Libido of men and women. What to do if there is a decrease in libido?

Youthful hypersexuality is a normal phenomenon. Young people aged 19-25 simply need sexual release. With age, the need for sex becomes less urgent. However, there are exceptions.

Hypersexuality is an urgent need for several sexual contacts per day. Moreover, sometimes a man or woman cannot be satisfied with one partner. Hypersexuality can be congenital or caused by certain events, hormonal changes, and psychological trauma.

What does libido, sexual desire, sexual desire mean?

Libido or sexual desire is a function of men and women, which is influenced by a wide variety of factors. The formation of libido ( sexual desire ) in men involves the testicles, which produce testosterone, micro-reservoirs of the genital organs, the stretching of which increases


desire, pelvic choroid plexuses, cavernous formations and constrictor venous reflex. The cerebral cortex, subcortical centers, central and spinal reflexes are of great importance in the development of desire. Overstretching of the micro-reservoirs of the testicles, epididymis, prostate gland, seminal vesicles, ampoules of the vas deferens due to increased secretion production during increased blood flow or during the period of physiological abstinence is manifested by discomfort and heaviness in the perineum and testicles, which leads to increased libido.

When does hypersexuality become a disease?

A sharp increase in libido, which is accompanied by a loss of control over emotions and actions, promiscuity and even harassment, is already a problem. Underage teenagers who are fixated on sex and satisfying sexual needs in various ways, including perverted ways, also need a treatment session.

Pseudohypersexuality is more common. A similar diagnosis is given to people who, through countless sexual contacts, try to hide their own self-doubt. For example, a man with a small penis tries to increase his list of sexual partners. In this case, sexaholism is a psychological defense against unpleasant reality.

Hypersexuality can be a consequence of emotional trauma during puberty, difficult family relationships, or an attempt to escape from constant stress. There are many psychological reasons.

Increased libido, decreased libido

Doctors distinguish 2 types of sexual desire disorders:

hypoactive sexual desires, characterized by insufficiency or absence of sexual fantasies and desires for sexual activity (much more common),

sexual aversion disorders , characterized by aversion or avoidance of genital sexual contact with a sexual partner.

Lack of desire and decreased libido is one of the most common complaints among married couples, and this is more typical for women (50%) than for men (30%).

What is hypolibidemia? Effective treatment of hypolibidemia in Saratov, Russia!

Hypolybidemia is a disease characterized by a decrease in sexual desire, libido in a man or woman, boy or girl. Some people incorrectly call it “hypolybidomia, hypalibidemia, hypalibidemia.” Sarklinik provides comprehensive treatment of hypolibidemia in Saratov , treatment of hypolibidemia in Russia. Sarklinik knows how to treat hypolibidemia in men and women, how to cure hypolibidemia in boys and girls, how to quickly and easily get rid of hypolibidemia.

Attraction and compatibility: two pillars of sexual life

What determines our sex life

There are two main components that determine sex life - sexual desire and sexual compatibility.
The first determines why you are drawn to some people, while you don’t even want to look at others. The second is responsible for why you had a wonderful evening with one partner, but were completely disappointed by the ensuing sex, and with another the date went lousy, but the sex afterwards was simply enchanting. The quality of sex directly depends on both components. Of course, you are unlikely to have sex with someone to whom you are not at all attracted. However, a very strong sexual attraction, even mutual, is not a guarantee of a heavenly orgasm - for it, the partners also need to be sexually compatible.

Attraction is largely determined on a subconscious level, but compatibility is more likely to depend on our conscious choice and communication with our partner - and this is good news.

Below we will take a closer look at how sexual attraction and compatibility are formed from a scientific point of view.

Universal markers of sexual attractiveness

There are several universal parameters that make people more sexually attractive to others. For example, we are more attracted to people with symmetrical facial features.

One would think that we choose such partners consciously based on their appearance. However, research shows that to assess the symmetry of a person's face, we don't even have to see it - for example, women can understand how symmetrical a man's facial features are and, in accordance with this, make a conclusion about his attractiveness. Moreover, we determine a man’s stress level by smell, and we automatically don’t like neurotics.

In the same way, just by the smell of a woman's T-shirt, men understand what stage of the menstrual cycle a woman is at.

And girls during ovulation, that is, during the period when conception is most likely, seem more sexually attractive to men than during other periods of the menstrual cycle.

According to other studies, men can subconsciously determine a girl’s ability to conceive not only by smell, but also by her voice, and even by her appearance. Naturally, all this happens unconsciously, the choice is rationalized in hindsight.

