دانلود کتاب اختلال کم میلی جنسی – مرور کلی روان‌جنسی برای پزشکان

Hypoactive sexual desire disorder (HSDD) is a dysfunction that affects and disturbs individuals, couples, and even clinicians. The complexity of this disorder is not age related: even young people, often dependent on the use of mass media and pornography, report a physical, psychological state of sexual inactivity, due to lack of desire or total or partial absence of sexual fantasies. This condition encompasses multiple factors: biological, psychological, gender-related, relational, and social in general. Andrologists and gynecologists investigate the biological causes through blood tests, hormonal tests, etc., but often a neuropsychological or psychosexual component is hypothesized only in the absence of exemplary clinical data. In my clinical career, I have encountered individuals and couples troubled by the fact that they were free from underlying clinical pathologies. The idea among patients that the psychological cause does not refer to a psychiatric pathology but to the complexity of the person, not investigable with blood markers, is still not widespread. In the Sexual Medicine Center, where I have been working since 2000, in collaboration with andrologists, urologists, and specialists from every hospital department, we have tried to set up a team approach where diagnosis and treatment depend on the clinical picture and sexual anamnesis. The chapters of this text aim to provide a broader picture of hypoactive desire disorder, involving clinical studies on the subject, our field research, and information suggested by patients. The text does not intend to be a manual, rather a journey through the various aspects of a disorder that affects the quality of life of the patient and the couple. An encouragement to look beyond basic orthodoxy and to deepen the curiosity of clinicians and students toward a systemic view beyond the manual.