyzn z 29 krajów, zidentyfikowano następujące czynniki ryzyka niskiego pożądania seksualnego u mężczyzn: wiek 60-80 lat, ogólnie zły stan zdrowia, choroby naczyniowe, aktywne palenie tytoniu, przekonanie że starzenie się redukuje aktywność seksualną, rozwód w ciągu ostatnich 3 lat, problemy finansowe, duża depresja, obawy o przyszłość związku oraz rzadsze niż raz w tygodniu stosunki seksualne.6

Współwystępowanie z innymi schorzeniami

Obniżone libido często współwystępuje z innymi stanami chorobowymi, co ma znaczenie dla diagnostyki i planowania leczenia.13 Najczęściej obniżone libido towarzyszy:

Zaburzenia endokrynologiczne i hormonalne

Zaburzenia hormonalne mają istotny wpływ na obniżenie libido. W przypadku kobiet spadek poziomu estrogenów podczas menopauzy często prowadzi do zmniejszenia zainteresowania seksem i suchości pochwy, co może skutkować bolesnym lub niekomfortowym stosunkiem.13 Podobnie niedobór testosteronu, który odgrywa ważną rolę w funkcjonowaniu seksualnym zarówno mężczyzn, jak i kobiet, może prowadzić do obniżenia libido.1415

Niedoczynność tarczycy jest również powiązana z obniżonym libido, podobnie jak zaburzenia nadnerczy (choroba Addisona, zespół Cushinga).1617

Choroby przewlekłe

Liczne schorzenia nieseksualne mogą wpływać na popęd seksualny, w tym:1317

  • Nowotwory i ich leczenie
  • Cukrzyca
  • Nadciśnienie tętnicze
  • Choroby wieńcowe
  • Choroby neurologiczne
  • Niewydolność nerek
  • Nietrzymanie moczu

1311

Warto zauważyć, że niskie libido jest bardzo częste podczas leczenia przeciwnowotworowego, a obniżenie popędu seksualnego może być skutkiem zarówno samej choroby, jak i jej leczenia.1819

Zaburzenia psychiczne i stres

Zaburzenia psychiczne, szczególnie depresja, są jednymi z najczęstszych przyczyn obniżonego libido u kobiet.20 Dysfunkcja seksualna jest szczególnie powszechna wśród osób cierpiących na zaburzenia lękowe.21 Stres, niepokój i wyczerpanie również mogą być pochłaniające i mieć znaczący wpływ na satysfakcję seksualną.16

Warto zaznaczyć, że zaburzenia seksualne indukowane przez leki przeciwdepresyjne (szczególnie SSRI) szacuje się na 30-50%.22

Wpływ obniżonego libido na jakość życia

HSDD jest związane z niższą jakością życia związaną ze zdrowiem, niższym ogólnym szczęściem i satysfakcją z partnerów oraz częstszymi negatywnymi stanami emocjonalnymi.23 Obniżone libido może mieć negatywny wpływ na samoocenę, pewność siebie i relacje z partnerem, który może myśleć, że kobieta nie jest już zakochana lub nie jest nim zainteresowana.24

Zaburzenia libido mogą prowadzić do:25

  • Przewlekłego stresu
  • Niepokoju
  • Depresji
  • Braku koncentracji
  • Bezsenności
  • Drażliwości
  • Konfliktów w związku
  • Wycofania społecznego

25

Problem obniżonego libido jest często określany jako „choroba pary”, ponieważ może mieć znaczący negatywny wpływ na intymność par.26

Niedorozpoznawanie i niedoleczenie

Pomimo powszechności problemu obniżonego libido, jest on często niedorozpoznawany i niedoleczony. Mniej niż połowa pacjentów z problemami seksualnymi szuka pomocy lub inicjuje rozmowy z lekarzami.23 Trudność w oszacowaniu dokładnej częstości występowania zaburzeń libido wynika z różnych definicji problemu oraz faktu, że niewiele osób doświadczających utraty libido konsultuje się z lekarzem, nawet gdy może to być przyczyną trudności w związku.18

Wielu pacjentów nigdy nie zostało zapytanych o ich zdrowie seksualne przez zespoły opieki zdrowotnej, co dodatkowo utrudnia rozpoznanie problemu.27 Takie podejście prowadzi do niedostatecznego rozpoznawania problemu obniżonego libido, nawet wtedy, gdy istnieją skuteczne metody leczenia.