How our sexual preferences are influenced by our parents

In addition to universal indicators of sexual attractiveness, there are also individual ones. They explain why the same man or woman may seem very attractive to you, but repulsive to your girlfriend or friend. Individual differences in sexual desire are due to differences in our personal experiences, the environment in which we grew up, and our upbringing. Research shows that some of the foundations for who we will be attracted to as adults are laid in infancy.

If you were born when your parents were over 30, in the future, when assessing a person's sexual attractiveness, you will pay attention primarily not to how young he looks, but to his facial features.

What our parents looked like is also important. Grandfather Freud wrote about the fact that we choose as partners people who outwardly resemble the parent of the opposite sex, and now this is confirmed by modern scientists. For example, heterosexual people tend to consider people more sexually attractive whose eye color matches the eye color of a parent of the opposite sex.

How this principle works in relation to homosexuals or, for example, to people who grew up without one of their parents is still not known for certain. However, this mechanism provides one possible explanation for why some people are attracted to people who look similar to them: perhaps it is not the similarity of the partners themselves, but the way their parents looked.

Sexual attraction and skin color

Sexual attraction may also depend on a person's race. For example, data from online dating services shows that white men are the most popular among women of all races except blacks—black women prefer black men.

Asian women are the most popular among men, while Asian women prefer white women.

The reasons why many people prefer other races are unclear. One possible explanation is that we subconsciously strive to choose a partner whose set of genes is as different as possible from ours, because the greater the genetic difference between partners, the lower the chance of unwanted genetic mutations in their offspring.

But so far this is just one of the theories that does not fully explain racial preferences and does not clarify why some people are more drawn to those who are similar in appearance to them, and others, on the contrary, to those who are dissimilar.

What is sexual compatibility and what does it affect?

Sexual attraction largely depends on factors that we cannot control at a conscious level. And if our satisfaction depended only on how attracted we are to our partner, this would be very sad - in fact, we would only be able to control a very small proportion of the parameters affecting the quality of our sex life. The good news is that sexual attraction is far from the determining factor. For quality sex, partners need to be sexually compatible, and good compatibility can compensate for the lack of initial passionate impulse.

According to psychologists, sexual compatibility is the closeness of partners in terms of their sexual attitudes, preferences, desires and needs. The more similar your sexual preferences and desires are, the more compatible you are in bed and, research shows, the higher your satisfaction with sex and your relationship. Marriages in which the partners' sexual desires coincide are more stable than those in which the partners hold opposing views on certain sexual practices.

How to tell if you're sexually compatible

Since our sexual desires and preferences are usually conscious to us, the easiest way to determine sexual compatibility is by talking with a potential partner. There are no secret special signs by which you can understand what a person likes in sex just by looking at him. Therefore, if you want to find out how much your preferences match before sex, discuss this with a potential partner. This will increase the chances that intimacy will not disappoint you.

Sexual compatibility is partly a matter of our perceptions—if you feel like your desires are similar and you want to satisfy each other's desires, you'll be more satisfied with sex, even if your desires are objectively very different.

If everything is great with your partner except sex, do not rush to despair, blame yourself or break up. Direct communication on bedroom topics is difficult for many, but it is much easier during the game - this is why dressing up, unusual places and role-playing scenes most often become the first stage on the path to harmony.

Of course, things get a little more complicated if one partner has a sexual fetish that the other doesn't share. For example, if one of you is a foot fetishist, and the other is not at all close to it. But there is a possible solution here too.

One theory is that fetishes are “learned” behavior.

For example, during one experiment, men were shown photographs of naked women along with photographs of ordinary shoes for an extended period of time. All this time, scientists have been recording the degree of sexual arousal of men. Then they were shown just photographs of shoes. It turned out that men who had reacted completely calmly to the shoes before the experiment began to become excited when they saw photographs of the shoes. Thus, scientists were able to “teach” them a certain fetish.

So even if your and your partner's fetishes don't match, you can try to "learn" each other's preferences. But this needs to be done by mutual consent, having discussed everything in advance - if your partner does not share your foot fetishism, you do not need to slip him photographs of naked people along with images of legs or force him to watch foot fetish videos from pornhub. This will not increase sexual compatibility, but will only harm your relationship.

What is alibidemia? Complex treatment of alibidemia in Saratov, Russia!

Alibidemia is a disease characterized by a complete lack of sexual desire, lack of interest in sexuality, sex, and sexual intercourse. Alibidemia is an extreme manifestation of hypolibidemia. Some people incorrectly call alibidemia “alibidomy, alabidomy, alabidomy.” Sarklinik provides effective treatment of alibidemia in Saratov , treatment of alibidemia in Russia. Sarklinik knows how to easily and quickly cure alibidemia in men and women, boys and girls, how to permanently get rid of alibidemia, lack of sexual desire, and how to revive the sexual fire in a person.

