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Causes of Low Libido_Final

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>> Hello, it's great to see you again. Today we will be having an open discussion about a topic that many people keep to themselves and don't like to discuss but can be extremely distressing to both male and female clients. Can you guess what it is? If you guess low libido or low sex drive you'd be correct. Many people, especially women, although this includes men too put their sex lives on the back-burner when life gets hectic and stress is high. They may turn sex down completely or they may go through the emotions feeling distracted and disconnected throughout the experience. Sex goes from a previously enjoyable activity to something that they no longer look forward to or even fully enjoy. The result is that a fundamental piece of them is now going unnourished, which will further impacts stress levels and result in primary food deficiency. Something I often hear from clients is the belief that when they finally do have the time it won't be a problem to get back in the mood. Unfortunately, they discover that it doesn't always happen that way. There is often more going on than what appears on the surface. Low sex drive or lack of desire for sex is a much more complicated issue than just exhaustion. Hormonal imbalances, side effects from medication, relationship troubles, underlying depression or previous trauma can be involved in a depleted sex drive. Symptoms of low libido can include lack of sexual thoughts or fantasies, inability to get or stay sexually aroused, lack of desire to have sex, including masturbation, distress due to lack of sexual thoughts or desire, and relationship strain with a partner due to lack of sexual thoughts or desire. As I mentioned, study suggests that this issue is more prevalent in women. Almost half of women report that they've had periods of low sex drive. This becomes common in women of peri- and postmenopausal age. Even so, more than 20% of women under age 35 in a major study reported periods of low sex drive lasting more than 1 month. And it's not that great for men either, roughly 15% of men experience lack of sexual interest. That's a pretty serious lack of mojo all around, and you can bet that the number is likely underreported because how many doctors actually even ask about it and how many people are willingly volunteering this information. And yeah, a great sex life is an important part of a great life. When this component is missing or impaired in a client's life, they are deficient in an area of primary food. So if you are trying to help them achieve a well-rounded experience of health and well-being, you want to ask these questions and have these conversations about sex even if it feels difficult or awkward. Let's start by taking a look at how the sex hormones affect libido. Then we will talk about some of the cause of low sex drive in your clients. Lastly, we'll discuss the ways that you can help your clients to recapture their sex drive and get back into enjoying a normal healthy sex life. We will first look at the affect of sex hormones on libido. Testosterone is necessary for normal sex drive in both women and men. Yes, it's considered a male sex hormone but the ovaries produce it, and it's also produced by converting DHEA, DHEA-S, and androstenedione into testosterone in the fat and skin. Testosterone increases libido, in women it enlarges the clitoris. Women with low testosterone levels report decreased sex drive. Wow, who knew that women could also have low-T. Fortunately, this improves with testosterone supplementation. In men, low testosterone is linked to erectile dysfunction. Testosterone is associated with weight gain and fatigue in both men and women. These are two other factors that can interfere with sex drive so this can create a domino effect of challenges. There appears to be a sweet spot with testosterone while too little can cause low libido, too much can also cause low libido, as well as difficulty achieving orgasm. So the goal like we have most other things is balance. High testosterone is also associated with aggressiveness and anger, which can interfere with sexual pleasure and cause problems outside of the bedroom as well. One interesting side effect of high testosterone levels is a tendency to prefer masturbation rather than intercourse. The key point to remember here is that testosterone should be balanced, neither too high nor too low for clients to achieve normal sexual desire, arousal, and orgasms. Next, let's talk about estrogen. Estrogen doesn't directly impacts sexual desire but it plays an important supportive role by helping keep the vulva and vagina lubricated and elastic. It also helps to keep the clitoris sensitive. Did you know that without estrogen clitoral stimulation has almost no effect? However, too much estrogen can block testosterone production, so there needs to be a balance between them. Estrogen dominance is a leading cause of low sex drive. Progesterone is a calming feel good sex hormone that promotes relaxation and happiness. Remember that estrogen dominance occurs in relation to how much progesterone is in the body, and progesterone is the precursor to testosterone, so a healthy level of progesterone is important for a variety of reasons for both men and women. Too little progesterone can impact sleep, mood, mindfulness, and sexual desire. Progesterone is an important component of primary food because the way that it affects mood can impact a client's relationship and their feelings around it. I've had clients with low levels of progesterone tell me that they feel as though they are coming unglued or unraveling. Now let's talk about an other important feel good hormone. Sex and orgasm release oxytocin in both women and men. Oxytocin has been shown to help decrease cortisol levels, and it contributes to an overall sense of well-being. And orgasm is one of the best stress relievers. This holds true for everyone. But it's also worth mentioning that it's been found that women with low oxytocin levels are more likely to have postpartum depression, so it's important for new mommas to still find a way to carve out regular time for pleasure and intimacy. To recap what we've covered so far, it's important for all of your clients both male and female to maintain proper levels of testosterone, estrogen, and progesterone to feel sexually alive and energized. Having the right balance of sex hormones is important for normal sexual arousal and desire. A healthy and vibrant connection to one sexual pleasure is the vital component of primary food. Oxytocin in particular