Jinsi khwahish mein kami

Jinsi taalluq mein pehle se kam dilchaspi, ya bilkul nahin. Doctor ise low libido ya low sexual desire kehte hain.

Pakistan Menopause Society jinsi khwahish ki kami ko, jinsi taur par tayyar hone aur jinsi taskeen tak pahunchne mein mushkil ke saath, menopause ke baad ke saalon ki alamaat mein ginti hai (Table 1). Woh is ki aik zyada der tak rehne wali shakal bhi bayan karti hai, hypoactive sexual desire disorder, yani khwahish ki aisi musalsal kami jo waqai pareshan kare, aur jis ki koi aur wajah na ho (section 1.5.3).

Yeh koi anokhi baat nahin. European Menopause and Andropause Society (EMAS) kehti hai ke taqreeban har do mein se aik aurat ko kisi na kisi tarah ke jinsi masle hote hain, aur yeh ke in se zindagi ka meyar girta hai aur rishton par asar parta hai.

Hafton tak is baare mein sochna hi nahin. Jahan pehle kuch mehsoos hota tha, wahan ab kuch nahin. Saath de dena aur baad mein khaali pan. Zyada tar ehsaas-e-jurm. Aur aksar aik ankahi fikr, ke woh is ka kya matlab samajhte hon ge.

NHS ki website umar ke saath hormone kam hone ko, khaas taur par menopause ke dauran, jinsi khwahish kam hone ki bari wajuhaat mein ginti hai.

Yeh shayad hi kabhi sirf yahi ho. Usi safhe par rishte ke masle, stress, bechaini aur depression, andaam nihani ki khushki, kuch dawaein (blood pressure ki kuch aur depression ki kuch dawaein bhi), hormone wali family planning, sharaab, aur ziabetus, dil ki beemari aur kam kaam karne wale thyroid jaisi beemariyan gini gayi hain. Zindagi ke is hisse mein in mein se kai aik saath aa sakti hain, tooti neend aur hot flush ke saath.

EMAS aik aur wajah bhi batati hai: shohar ke apne jinsi masle, jaise erection mein mushkil. Woh inhein menopause ke baad jinsi maslon ki wajuhaat mein ginti hai, aur doctoron se kehti hai ke aurat ki jaanch karte waqt in ke baare mein bhi poochein.

Dard bhi aham hai. Women's Health Concern kehta hai ke jinsi taalluq mein dard khwahish kam karne mein hissa daal sakta hai, aur yeh ke alamaat mein aaraam aane se aksar khwahish aur jinsi taur par tayyar hone ka ehsaas barh jata hai. Jinsi taalluq ke dauran takleef dekhein.

NHS ki website har wajah ke saath aik mumkina ilaaj jorti hai:

• rishte ke masle: rishte ki counselling
• andaam nihani ki khushki: lubricant jaise ilaaj
• menopause: HRT (hormone ki dawa)
• depression: depression ki dawa ya CBT
• koi dawa ya family planning ka tareeqa: ise badal kar koi aur

Woh kehti hai ke ilaaj wajah par munhasir hai, aur GP mashwara de sakta hai.

NICE NG23 testosterone par aik baat kehta hai: agar menopause se juri kam jinsi khwahish mein sirf HRT kaafi na ho, to testosterone dene par ghaur kiya jaye (1.5.25). NICE likhta hai ke jab yeh likha gaya, tab yeh off-label istemaal tha.

Pakistan Menopause Society bhi yahi tarteeb rakhti hai. Us ki sifarishaat kehti hain ke lambe arse se kam khwahish ke liye testosterone par ghaur se pehle aam hormone ki dawa shuru ki jaye aur yeh yaqeeni banaya jaye ke estrogen kaafi ho, khaas taur par andaam nihani mein (section 5.9).

The Menopause Society, jo shumali America ki menopause ki tanzeem hai, saaf batati hai ke khud HRT kya kar sakti hai. Us ka 2022 ka mauqif kehta hai ke HRT aam taur par khwahish, jinsi taur par tayyar hone ya jinsi taskeen ko us se zyada nahin barhati jitna woh andaam nihani ki khushki aur takleef kam kar ke karti hai, aur woh is saboot ko mazboot kehti hai. Jahan khwahish ki fikr ho, wahan woh kehti hai ke jild ke zariye estrogen, patch ya gel ki shakal mein, goliyon se behtar intikhab ho sakta hai, kyunke is ka jism ke azaad (free) testosterone par bohat kam asar hota hai. Woh is saboot ko mehdood kehti hai.

In mein se koi aap ke liye theek hai ya nahin, yeh faisla doctor aap ki poori sehat ki tareekh saamne rakh kar kare ga.

NHS ki website kehti hai ke GP ko dikhayen agar aap ko apni jinsi khwahish ki fikr hai, ya agar aap ko lagta hai ke koi dawa ya hormone wali family planning is par asar daal rahi hai.

Pakistan Menopause Society likhti hai ke ho sakta hai bohat si Pakistani auratein jinsi alamaat ka zikr tab tak na karein jab tak doctor izzat ke saath aur akele mein na pooche (section 2.2). Is ka matlab hai ke ho sakta hai baat aap ko khud shuru karni pare. Jinsi khwahish mein kami, yeh kehne ka aik seedha aur baizzat tareeqa hai.

Khwahish ki kami aik alamat hai, biwi ke taur par aap ke baare mein koi faisla nahin. Yeh hormonon ke saath badalti hai, neend ke saath, gham ke saath, logon se bhare ghar ke saath.

Ghar mein, shohar kam dilchaspi ko inkaar samajh sakte hain. Pakistan Menopause Society shohar ke saath ko aham kehti hai, jis mein hormone ki tabdeeliyon par sachi baat, aur jinsi sehat aur zaati jagah ka ehtiraam shamil hai (section 4.2.6). Unhein yeh batana ke yeh aik alamat hai, jis ka naam hai aur jis ke option hain, donon ke dil ka bojh halka kar sakta hai. Shohar aur ghar walon ka saath mein is baat cheet ke baare mein mazeed hai.