Reasons for decreased libido

The libido of men and the libido of women by : poor health, negative mood, body fatigue, psychological discomfort. Sexual desire decreases in the fall, when leaving work, or with heavy workload. A decrease in sexual desire occurs in a variety of somatic diseases, such as coronary heart disease, chronic gastritis, hepatosis, bronchitis, pneumonia, pyelonephritis, neurosis, somatoform dysfunction of the autonomic nervous system , astheno-neurotic conditions, increased nervousness, depressive neurosis, depression, chronic stress, renal failure, long working hours, problems with an intimate sexual partner ( sexual problems , problems during sex, problems of a sexual nature ). Various medications have a negative effect on male and female libido, drugs - antidepressants, tranquilizers, antipsychotics, hormonal drugs, sedatives, sleeping pills, drugs to lower blood pressure (BP).

Male libido, libido in men

Full sexual desire (libido) is regulated by the human endocrine system. a big role in male libido . The testicles produce the required amount of testosterone. The level of concentration is regulated by the principle of direct feedback biological relationship, and also depends on the hypothalamic-pituitary system. Ejaculation and erection in a man are controlled by the central and peripheral nervous system, therefore, with diseases of the nervous system, problems with sexual desire are often observed.

Alibidemia, lack of sexual desire and desire, loss of libido, hypolibidemia

alibidemia can occur - this is a complete lack of sexual desire and desire, while at the same time weakening of erection and ejaculation disorders are observed. In this situation, signs of dishormonal disorders appear (in the blood serum of men there is a reduced concentration of testosterone and an increased concentration of estrogen): gynecomastia (enlarged mammary glands), fat deposits in the buttocks, thighs, chest, high voice, little or no hair absence on the body and face. Psychological, psychogenic reasons can often lead to a weakening and decrease in sexual desire and desire. “Male frigidity”, “frigidity in men” arises. In chronic stressful situations, anxiety, depression, worries, problems in bed, hypolibidemia and alibidemia, libido neurosis . Strict upbringing in childhood has a negative impact on sexual desires. Some men find the reason for low libido to be their partner's lack of sexuality. Long-term abstinence from sexual intercourse also leads to decreased libido or its complete absence.

Consequences of strong attraction to a woman 3

A man can have a strong sexual desire, regardless of the circumstances, his marital status and other factors. As a rule, attraction arises unexpectedly and, like a hurricane, bursts into a man’s quiet and measured life. There are many signs that a representative of the stronger sex has a strong desire for a girl:

  • He literally can't take his eyes off her.
  • He feels awkward around her and speaks incoherently.
  • He tries in every possible way to please her and somehow stand out from other men.
  • Shows signs of attention, even if they are not always particularly noticeable.
  • He tries to somehow touch or move closer to the object of his desire.

It is a completely normal situation when a free man begins to be strongly attracted to a free girl. In this situation, he has two fairly simple options: try to get her attention or try to forget. However, forgetting the girl you are attracted to is usually very difficult.

Sometimes, attraction to a woman develops into obsession and even obsession, because not all representatives of the stronger sex know how to control and suppress their desires. Therefore, the easiest way to get rid of attraction is to try to achieve a woman and satisfy your desires. Even if nothing comes of it, at least the man will know that he did his best.

It is much more difficult for those representatives of the stronger sex who are already in a relationship or even married to one woman, and a strong attraction arises for another. As a result, a man has to either fight his own desires or succumb to temptation. In any case, this does not bode well for him. Numerous studies and sociological surveys show a disappointing picture: almost 75% of men have cheated on their wives at least once. And it is a strong attraction to a girl that is one of the most common reasons why men go to the left.

Sexual desire, decrease, lack of sexual desire, how to increase sexual desire

Sexual desire , sexual attraction is a very important sexual function of a person, man and woman. When a man's sexual desire weakens, a decrease in sexual desire occurs, and this, in turn, leads to the fact that sexual intercourse is performed less and less often. This leads to a decrease in the production of testosterone and other sex hormones, and to the development of congestive (stagnant) chronic prostatitis. As a result, there is a complete extinction of sexual desire, and later psychogenic erectile dysfunction, depressive neurosis, fears, and anxiety neurosis appear. Sarklinik will tell you a way out of this situation , we know how to increase sexual desire, we will answer the questions: “What to do, how to increase unsatisfied strong or weak sexual desire, how to reduce it, how to win, suppress, return, cope, awaken, raise, restore, increase secret desire and fantasies, why is there no desire?”