Znaczenie badań epidemiologicznych

Dokładne szacunki częstości występowania i zapadalności są ważne dla zrozumienia obciążenia dysfunkcją seksualną w społeczności oraz identyfikacji czynników ryzyka dla działań prewencyjnych.28 Badania epidemiologiczne pomagają również zrozumieć różnice w rozpowszechnieniu zaburzeń libido między różnymi populacjami i grupami wiekowymi, co ma znaczenie dla planowania zdrowia publicznego.

Wyzwaniem pozostaje jednak fakt, że epidemiologia dysfunkcji seksualnych u kobiet nie jest dobrze poznana z wielu powodów, w tym z powodu niedostatku badań epidemiologicznych, niespójnych kryteriów dysfunkcji seksualnej w różnych badaniach oraz niepełnej rekrutacji, często wykluczającej kobiety bez partnera lub nieaktywne seksualnie.21

Podsumowując, obniżone libido jest powszechnym problemem dotykającym znaczną część populacji, szczególnie kobiet w wieku okołomenopauzalnym. Pomimo istotnego wpływu na jakość życia i relacje, problem ten pozostaje niedorozpoznawany i niedoleczony, co podkreśla potrzebę większej świadomości i lepszego dostępu do opieki zdrowotnej w tym zakresie.

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  1. 11.04.2026
  2. www.leksykon.com.pl

