What to do if losing weight causes sexual frigidity and what medicine to take

Sexual dysfunction caused by weight loss can be improved through adjusting dietary structure, optimizing exercise methods, psychological counseling, hormone level testing, and traditional Chinese medicine regulation, and generally does not require direct medication. Reduced libido may be related to factors such as excessive dieting leading to decreased testosterone levels, low body fat percentage affecting estrogen secretion, excessive psychological stress, imbalanced exercise intensity, or nutritional deficiencies.

1. Adjust dietary structure:

Consume sufficient amounts of high-quality fats such as deep-sea fish and nuts daily, ensuring the intake of zinc, oysters, beef, vitamin E, avocados, and olive oil. Carbohydrate intake should not be less than 100 grams per day to avoid long-term effects of extremely low carbohydrate diets on the hypothalamic pituitary gonadal axis function. It is recommended to adopt a Mediterranean diet pattern and consume 2-3 animal visceral cholesterol supplements per week.

2. Optimize exercise plan:

Change high-intensity interval training to moderate intensity aerobic combined resistance training, and stimulate testosterone secretion three times a week through strength training. A single aerobic exercise should not exceed 60 minutes, and the body fat percentage should be maintained within the healthy range of 18-25% for females and 12-20% for males. Avoid hormone depletion caused by ultra endurance sports such as marathons.

3. Psychological intervention:

Somatic disorders caused by weight anxiety require cognitive-behavioral therapy to alleviate eating disorders through mindfulness based diet training. Partners participate in stress reducing activities together and establish non weight related intimate interaction patterns. Sleep quality monitoring ensures 7-8 hours of deep sleep per day, and high cortisol levels can inhibit sex hormone secretion.

4. Medical testing:

Endocrine examination focuses on interventions for males with free testosterone<2.1ng/ml, abnormal levels of estradiol<20pg/ml in females, and luteinizing hormone levels. When thyroid dysfunction is manifested as TSH>4.5mIU/L, hypothyroidism should be screened. Hormone replacement drugs such as testosterone undecylate capsules commonly used in clinical practice should be strictly used under the guidance of a doctor.

5. Traditional Chinese Medicine Treatment:

For kidney yang deficiency type, Yougui Wan can be modified. For liver stagnation and qi stagnation type, Xiaoyao San can be used. For heart and spleen deficiency type, Guipi Tang is recommended. Acupuncture and moxibustion selects Guanyuan, Shenshu, Sanyinjiao and other acupoints, and moxibustion at Shenque improves pelvic blood circulation. Tonic Diet recommends the isothermal tonic of medlar and yam Congee, angelica, ginger and mutton soup.

It is recommended to prioritize restoring physiological balance through natural therapies, and extreme fasting individuals should gradually increase their calorie intake to more than 1.2 times their basal metabolic rate. When women experience amenorrhea for three consecutive months or men's morning erections disappear for more than two months, they should seek timely medical attention from a reproductive medicine department. Daily practice of Kegel exercises can enhance pelvic floor muscle function, and intake of foods such as pumpkin seeds and black sesame seeds containing arginine can promote nitric oxide synthesis. Weight management should follow the safety standard of losing no more than 5% of total body weight per month, and the rate of decrease in body fat percentage should be controlled within 0.5% per week.