Has the sexual desire of women and men disappeared? How to increase sexual desire?

Sexual desire in women and men is very important for normal sexual function. If you have lost sexual desire , or have recently experienced a lack of sexual desire , this is a reason to immediately consult a specialist. Strong unsatisfied sexual desire (sexually frustrated desire) leads to depression and neurosis. We know how to increase sexual desire in a girl and a guy, how to restore the sexual desire of a wife and husband, how to increase the sexual desire of a woman and a man, including after 40, 45, 50, 55, 60, 65, 70 years. If you are very concerned about sex, we will tell you how to suppress, reduce, reduce sexual desire.

Decreased libido (absence or loss of sexual desire) - symptoms and treatment

There are many causes and symptoms of decreased libido, so treatment may vary. It is important that the patient communicates his problems in a timely manner and understands his body and its normal sexual response.

Sexual problems most often require a combined treatment approach that addresses both medical and emotional issues.

Non-drug therapy for decreased libido

At the first stage of treatment, the specialist recommends:

  • Talk and listen. Open communication with your partner can restore sexual desire. Even if a couple isn't used to talking about their likes and dislikes, it's worth a try. This creates the conditions for greater intimacy and reciprocity.
  • Practice a healthy lifestyle. Limit alcohol consumption. It can dull sexual sensitivity. Engage in physical activity and avoid stress. Regular exercise increases stamina and improves mood, which has a beneficial effect on libido.
  • Contact a psychologist or psychotherapist who specializes in sex and relationship problems. Therapy often includes education and guidance aimed at improving intimacy with your partner.
  • Use lubricant. If a woman is bothered by vaginal dryness, vaginal lubricant will help avoid discomfort during intercourse.
  • Use a clitoral stimulation device (for women).

Drug treatment for decreased libido in women

Effective treatment of sexual dysfunction often requires addressing the underlying disease or hormonal changes.

If female sexual dysfunction is due to a hormonal cause, treatment may include:

1. Estrogen therapy. Vaginal rings, creams or special tablets are used as local treatment. This therapy improves vaginal tone and elasticity, increases vaginal blood flow and enhances lubrication, thereby improving sexual function.

Hormone therapy options may vary depending on age and underlying health problems, such as heart and blood vessel disease. These and other characteristics determine the dose and type of hormone, as well as whether estrogen will be used alone or in combination with a progestin. You should discuss the benefits and risks of estrogen therapy with your doctor.

2. Use of the drug Ospemifene (Osphena). A non-estrogenic drug that prevents the thinning of the vaginal mucosa caused by menopause. The drug works similarly to estrogen, that is, it increases the thickness of the vaginal wall. This reduces pain and discomfort during sexual intercourse. Suitable for the treatment of sexual dysfunction in menopause and postmenopause. It is used strictly as prescribed by the attending physician [8].

3. Androgen therapy. It involves the use of drugs with the male hormone – testosterone [9]. Androgen therapy to increase libido in women is controversial. Some studies show the benefit of this therapy for women with low testosterone levels and a progressive decrease in libido. According to others, androgen therapy is ineffective [15][16].

4. Use of the drug Flibanserin (Addy). It was developed as an antidepressant, but the US Food and Drug Administration (FDA) has approved the drug to treat low sexual desire in premenopausal women. Flibanserin restores the balance between the excitatory and inhibitory systems of the brain, due to this, sexual desire returns.

Possible side effects of Flibanserin include low blood pressure, drowsiness, nausea, fatigue, dizziness and fainting, especially if the drug is mixed with alcohol. Experts recommend stopping the drug if the patient does not notice improvement after eight weeks [10].

Treatments that require additional research

There are medications that may be effective in treating low libido in women, but more research is needed before they can be recommended:

  • Tibolone . A synthetic steroid drug used in Europe, Russia and Australia mainly for the treatment of postmenopausal osteoporosis. At the same time, its positive effect was noted in reducing female libido. However, the drug is not FDA approved for the treatment of menopause in the US and some other countries due to the increased risk of breast cancer recurrence and stroke [19].
  • Phosphodiesterase type 5 inhibitors (PDE5) . This group of drugs has been very successful in treating erectile dysfunction in men [20]. The effectiveness of these drugs in the treatment of sexual desire disorder in women has not yet been proven [21]. However, the drug Sildenafil from the group of phosphodiesterase type 5 inhibitors may be useful for women with sexual dysfunction while taking antidepressants [22]. The mechanism of action, as in men, is based on blood flow to the genitals, primarily to the clitoris. Sildenafil should not be used while taking nitroglycerin to treat angina.