Materiały źródłowe

  • #1 Overview of sexual dysfunction in females: Epidemiology, risk factors, and evaluation – UpToDate
    https://www.uptodate.com/contents/overview-of-sexual-dysfunction-in-females-epidemiology-risk-factors-and-evaluation
    Sexual problems are reported by approximately 40 percent of females worldwide, and approximately 12 percent (one in every eight females) have a sexual problem associated with personal or interpersonal distress. […] Female sexual dysfunction refers to a sexual problem associated with personal distress. It takes different forms, including lack of sexual desire, impaired arousal, inability to achieve orgasm, or pain with sexual activity. […] The epidemiology, risk factors, and evaluation of female sexual dysfunction will be reviewed here.
  • #2 EAU Guidelines on Sexual and Reproductive Health – Uroweb
    https://uroweb.org/guidelines/sexual-and-reproductive-health/chapter/epidemiology-and-prevalence-of-sexual-dysfunction-and-disorders-of-male-reproductive-health
    Epidemiology And Prevalence Of Sexual Dysfunction And Disorders Of Male Reproductive Health […] The global prevalence of low sexual desire in men is 3-28% […] Low solitary and dyadic sexual desires have been reported in 68% and 14% of men, respectively […] Also, low sexual desire has been observed as a common complaint in gay men, with a prevalence of 19-57% […] Despite its relationship with age, low sexual desire has also been reported among young men (18-29 years), with a prevalence of 6-19%.
  • #3 Diagnosis and Treatment of Female Sexual Dysfunction | AAFP
    https://www.aafp.org/pubs/afp/issues/2008/0301/p635.html
    Female sexual complaints are common, occurring in approximately 40 percent of women. Decreased desire is the most common complaint. […] A more recent international survey of 27,500 men and women 40 to 80 years of age found that 39 percent of sexually active women reported a problem with sexual activity. […] The most common sexual complaint in women is decreased desire, followed by orgasmic dysfunction. […] Hypoactive sexual desire disorder is the most common type of female sexual dysfunction and often has a psychological or physiologic cause. […] Many women consider normal sexual function to be the traditional desire-arousal-orgasm process. […] As understanding about normal female sexual function develops, it is important to educate women about how desire may change with increasing age or relationship duration.
  • #4 Prevalence of low sexual desire and hypoactive sexual desire disorder in a nationally representative sample of US women – PubMed
    https://pubmed.ncbi.nlm.nih.gov/18625925/
    Prevalence of low sexual desire ranged from 26.7% among premenopausal women to 52.4% among naturally menopausal women. […] The prevalence of HSDD was highest among surgically menopausal women (12.5%). […] Prevalence of low sexual desire is elevated among surgically and naturally menopausal women vs premenopausal women. […] Distress about low desire (HSDD) appears to be more than twice as prevalent among surgically menopausal women vs premenopausal women, although the estimate is fairly imprecise.
  • #5 Prevalence of Low Sexual Desire With Associated Distress Across the Adult Life Span: An Australian Cross-Sectional Study – PubMed
    https://pubmed.ncbi.nlm.nih.gov/32773344/
    Background: Although hypoactive sexual desire dysfunction (HSDD; low sexual desire with personal distress) negatively impacts well-being, contemporary life-course prevalence data for HSDD are lacking. […] Aim: To document, in an epidemiologic study, the prevalence of low sexual desire with associated distress (epidemiological HSDD [eHSDD]), and associated psychosocial factors in Australian women. […] Results: The majority of the participants were partnered (66.5%) and 38.9% were recently sexually inactive. Low desire prevalence increased from age 18-24 years to 75-79 years (27.4%, 95% CI 25.5-29.3 vs 91.6%, 95% CI 88.3-94.1, P .001). […] eHSDD increased from age 18-24 years (12.2%, 95% CI 10.8-13.7) to 40-44 years (33.4%, 95% CI 28.5-38.8), remained constant until 60-64 years (33.1%, 95% CI 28.3-38.4), and progressively declined to 7.3% (95% CI 4.8-10.9) by 75-79 years.
  • #6 EAU Guidelines on Sexual and Reproductive Health – Uroweb
    https://uroweb.org/guidelines/sexual-and-reproductive-health/chapter/low-sexual-desire-and-male-hypoactive-sexual-desire-disorder
    It has always been a challenge to define sexual desire properly because it has a complicated nature and it can be conceptualised in many different ways. According to the International Classification of Diseases 10th edition (ICD-10), lack or loss of sexual desire should be the principal problem and not other sexual problems accompanying it such as ED. In the DSM-V, male hypoactive sexual desire disorder (HSDD) is defined as the persistent or recurrent deficiency (or absence) of sexual or erotic thoughts or fantasies and desire for sexual activity. Although the exact prevalence of low sexual desire (LSD) is unknown, a prevalence of 4.7% was reported in a survey of a population-based sample of middle-aged German men (n = 12,646). […] In an international survey aimed at estimating the prevalence and correlates of sexual problems in 13,882 women and 13,618 men from 29 countries (Global Study of Sexual Attitudes and Behaviours), risk factors for male LSD were age 60-69 and 70-80 years, poor overall health, vascular diseases, being a current smoker, belief that ageing reduces sex, divorce in the past 3 years, financial problems in the last 3 years, major depression, being worried about the future of a relationship and less than one sexual relation in a week. […] Low sexual desire secondary to low testosterone levels can be treated with different formulations of testosterone. The favourable effect of testosterone therapy on sexual motivation and the presence of sexual thoughts was shown in a meta-analysis.
