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Verminderd seksueel verlangen bij mannen

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Seksuele problemen

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In dit hoofdstuk worden de diagnostiek en behandeling van de hypoactief-seksueelverlangenstoornis bij de man besproken. Van deze stoornis is sprake bij een aanhoudend of recidiverend gebrek aan (of ontbreken van) seksuele of erotische gedachten, fantasieën en verlangen naar seksuele activiteit. De stoornis komt voor bij naar schatting twee procent van de mannen in de algemene bevolking en vaker bij oudere mannen. In dit hoofdstuk wordt de hypoactief-seksueelverlangenstoornis bij de man vanuit het biopsychosociale perspectief benaderd. Er zijn biologische – waaronder hormonale –, psychologische en relationele oorzaken aangetoond die de stoornis kunnen veroorzaken en onderhouden. De diagnostiek bij de hypoactief-seksueelverlangenstoornis bij de man wordt afgestemd op het klachtenpatroon en omvat ook lichamelijke diagnostiek bij gegeneraliseerd verminderd seksueel verlangen. Alle vastgestelde factoren worden in het behandelplan betrokken en voor alle factoren worden interventies ingezet. Interventies omvatten onder meer psycho-educatie, sekstherapie, individuele cognitieve gedragstherapie, partnerrelatietherapie en testosterontherapie.

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Notes

  1. 1.

    Wanneer de gemeten serumtestosteronspiegel onder 8 nmol/l ligt, wordt gesproken van hypogonadisme.

  2. 2.

    Het metabool syndroom bestaat uit een cluster van cardiovasculaire risicofactoren, zoals diabetes mellitus type2, abdominale obesitas, dislipidemie en hoge bloeddruk [31]. De massa buikvet staat aan de basis van het metabool syndroom. Buikvetweefsel is endocrien actief: het zet het circulerend testosteron om in het geslachtshormoon oestradiol [32]. Bovendien scheidt het stoffen af die tot een chronische ontstekingsreactie in de bloedvatwand (atherosclerose) leiden [32].

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Authors and Affiliations

  1. Open Universiteit, Heerlen, Nederland

    Prof. dr. Jacques van Lankveld (Psycholoog, GZ-psycholoog, psychotherapeut, seksuoloog NVVS)

  2. Flare-Health, Amsterdam, Nederland

    Dr. Cobi Reisman (Uroloog, seksuoloog NVVS)

Authors
  1. Prof. dr. Jacques van Lankveld
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  2. Dr. Cobi Reisman
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Editors and Affiliations

  1. Utrecht, Utrecht, Nederland

    Peter Leusink

  2. Castricum, Noord-Holland, Nederland

    Gertruud Borst

  3. Heemstede, Noord-Holland, Nederland

    Yvonne Merkies

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van Lankveld, J., Reisman, C. (2023). Verminderd seksueel verlangen bij mannen. In: Leusink, P., Borst, G., Merkies, Y. (eds) Seksuele problemen. Bohn Stafleu van Loghum, Houten. https://doi.org/10.1007/978-90-368-2894-9_7

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  • DOI: https://doi.org/10.1007/978-90-368-2894-9_7

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