Drug treatment for decreased sexual desire in men

Men respond better to therapy. Many of their physiological cycles that control sexuality depend on the concentration of the hormone testosterone in the blood, so improving testosterone metabolism leads to positive results.

Most often, drugs such as Androgel and Nebido are used for replacement therapy. However, this therapy suppresses the production of follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which stimulate testosterone production. This reduces sperm quality, which can cause infertility [17].

The problems associated with the treatment of sexual dysfunction such as decreased sexual desire (libido) are quite complex. Therefore, even good medications are unlikely to work if emotional or social factors are not corrected.

How to increase libido in women and men?

Unfortunately, folk methods, methods, tablets, herbs, medicines, libido-increasing drugs, drugs, pathogens, substances, products have a weak positive effect on sexual desire in men, boys, mature women (including after childbirth and after taking birth control pills ( OK , COCs, oral contraceptives) and young girls. We know how to reduce sexual desire, how to increase libido in men and women . What to do if there is a decrease in libido in young, middle, old age? Treat!

Dependence on vital energy

As long as a person glows with vital energy, everyone needs him, he is in demand. But if there is little energy in him, no one notices him, his lovers leave him. For example, if a man is depressed, then he will not arouse sexual desire in a woman. Representatives of the opposite sex will find many excuses for why they are with a man or why they left him. But the reason here will be the same. The same fully applies to women.

A person will explain his sexual attraction to someone by the rich inner world of his partner, intelligence, courage, and so on. He will be sincerely sure that he noticed his partner’s eyes, hairstyle, and gait.

But the paradox is that if the same partner is out of sorts, all these qualities will go unnoticed. Neither hairstyle, nor gait, nor inner world will be noticed. And no one will say it as it really is. People will find their own explanation for why they are not attracted to a person. They will talk about important things and go on a date with another partner.

This is how the action of instincts manifests itself. Subconsciously, a person is looking for a confident partner for reproduction. Vital energy, which has such an impact on sexual desire, is usually associated with increased status.

Has your low libido gone? Libido treatment in Saratov

An experienced doctor analyzes all the factors that can cause a decrease in sexual desire in men and women. Complex treatment using reflexology techniques allows you to achieve an increase in libido (and, if necessary, a decrease in libido) in both men and women. The doctor knows how to increase libido , strengthen, increase, raise, restore sexual desire and libido, how to reduce libido, how to increase sexual desire ! Libido treatment - new methods in Saratov. Low libido is not a problem. Sarklinik knows how to restore your libido . Call. At the first consultation, the doctor will tell you about what increases libido, what mortido and hedonism are, why sublimation is harmful, what foods increase libido, how energy and libido behave before menstruation, how to increase female and male libido, how to behave during pregnancy (in first days, during, at the end of pregnancy) and after childbirth, how male and female menopause, regulon, yarina, cream, tablets, drugs, medicines, folk methods, progesterone affect libido. Go to the website sarclinic.ru, where you can read reviews from men and reviews from women about restoring sexual abilities. If you experience a lack of sexual desire (it is absent), decreased sexual desire, or loss of sexual desire, be sure to contact a specialist. Sarklinik knows how to increase, return, strengthen male and female unconscious and conscious sexual desire, and cure disorders of sexual desire for the opposite sex.

Sign up for a consultation. There are contraindications. Specialist consultation is required.

Photo: Yuri_arcurs | Dreamstime.com\Dreamstock.ru. The people depicted in the photo are models, do not suffer from the diseases described and/or all similarities are excluded.

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Comments ()

One of the significant anomalies of sexual life is an abnormal increase in sexual sensations and ideas and the resulting strong and frequent need for sexual satisfaction.

The fact that the sexual desire and desire for procreation inherent in every normal person has not received a dominant meaning in a person’s life must be explained by centuries-old upbringing; Moreover, despite the temporary ebbs and flows, sexual desire, being only an episode in the feelings and aspirations of cultured people, imparts to their social and moral feelings a higher, noble, sublime character, giving wide scope for both personal and social activities.

Further, moral and criminal laws keep the sexual desire of a cultured person within certain boundaries established in the interests of society and protecting in particular the modesty and morality of the latter; these laws force a person to overcome his attraction when it runs counter to altruistic social requirements.

If these requirements could not be fulfilled by a normal, cultured person, then there would be no family, no state, these foundations of moral and legal community life.