  • #7 Hypoactive sexual desire disorder – Wikipedia
    https://en.wikipedia.org/wiki/Hypoactive_sexual_desire_disorder
    Hypoactive sexual desire disorder (HSDD) affects approximately 10% of all pre-menopausal women in the United States, or about 6 million women, 1.5% of men and an unstudied amount of gender non-conforming people. […] Low sexual desire alone is not equivalent to HSDD because of the requirement in HSDD that the low sexual desire causes marked distress and interpersonal difficulty and because of the requirement that the low desire is not better accounted for by another disorder in the DSM or by a general medical problem. […] Some factors are believed to be possible causes of HSDD in women. As with men, various medical problems, psychiatric problems (such as mood disorders), or increased amounts of prolactin can cause HSDD. Other hormones are believed to be involved as well. […] Hypoactive sexual desire disorder is not recognized as a disorder by the National Institute for Health and Care Excellence for the British National Health Service, with the judgement based on an article in the Journal of Medical Ethics that „Hypoactive sexual desire disorder is a typical example of a condition that was sponsored by industry to prepare the market for a specific treatment”.
  • #8 Hypoactive Sexual Desire Disorder (HSDD) – GPnotebook
    https://gpnotebook.com/pages/gynaecology/hypoactive-sexual-desire-disorder-hsdd
    Hypoactive sexual desire disorder (HSDD) is defined as a persistent or recurrent deficiency (or absence) of sexual fantasies and desire for sexual activity that causes marked distress or interpersonal difficulty not related to a medical or psychiatric condition or the use of a substance or medication. […] HSDD is common in women but is often unaddressed or undertreated. […] Large population-based studies have shown that approximately 36% to 39% of women report low sexual desire, with 8% to 10% meeting the primary diagnostic criteria for HSDD (low desire and associated distress). […] In women, low sexual desire generally increases with age, whereas related distress decreases, resulting in a fairly steady prevalence of HSDD across the adult lifespan. […] HSDD is present in 8.9% of women ages 18 to 44, 12.3% ages 45 to 64, and 7.4% over 65.
  • #9 Balance – Hypoactive sexual desire disorder: what you need to know
    https://www.balance-menopause.com/menopause-library/hypoactive-sexual-desire-disorder-what-you-need-to-know/
    HSDD is the most common female sexual dysfunction. One review paper found HSDD is present in about 8.9% of women aged 18-44, 12.3% of 45-64 year olds, and 7.4% in women over 65. […] While this shows HSDD peaks during the menopausal years, a lack of libido doesnt have to be an inevitable consequence of getting older. […] Theres no one test for HSDD but the International Society for the Study of Womens Sexual Health has issued guidelines for its diagnosis and management so it is well worth speaking to a healthcare professional. […] Treatment will depend on the cause and your preferences, and will likely take a well-rounded approach.
  • #10 Prevalence of Low Sexual Desire With Associated Distress Across the Adult Life Span: An Australian Cross-Sectional Study – PubMed
    https://pubmed.ncbi.nlm.nih.gov/32773344/
    HSDD was significantly, positively associated with being partnered (P .001), sexually inactive (P .001), more educated (P = .001), and psychotropic medication use (P .001), and negatively with Asian ethnicity (P .001). […] Conclusion: eHSDD is most prevalent at midlife. Furthermore, the likelihood of eHSDD is greater for women who are partnered, sexually inactive, more educated, or taking psychotropic medications.
  • #11 Female Sexual Dysfunction | Doctor
    https://patient.info/doctor/female-sexual-dysfunction-pro
    The factors associated with an increased risk of FSD include increasing age, menopause (including premature ovarian failure), the postpartum period, genital surgery, genital atrophy, genital mutilation, sexual abuse, psychological factors, relationship problems, alcohol, substance use disorders, smoking, and obesity. […] Medical and psychiatric conditions that are associated with female sexual dysfunction include cardiovascular disease, diabetes mellitus, neurologic disease (stroke, multiple sclerosis, spinal cord injury), hypertension, genitourinary syndrome of menopause, breast, ovarian, uterine, and cervical cancer, history of gynaecological surgery, chronic renal failure, and urinary incontinence.
  • #12 Low sex drive in women – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/symptoms-causes/syc-20374554
    For many people, emotional closeness is a key to sexual intimacy. So problems in your relationship can be a major factor in low sex drive. Often, less interest in sex is a result of ongoing issues such as: Lack of connection with your partner. Unresolved conflicts or fights. Poor communication of sexual needs and desires. Trust issues. Concern over your partner’s ability to have sex. Not enough privacy. […] Factors that can raise the risk of low sex drive include: Conditions such as diabetes, high blood pressure and coronary artery disease. Pain during sex or not being able orgasm. Mental health conditions and life circumstances that affect your state of mind. Various prescription medicines, including depression medicines called selective serotonin reuptake inhibitors. Surgeries related to the breasts or genital tract. Changes in hormone levels during menopause, pregnancy or breastfeeding. Relationship issues that lessen emotional closeness with your partner.
