Abstract

The article reports on the weakening of sex drive, which is caused by psychogenic factors. Hypnosuggestive correction can be highly effective in the treatment of hypoactive sexual drive. A clinical case is presented in the article. A 32-year-old married woman, mother of two children, consulted a doctor with complaints of ‘absence” of libido for 8 years, which is combined with a small component of sexual aversion (when a man hugs her, she is “to be electrocuted”), but mainly it is about the “absence” of sexual desire. During the taking anamnesis, it became clear that currently the sexual desire is quite pronounced (but it is weaker than was before the occurrence of sexual problems with the husband) and occurs once every 2 weeks. If they don’t have sex for two weeks, then the desire arises on its own. She is quite satisfied with her own sexual need. At the same time, the patient complained of sleep disorders. The woman reported that in the first years of married life the need for sexual contact arose almost every day. From 2002 to 2007 she had more than 8 abortions. Then, every time she was intimate with her husband, she worried that she would have to have an abortion as a result. From 2007 to today, condoms are used during sexual intercourse. The diagnosis of this case was based on two existing classification approaches: taking into account (DSM-V and ICD-11) and without taking into account (ICD-10) the criterion of the presence of clinically expressed distress caused by an existing sexual problem. The patient had hypnosuggestive correction: 1) strengthening of the patient’s sexual desire with the help of 10 sessions of hypnosuggestion; 2) explaining to the patient’s husband that even healthy sexual partners may have different needs for sexual activity. As a result of the treatment, the woman has sexual desire 2-3 times a week, sexual aversion was eliminated and sleep was completely normalized. A follow-up survey was conducted 7.5 years after the end of the correction. The patient reported that everything is fine with her husband sexually.

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