In fact, in a normal, mentally healthy person, who has not lost his mind and prudence due to poisoning with alcohol and other similar drugs, sexual desire never reaches such a height as to capture all his thoughts and feelings, absorb him completely, force him violently, uncontrollably, impulsively strive to satisfy sexual desire with oblivion of moral and legal laws, and even after performing sexual intercourse, destroy oneself in an insatiable craving for new pleasures.

Sexual desire of this type is certainly pathological. On occasion, it can lead to sexual affect of such strength that, with a darkened consciousness, in a state of mental insanity, under the influence of an irresistible desire, a violent sexual act is committed.

Such phenomena have still been little studied from a scientific point of view, although they are of great importance for the court, since in such a state of mind, when natural sexual desire, having reached a pathological height, comes into conflict with all moral and legal norms, there can hardly be any talk of sanity. For society and for the forensic doctor who has to give an opinion, it is very important that such cases of irresistible attraction, leading to severe and extremely abnormal sexual affects, occur only among persons of a certain category, among degenerate people, and almost exclusively on the basis of hereditary degeneration.

Unfortunately, the number of people with various signs of physical and mental degeneration is quite large in modern society, especially in cultural centers. In connection with the perversion of sexual life, especially due to moral dementia of a degenerative nature, monstrous, most terrible sexual crimes often arise with the assistance of alcohol, which would be a disgrace to humanity if it were assumed that they were committed by normal people.

The commission of such crimes by degenerates, and in some cases by abnormal people, is accompanied by violent actions or impulsive delirium. This nature of actions is characteristic of mental degeneration.

The mode of action corresponds to hereditary or acquired properties and largely depends on the potency or impotence of the person in question.

Such pathological sexuality is a terrible misfortune for a person, because he is constantly in danger of violating moral and criminal laws, losing honor, freedom and even life. Alcohol consumption and prolonged sexual abstinence can always cause such strong sexual affects in such degenerates.

Along with severe manifestations of pathological sexuality based on mental degeneration in the form of “Violent actions,” a less dramatic expression of excessive sexuality occurs more often. We encounter this form in its weakest degree. In people whose sexual passion is constantly in need of satisfaction, it is very strong in nature, and the whole meaning of life, all the happiness of their life lies for them.

in satisfying sexual desire; however, they do not have painful attractions, they can usually control themselves, maintain external decency, and not compromise themselves; Otherwise, they strive to use every opportunity for their own purposes and take advantage of it to an excessive extent. The next stage is represented by “skirts”, Don Juans, whose whole life is spent in the indiscriminate satisfaction of their sensuality, and, as people with a perverted moral sense, they do not stop at either seduction, adultery, or even incest.

Observation 11

P, house manager, 53 years old, married, without severe heredity and epileptic phenomena, a moderate carouser, without symptoms of premature old age, discovered, according to his wife, throughout his married life (from the age of 28) excessive sexual passion, sharp lust, significant potency and was insatiable in sexual pleasures. During copulation, he was “like a beast, wild, trembling all over, sniffling,” so that the somewhat cold wife felt disgust and performing marital duties was torture for her.

He tormented her with jealousy, and soon after the wedding he seduced his wife’s sister, an innocent girl, and fathered a child with her. In 1873, he took her and the child into his house and thus had two wives, and he preferred his sister-in-law, which his wife considered the least evil. Over the years, his lust increased and his potency decreased. He often helped himself by masturbating, even immediately after copulation had taken place, and he was cynically not embarrassed by the presence of his wives. From 1892, he began to engage in debauchery with his 16-year-old pupil, usually forcing the girl to masturbate him. He even tried to force her to copulate with a revolver in his hand. He made the same attempt in relation to his unmarried daughter, so that he often had to protect the latter from his encroachments. At the clinic, P. behaved calmly and decently, explaining everything by increased sexuality. He didn't justify his actions, but he couldn't help himself with anything else. His wife's coldness forced him to resort to adultery. No mental disorders are noticeable, but all ethical feelings are absent. During the 25 years of marriage there were several epileptic seizures (!). No signs of degeneration are noted.

Based on my research, I consider this sexual hyperesthesia to be a sign of functional degeneration. Whether such a phenomenon can be acquired, accidental in a person not burdened by heredity - this question must be subjected to scientific research. It is argued that this is possible due to poisoning with cantharidin, alcohol, with simultaneous strong sensory arousal, then due to peripheral irritation, such as itching in the genitals, eczema, etc., especially during menopause.