  • #13 Low sex drive in women – Symptoms and causes – Mayo Clinic
    https://www.mayoclinic.org/diseases-conditions/low-sex-drive-in-women/symptoms-causes/syc-20374554
    A variety of illnesses, physical changes and medicines can cause low sex drive, including: Sexual conditions. If you have pain during sex or can’t orgasm, it can lower your desire for sex. Diseases. Many nonsexual diseases can affect sex drive. These include cancer, diabetes, high blood pressure, coronary artery disease and neurological diseases. Medicines. Some prescription medicines lower sex drive especially depression medicines called selective serotonin reuptake inhibitors (SSRIs). […] Changes in your hormone levels may alter your desire for sex. This can occur during: Menopause. Estrogen levels drop during menopause. This can make you less interested in sex and cause vaginal dryness, leading to painful or uncomfortable sex. Many women still have satisfying sex during menopause and beyond. But some have a lagging libido during this hormone change.
  • #14
    http://www.seenapharmacy.com/low-libido.html
    Many prescription medications including some antidepressants and anti-seizure medications are notorious libido killers. […] Changes in your hormone levels may alter your desire for sex. […] Estrogen levels drop during the transition to menopause. This can cause decreased interest in sex and vaginal dryness, resulting in painful or uncomfortable sex. […] At the same time, women may also experience a decrease in testosterone a hormone that boosts sex drive in men and women alike which may lead to decreased libido. […] Hormone changes during pregnancy, just after having a baby and during breast-feeding can put a damper on sex drive. […] There are many psychological causes of low sex drive, including: Mental health problems, such as anxiety or depression. […] By definition, you may be diagnosed with hypoactive sexual desire disorder if you frequently lack sexual thoughts or desire, and the absence of these feelings causes you personal distress.
  • #15 Sex-Drive-Woodlands-Houston, TX | Low-Libido | Practice Happiness – Dr. Natalie Drake
    https://medicalspecialiststexas.com/how-your-sex-drive-is-affected-by-low-libido-and-stress/
    The love is there, the attraction is there but the sex drive is not. […] Medical reasons a persons sex life could be struggling range from low libido to stress and post-cancer conditions. […] According to the study Role of hormones in hypoactive sexual desire disorder and current treatment published in Journal of the Turkish-German Gynecological Association, Testosterone is essential in modulating clitoral and vaginal physiology to facilitate genital lubrication, sensation, and engorgement Therefore, a lack of testosterone has been reported to contribute to low libido and to reduced sexual pleasure and receptivity. […] According to the University of Rochesters Medical Centers Life After Cancer: Changes in a Womans Sex Life Many women have changes in their sex life after cancer treatment.
  • #16 Loss of libido | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
    Less commonly, low libido may be caused by an underactive thyroid. […] Some women have reported a decreased sex drive while using some types of hormonal contraception. […] Long-term (chronic) medical conditions such as cardiovascular disease, diabetes and obesity can also have a negative effect on your libido. […] Certain medications can sometimes reduce libido.
  • #16 Loss of libido | NHS inform
    https://www.nhsinform.scot/illnesses-and-conditions/sexual-and-reproductive/loss-of-libido/
    Loss of libido (sex drive) is a common problem affecting up to 1 in 5 men and even more women at some point in their life. […] Relationship problems are among the most common causes of loss of libido. […] Stress, anxiety and exhaustion can be all-consuming and have a major impact on your happiness. […] Depression is very different from simply feeling unhappy, miserable or fed up for a short while. […] Drinking excess amounts of alcohol can reduce your sex drive, so its a good idea to moderate your intake to no more than three to four units a day if youre a man, and no more than two to three units a day if youre a woman. […] Many people lose some interest in sex as they get older, mainly as a result of falling levels of sex hormones, age-related health problems, or the side effects of medication.
  • #17 No Desire for Sex? HSDD and Libido Loss
    https://www.webmd.com/sexual-conditions/desire-disorder
    Conditions such as diabetes, cancer, urinary incontinence, heart disease, thyroid disease, Addisons disease, Cushings disease, temporal lobe brain lesions, kidney failure, stroke, and HIV can affect sexual desire. […] Fighting with your partner or a lack of trust in them can lead to a desire disorder. […] Some people lose their desire to have sex in older age. Studies show that the effect of age on desire is complex in women. Older women may have vaginal dryness and pain during sex, which can affect desire. […] Two newer medications are approved by the FDA to treat desire disorder in premenopausal women: Flibanserin (Addyi) and Bremelanotide (Vyleesi). […] Certain drugs and hormone treatments can help treat desire disorder symptoms, increase your libido, or improve sexual function. […] Testosterone has also been studied in postmenopausal women, but results are inconclusive. While the FDA hasn’t approved testosterone treatments for lack of desire in women, doctors sometimes prescribe them.