is a nice benefit of sex and orgasm that can help mitigate the negative effects of stress. Now let's talk about the eight main cause of low libido. What might cause your clients to lose interest in sex? Here are the top eight reasons. First, we have stress. It's no surprise that stress can have a major emotional and psychological impact on sexual desire for both men and women. However, in general, it appears to be more prevalent in women. Often they feel they don't have time for sex or the energy for sex and they make it a low priority on their busy to-do list. But there are also physical reasons related to stress that can drive the libido down. When the body overproduces cortisol which it does during chronic stress, this interferes with the production of sex hormones. Fortunately, for your clients as we already discussed, the oxytocin released during the sexual activity can help to counter that increase cortisone, so the natural solution here is that having more orgasms will lead to the desire for more orgasms. Pretty cool. Next. Being overweight or self-conscious about one's body can dampen desire. Again, this is an issue that affects both women and men but is reported more commonly by women. Regardless of a person's size, poor body image can make sex feel like a hassle and arouse feelings of discomfort and shame rather than pleasure. Whether a person is carrying excess weight, has an aspect of their body that they don't like or simply perceive themselves to be unattractive in some way, worrying about how they look or feel during sex will take them out of the moment and create a barrier that blocks them from being able to relax and enjoy. This is one reason why it's so important to check in with your clients on how they perceive themselves rather than forming your own assumption and to help clients improve their body image as part of their holistic healing. Men can have poor body image too, so be careful not to automatically glaze over this issue with male clients. In addition to body image issues, excess weight can also have real effects on a person's libido. For both women and men, high body fat can cause increased estrogen, which can decrease testosterone production. This is because DHEA is converted to estrogen in the body fat. As you've learned, estrogen dominance and low testosterone both cause low sex drive. As you can see this can greatly compound an issue of body image. There are many ways you can help your clients to feel more comfortable with their bodies at any size. And while a healthy weight can promote hormone balance, it's not necessary to be thin to have a good body image. Encourage your clients to create a safe space with their partners to discuss their body concerns. In most instances, a person's own perception of their body doesn't match their partners. It can be helpful for their partners to reassure them of this fact. If weight loss is a goal, you already know how to help your clients decrease their body fat through coaching. Third, systemic inflammation inhibits normal sex hormone and neurotransmitter production. Systemic inflammation causes the body to put more emphasis on healing instead of reproduction. This makes sense because the body that's in poor health isn't viable for supporting a healthy pregnancy won't be focusing its resources on reproduction. A person's sex drive naturally goes down so the body can conserve its energy. Our bodies are always looking out for us. Inflammation can also cause the body to overproduce cortisol, which affects the production of estrogen, progesterone, and testosterone. This can result in low libido. Neurotransmitters, the hormones that control the nervous system, including the peripheral nerves, spinal cord, and the brain are also affected by systemic inflammation. Excessive amounts of cortisol directly decrease the neurotransmitters, serotonin, dopamine, and noradrenaline. When levels of these hormones are low, it can result in depression and anxiety. Not only does this directly affects sex drive but the medications that are used to treat them can also have a huge impact causing decreased libido and particularly a decreased stability to become aroused and achieve orgasm. When there is leaky gut associated with inflammation, the gut releases lipopolysaccharides, which have a direct and toxic effect on brain causing fatigue, brain fog, and decreased sex drive. Inflammation can also result in the metabolic syndrome, where the body is unable to maintain its blood sugar within a strict level. This in turn affects the production of both neurotransmitters and sex hormones. The sex hormones actually have a protective effect on the nervous system. So when stress causes those levels to go down, the nervous system is even more vulnerable to the affects of the stress and inflammation. Fourth, it's important to have enough body fat and dietary fat to feel sexy and to keep the juices flowing. When the body fear starvation, which can happen with significant body fat loss, a diet too low in fat or overexercising, it doesn't feel like having sex, instead the body conserves the energy to keep itself alive. Sex hormone production decreases, especially testosterone when the body fat levels are below about 15% in women. Cholesterol is broken down from fat and forms the backbone of sex hormones. If body fat is low, there is not enough cholesterol to produce these hormones. The extreme of this is when body fat is so low that a woman stops menstruating altogether. Eating less than 30 grams of fat per day can also cause decreased sex hormone production for similar reasons. Overexercising such as marathon training or intense bodybuilding can drive body fat levels so low that the body stops producing adequate amounts of sex hormones. The stress of overexercising can increase cortisol levels, which also keeps the body from producing enough sex hormones. Next. Birth control pills play a significant role in low libido and the ability to achieve orgasm for women. Oral contraceptives are well-known for lowering levels of natural sex hormones, especially testosterone which can hurt a woman's libido, mood, and energy. Birth control pills are also a leading cause of estrogen dominance in women as they contain a potent synthetic form of estrogen that keeps the body from producing its own. We have already talked about the affect of too high estrogen on testosterone levels and sex drive earlier in this lecture. Another affect of birth control pills is a significant increase in sex hormone-binding globulin or SHBG compared to women who have never used the pill. Sex hormone-binding globulin binds to testosterone tightly making it inactive and unavailable for