It should also be noted that in a completely normal person the degree of sexual passion is subject to large fluctuations depending on age, the constitutional state of the body, lifestyle, the influence of somatic diseases, etc. Starting from the period of puberty, sexual desire quickly rises to a significant height, in total It is more pronounced between the ages of 20 and 40 and then slowly decreases. Marriage preserves and curbs sexual desire.

Changing the object of sexual intercourse increases the strength of attraction. Since a woman is usually more abstinent than a man in sexual relations, a sharp increase in her sexual need should be viewed as a pathological phenomenon. Residents of large cities, to whom everything reminds them of the sexual sphere, to whom everything excites them to sexual pleasure, (other things being equal) have more passion than residents of the village. A luxurious, pampering, sedentary lifestyle, the predominance of animal food, the use of alcoholic beverages, spices, etc. have a stimulating effect on sex life.

In women, sexual activity is enhanced during the postmenstrual period. In neuropathic women, excitement at this time can reach pathological heights.

The intense concupiscence of consumptives even in the later stages of the disease is noteworthy. In general, hyperesthesia of central origin due to predisposition is often a partial phenomenon of mental exaltation1. In these cases, when the cerebral cortex, and with it the psychosexual center, are in a state of hyperesthesia (abnormal excitability of fantasy, facilitated associations), not only optical and tactile, but also auditory and olfactory sensations are sufficient to determine erotic ideas.

Magnan reports about one girl who, since the onset of puberty, discovered an ever-increasing sexual desire and satisfied it through masturbation. Gradually, this increase in sexual desire reached such an extent that the very sight of any man brought her into extreme excitement, and since she could not vouch for herself, she locked herself in the room each time until the attack passed. In the end, wanting to calm the painful passion, she began to give herself to the first man, but neither normal sexual intercourse nor masturbation brought her relief, and she had to be placed in an institution for the mentally ill.

In parallel to this, we can cite the following case. We are talking about a mother of five children, who, suffering greatly from an insatiable sexual desire, repeatedly tried to kill herself, then was admitted to a hospital for the mentally ill. Here her condition improved, but she no longer trusted herself and I was afraid to leave the hospital.

Many expressive cases of this kind, relating to both men and women, are given in the author’s article “On some anomalies of sexual desire,” observations 6, 7 (Archiv für Psychiatrie, VII, 2).

How strong, dangerous and severe sexual hyperesthesia is for persons suffering from this anomaly is shown by the following two observations.

Observation 12.

Sexual hyperesthesia. Masturbation in front of students at school. Ts, 36 years old, married for 12 years, father of 7 children, school director, constantly masturbated during class, and although the side of the pulpit facing the students was closed, they noticed it. One day the night before, he drank a little more than usual, before the start of the lesson he had trouble and during the lesson, at the sight of a 15-year-old student who had excited him for a long time, he fell into a state of sexual passion, he got an erection, and he, without controlling himself, grabbed the genitals, after which ejaculation immediately occurred. Only then did he understand what had happened, understood the shame of what had happened and tried to make sure the girls didn’t notice anything.

He could not point out the darkening of consciousness, the lack of memory during this sexual passion.

Since his entire previous life was impeccable, the court assumed that he was in a sick state at that time and subjected him to an examination. My research revealed the following. C came from healthy parents. Two relatives were epileptics. At the age of 13, a severe concussion of the brain followed by an acute weakening of reason, which lasted three weeks. Since then, severe irritability and intolerance to alcohol.

From the age of 16, the awakening of sexual life in a very strong form, with strong sexual irritability, so that just reading obscene books, the sight of a photograph of a woman was enough to quickly induce ejaculation. At the age of 18, copulation occurs occasionally. Most often, it was enough for him to touch the woman’s hand for orgasm and ejaculation to occur. Married at the age of 24. Sexual intercourse 3-4 times a day, masturbation and “mental copulation” at the same time.

Since the birth of his 4th child, due to economic considerations, he was forced to abstain from sexual intercourse, he rejected condoms, helped himself by self-masturbation, touching a woman and the daytime emission caused in this way, but this did not satisfy him, he was constantly sexually aroused and almost every 6 weeks he came to such a state that he lost his will and reason, and, in order to protect himself from sexual aggression towards a woman, he masturbated intensely. Since this relative abstinence, Ts was so hot-tempered and irritable that he often beat his wife and children for no reason, shouted at them, and raged. It happened several times that during such strong emotions he lost consciousness, fell to the ground, and wheezed in a peculiar way. After a few minutes he came to his senses, but did not remember what had happened. He had a similar attack three days after the offense was committed.

