In the last five years, about a dozen people have come to me with the ultimate hope of getting a pill to REDUCE their sexual desire. They're each married to someone whose desire is lower.
None of these folks were acting out at the time, nor afraid of doing so, but all wanted to save their relationships &/or reduce conflict about sex.
I find myself with very mixed feelings about this. On the one hand, psychiatry medicates almost everything these days (of course, after taking a thorough history), often significantly enhancing a person's or family's life. On the other hand, well...well, maybe this is more of a religious or moral question than a clinical one.
And these cases do vary. E.g., case 1: A wants sex 2/week, B wants sex 1/month; case 2: C wants sex 5/week, D wants sex 2/week. Would you treat A's request for a libido-decreasing drug the same way as C's request? I tend not to.
Remember, these are folks who AREN"T acting out, and they are female as often as they are male.
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