use by the body. Therefore, when SHBG levels go up, the amount of active testosterone that is available goes down. Most disturbing is the fact that SHBG levels may not drop down to normal levels after birth control pills are stopped. They can remain high for up to six months and even longer in some cases, continuing to have an impact on a woman's libido. Now let's talk about medications that can decrease libido and the ability to achieve orgasm. These include selective serotonin reuptake inhibitors or SSRIs, which include antidepressants such as Prozac and Zoloft. Tricyclic antidepressants not commonly prescribed anymore but include amitriptyline and nortriptyline, Antihistamines, marijuana use, certain anti-seizure drugs, opioids including Vicodin, OxyContin, and Percocet. A common type of blood pressure medication called Beta Blockers, and anti-anxiety medications such as Xanax and Valium. Be sure to obtain a comprehensive medication history from your clients. If they are on any of these medications that are having difficulty with their libido, this may be part of the problem. While you can help your clients identify potential medical medication culprits in decreased desire, remember that you should never make recommendations about starting or stopping medications. Instead encourage your clients to have a proactive discussion with their healthcare practitioner about finding them better medical solutions for their health issues. Your client may consult with his or her doctor and conclude that they cannot switch or stop their medication but at least they will know what is causing the problem, which can be emotionally healing. People with low sex drive often internalize the problem believing there is something faulty or wrong with them. Knowing that it's a medication wreaking havoc on their libido and not some kind of personal flaw can be relieving in and of itself. Next, there are some medical conditions that can keep a person from desiring and enjoying sex. Hypothyroidism is particularly known for decreasing sexual desire for several reasons. Hypothyroidism is almost always caused by Hashimoto's thyroiditis, which is an autoimmune disease. Inflammation levels are elevated, which interferes with production of sex hormones. In addition, T3 is needed by the ovaries to keep them functioning properly. Chronically, low levels of T3 interfere with production of sex hormones. Vascular disease, where there is inflammation and decreased circulation in the blood vessels can greatly diminish desire and libido. Inflammation and narrowing in the small vessels has a direct affect on clitoral response and vaginal lubrication and on erections in men. In fact, erectile dysfunction is often and early warning sign of cardiovascular disease. Depression can cause low libido for obvious reasons. A person is simply not interested in anything in life, and that includes sexual activity, and if he or she starts taking an antidepressant, this can further inhibit both sex drive and ability to achieve orgasm. PCOS is associated with high levels of testosterone. For some women, this is a good thing but many other women with PCOS report difficulty achieving arousal and orgasm. We discussed in previous lectures that PCOS can cause weight gain, increased body hair, acne, and irregular periods. As we just mentioned, feeling unattractive can dampen sex drive. Diabetes affects the nerve of the vulva, decreasing sensation and diminishing the ability to lubricate and have an orgasm. In men, it can affect erections and ejaculation. Chronically, high blood sugar levels also cause fatigue, brain fog, and decreased testosterone levels, which certainly don't do anything to improving already lagging sex drive. And finally, low estrogen can cause decreased libido. As women approach menopause, sex hormones naturally decline which causes a parallel decrease in sexual desire, just like estrogen dominance can affect sex drive, so too can low estrogen. This is particularly true during menopause, which is the natural state of low estrogen. Low estrogen is associated with decreased clitoral sensitivity, vaginal dryness, less blood flow to the vagina, and difficulty achieving orgasm. Other than menopause, causes of low estrogen include premature ovarian failure, chemotherapy, ovarian surgery, chronic kidney disease, and being underweight. Men need to produce far less estrogen than women, but too little estrogen in men can diminish their sex drive as well. For men, low estrogen can lead to increased body fat, erectile dysfunction, and low sex drive. I'd like to point out that symptoms of low estrogen in men resemble those of low-T. Why is that? Recall that estrogen in men is derived from testosterone with the help of the enzyme aromatase. If testosterone supply is low, that means there is less raw material from which to make estrogen, so that's going to be lower too. Therefore, these two imbalances often happen in conjunction for men, other than avoiding endocrine disruptors, which is beneficial for anyone, the solution for both of these imbalances is largely same because by increasing testosterone levels, estrogen levels will naturally increase in turn. All right, let's recap. The eight most common causes of low libido are stress, excess weight, and poor body image, systemic inflammation, undereating or overexercising, birth control pill usage, certain medications, various medical conditions, and low estrogen. Please be sure to review the handout in this module called Ways to boost sex drive. Thanks for joining us today. We hope you are now feeling more confident discussing sex and orgasm with your clients. This is an important aspect of ourselves that many people are never taught about or are socially conditioned not to discuss, but so many of your clients can benefit from your help in this area. Remember, they may never offer up any details of their sexual issues unless you ask, so make it part of your missions to get comfortable asking these questions. Creating an open dialog will help combat shame and reinforce the message that sexual pleasure is an important component of a healthy life. Have you experienced low libido at some point in your life? Have you ever helped clients deal with this issue? What was helpful and what wasn't? Be sure to drop by the Facebook group, and join the discussion. Bye for now.

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Duration: 21 minutes and 51 seconds
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Language: English
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Posted by: ninaz on Apr 10, 2018

Causes of Low Libido_Final

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