I found C to be an intelligent, developed man, full of remorse and shame. He understood that he could no longer be a teacher at a girls' school, and complained about his unnatural, unlimited sensuality. He made no attempts to justify his action, but pointed out that due to his insatiable lust, excessive work (up to 12 lessons daily), he had recently completely upset his nerves. There are no signs of hair on the head, the parietal part of the skull is convex. The genitals are large, flaccid, and generally normal. The patellar reflex is greatly increased.

My conclusion was that C suffered from painfully increased sexual power, in all likelihood, also epilepsy, and committed the offense in a state of pathological affect, when his ability to control himself was reduced to a minimum. Ts. was released from further prosecution and received a pension.

Observation 13.

On July 11, 1884, R., 33 years old, a servant, was admitted to the clinic with paranoia of persecution and sexual neurasthenia. The mother was a neurasthenic subject, the father died of a spinal cord disease. Strong sexual desire from early childhood, and from the age of 6 it is already conscious. From the same time onwards there was masturbation, from the 15th year pederasty, and sometimes sodomistic acts. Subsequently, sexual abuse in marriage with the wife. From time to time, aberrant impulses, attempts at cunnilingus, giving his wife Spanish flies because her lust did not match his own. After a short marriage, the wife died. The patient's financial situation worsened, and he was deprived of the opportunity to have normal sexual intercourse. Again masturbation and the use of an animal's tongue (as part of a sodomistic act) to achieve ejaculations. At times, priapism and a state close to satyriasis. Then, as sexual neurasthenia and hypochondriacal attacks intensified, a weakening of excessive desire began to be noticed, to the satisfaction of the patient.

As a unique form of sexual hyperesthesia

It should be noted that there are cases
of women
who have a strong need for sexual intercourse with a certain man, and this need urgently requires satisfaction. “Unhappy love” for another man can quite often occur due to mental or physical (marital impotence!) dissatisfaction in marriage among passionate women, but in the absence of severe heredity it is usually suppressed by ethical principles. The situation is different in pathological cases, that is, on the basis of mental degeneration.

Fetishism almost always plays a role here. Sexual desire is irresistible, sometimes occurring periodically. Attempts to fight it cause a painful state of fear. The painful need is so strong that all considerations associated with shame, an insult to morality, and female honor recede before it, and this is done without any shame, even in the presence of her husband, while a normal, mentally healthy woman strives in every possible way to hide this terrible secret.

Magnan (Psychiatrische Vorlesungen. bbers, von Möbius. H. 2, 3) reports, based on his practice, two impressive cases of this kind. One particularly significant case involved a young lady, the mother of three children, with an impeccable past, but the daughter of a mentally ill person. One day, without any embarrassment, she told her amazed husband that she loved a young man and would commit suicide if she was prevented from having an intimate relationship with him. Just let her satisfy her ardent passion for 6 months, and then she will return to the hearth and home. Currently, her husband and children are nothing to her in comparison with her lover. The unfortunate husband took his wife to a remote area and subjected her to medical treatment. This pathological love of married women for other men still needs scientific coverage from the point of view of sexual psychopathology. I

observed 5 cases belonging to this category. In all of them we were talking about persons burdened with severe heredity (degenerate). The painful state occurred in paroxysms, in one case it recurred several times and differed sharply from the relatively healthy period of life. In a healthy state, deep remorse for what happened always appeared, which, however, was recognized as an inevitable misfortune, depending on a mentally abnormal state.

During the period of a painful state, there is sometimes complete indifference to the husband and children, reaching the point of disgust for the former, and a simultaneous complete misunderstanding of the meaning and consequences of scandalous behavior for women's and family honor and dignity. It is remarkable that in all cases the offended husbands and relatives understood that the cause was a painful condition, before their opinion was confirmed by medical research.

In contrast to the non-psychopathic, although overly lascivious, ordinary Messalina, in this case sexual promiscuity is only an episode in the life of a previously virtuous woman, then illicit intercourse is strictly monogamous and the satisfaction of sexual desire does not represent the whole essence of a morbid delusion. The latter facts, as well as the fact that the unfortunate woman does not give herself to all men, but only to one lover, are very important for distinguishing this condition from nymphomania. In three of my cases, the grossly sensual moment was not in the foreground at all, and the impetus for the violation of marital fidelity was the charm of the character of the fetish, mental properties, and in one case, the voice. In two cases, however, I was able to prove that this was a case of real sexual hyperesthesia with the complete coldness of the husband; in these cases, a simple touch caused an orgasm, and sexual intercourse gave the greatest pleasure. Of course, in these latter cases, complete sexual submission arose (see observation 234 below).

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