  • #18 Loss of Libido: Causes and Treatment | Doctor
    https://patient.info/doctor/loss-of-libido
    Loss of libido is a sexual dysfunction relating to loss of sexual desire or sexual drive and is also termed hypoactive sexual desire disorder (HSDD). […] It is a common problem but it is difficult to quantify because definitions may vary and few of those who experience loss of libido consult a doctor even when it may be the cause of relationship difficulties. […] Hypoactive sexual desire disorder affects approximately 10% of adult women. […] In Hong Kong a telephone survey showed a high prevalence of sexual problems generally and in women a 25% prevalence of loss of interest in sex. […] It is normal for sexual drive to diminish with the passage of years but the degree is highly variable. […] Loss of libido is very common during cancer treatment. […] Libido will suffer if there are problems within a relationship. […] The literature supporting the use of testosterone for the treatment of HSDD in men is equivocal.
  • #19 How Does Cancer Affect Sexual Desire in Men? | American Cancer Society
    https://www.cancer.org/cancer/managing-cancer/side-effects/sexual-side-effects/treatment-and-desire-and-response.html
    Some side effects of cancer and cancer treatment can lower your desire for sex. […] A decreased desire for sex (libido) is the most common sexual side effect of hormone treatment. […] Any type of cancer or cancer treatment can affect your desire for sex, at least for a while.
  • #20 Patient education: Sexual problems in females (Beyond the Basics) – UpToDate
    https://www.uptodate.com/contents/sexual-problems-in-females-beyond-the-basics/print
    Relationship issues — An emotionally healthy relationship with current and past sexual partners is a critical factor in sexual satisfaction. […] Partner health or sexual problems — Sexual dysfunction in a partner can affect your sexual response. […] Menopause — Estrogen levels decline dramatically after menopause. This may contribute to changes in your libido and ability to become aroused. […] Medical issues — Almost any serious medical problem can impact sexual desire and responsiveness. […] Psychiatric or emotional problems may significantly impact sexual function, either due to the disease itself or its treatment. […] Depression is one of the most common causes of decreased libido and other sexual disorders in females. […] In the United States, two medications have been approved for treating low sexual desire in premenopausal females with low desire for sex that is causing them distress.
  • #21 Sexual dysfunction – Wikipedia
    https://en.wikipedia.org/wiki/Sexual_dysfunction
    Sexual dysfunction is especially common among people who have anxiety disorders. […] In the context of heterosexual relationships, one of the main reasons for the decline in sexual activity among these couples is the male partner experiencing erectile dysfunction. […] According to Emily Wentzell, American culture has anti-aging sentiments that have caused sexual dysfunction to become „an illness that needs treatment” instead of viewing it as a natural part of the aging process.
  • #21 Sexual dysfunction – Wikipedia
    https://en.wikipedia.org/wiki/Sexual_dysfunction
    Sexual desire disorders or decreased libido are characterized by a lack of sexual desire, libido for sexual activity, or sexual fantasies for some time. […] The causes vary considerably but include a decrease in the production of normal estrogen in women, or testosterone in both men and women. […] The prevalence of sexual dysfunction in women is not well known due to a paucity of epidemiological studies, inconsistent criteria for sexual dysfunction across different studies and incomplete recruitment, with studies often excluding women who were without a partner or who were sexually inactive. […] However, based on incomplete population based studies from the United States, Europe and Australia, unspecified arousal dysfunction (in which a woman is unable to achieve desirable genital or non-genital sexual arousal despite adequate stimulation and desire) was present in 3-9% of women aged 18-44, 5-7.5% aged 45-64 and 3-6% in women older than 65.
  • #22 Diagnosis and Treatment of Female Sexual Dysfunction | AAFP
    https://www.aafp.org/pubs/afp/issues/2008/0301/p635.html
    The incidence of SSRI-induced sexual dysfunction is estimated to be 30 to 50 percent. […] Treatment of female sexual dysfunction is complicated by the lack of a single causative factor, limited proven treatment options, physician unfamiliarity with available treatments, overlap of different types of dysfunction, limited availability of treatment, and limited expertise in the treatment of female sexual dysfunction.
  • #23 Hypoactive Sexual Desire Disorder (HSDD) – GPnotebook
    https://gpnotebook.com/pages/gynaecology/hypoactive-sexual-desire-disorder-hsdd
    HSDD is associated with lower health-related quality of life; lower general happiness and satisfaction with partners; and more frequent negative emotional states. […] HSDD is underdetected and undertreated. Less than half of patients with sexual problems seek help from or initiate discussions with physicians.
  • #24 Low Libido in Women: A Common Malady with a Common Cause | Balanced Medical SolutionsAccessibility ToolsIncrease TextDecrease TextGrayscaleHigh ContrastNegative ContrastLight BackgroundLinks UnderlineReadable FontReset
    https://balancedmedicalsolutions.com/low-libido-in-women-a-common-malady-with-a-common-cause/
    Did you know that low libido is quite common in women? Did you also know that the causes of low sex drive are not always psychological and there are real physical reasons why a woman’s flame starts to burn out? […] Low sex drive can be a symptom of a more serious condition like cancer, diabetes, high blood pressure, and coronary art disease. However, the most common physical cause of low libido is a hormonal imbalance, especially in women over forty. […] When a woman’s testosterone is unbalanced, she may not only lose her sex drive, but also feel fatigued, gain weight, lose strength, and suffer from insomnia. […] Low libido in women can have a negative impact on self-image, self-confidence, and can affect a woman’s relationship with her partner, who may think she is no longer in love or attracted. […] Women who find that a hormonal imbalance is the underlying issue causing their low sex drive can now access revolutionary hormone replacement therapies, including naturally-derived options like bioidentical hormone therapy.
  • #25 Decreased Libido (Low Sex Drive) | PPT
    https://www.slideshare.net/slideshow/decreased-libido-low-sex-drive/131043633
    Decreased Libido (Low Sex Drive) Hypoactive Sexual Disorder (HSD) F52.4 in ICD-10 Deficiency or absence of sexual fantasy or desire for sexual activity Females are more affected (40%) than males (30%) […] Effects of HSD Chronic stress Anxiety Depression Lack of concentration Insomnia Irritability Relationship conflict Social withdrawal […] Low libido after menopause Misconception Obesity- Mechanical difficulty in certain sex positions Kegels exercise […] Hormone Therapy for Post-Menopausal Low Libido HRT- may improve general well being and libido Vaginal estrogen- With/ systemic HRT – can be considered when systemic HRT is contraindicated […] The transdermal testosterone patch is licensed in Europe for the treatment of HSD in surgically menopausal women on concomitant HRT. No pharmacologic therapy is currently approved for the treatment of HSD in premenopausal or naturally postmenopausal women and further research is urgently needed in these populations.
  • #26 Changes in Libido | Prostate Cancer Foundation
    https://www.pcf.org/sexual-health-changes/changes-in-libido/
    Changes in libido (sex drive) are common during treatment with hormonal therapy for prostate cancer. […] Data shows that duration of hormonal therapy is inversely proportional to libido, meaning that the longer they are on these medications, the lower their libido is. […] Changes in libido may also be seen for other reasons, such as anxiety about the cancer or other side effects from treatment. […] Changes in libido (sex drive) may be challenging for patients and their partners. […] This is one of the main reasons prostate cancer is called a couples disease as it can have a significant negative impact on couples intimacy. […] Libido is the aspect of male sexual functioning that is most closely associated with testosterone levels.
  • #27 Low libido causes & treatments – Mayo Clinic Health System
    https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/lets-talk-low-libido
    It may feel uncomfortable to talk about low libido with your partner and your health care team. Unfortunately, it’s a common problem that affects adults everywhere, yet many people have never been asked about their sexual health by their health care teams. […] Many primary care, psychology and OB-GYN professionals are trained to care for and treat hypoactive sexual desire disorder, or HSDD. This is the persistent or recurrent deficiency or absence of sexual fantasies and desire for sexual activity. It’s often referred to as having a low libido and can cause significant distress and relationship problems. […] Some of the most common causes of low libido in men include: Physical issues Increased weight, diabetes, high blood pressure, endocrine disorders and high cholesterol can affect the ability to maintain an erection or decrease sex drive.
  • #28 Epidemiology of FSD » Sexual Medicine » BUMC
    https://www.bumc.bu.edu/sexualmedicine/physicianinformation/epidemiology-of-fsd/
    The epidemiology of female sexual dysfunction is not well understood for many reasons. […] Accurate estimates of prevalence and incidence are important in understanding the burden of female sexual dysfunction in the community and in identifying risk factors for prevention efforts. […] The NHSLS found a high overall prevalence of FSD (43%) in US women ages 18-59. Low desire was reported by 22%, arousal problems by 14% and sexual pain by 7% using categories similar to the DSM-IV defined by latent class analysis. […] Population estimates of inhibited desire are 22% in the US and 16% in Iceland. […] In conclusion, female sexual dysfunction is common condition, with population estimates ranging from 22% to 43%.

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leczenie przeciwnowotworowe obniżone libido utrata popędu seksualnego cukrzyca suchość pochwy selektywny inhibitor wychwytu zwrotnego serotoniny niedoczynność tarczycy zaburzenie lękowe niedobór testosteronu hypoactive sexual desire disorder dyspareunia jakość życia związana ze zdrowiem nietrzymanie moczu choroba wieńcowa zespół Cushinga anorgazmia choroba Addisona HSDD dysfunkcja seksualna nadciśnienie tętnicze SSRI zaburzenie nadnerczy