Sexual anhedonia - #17987

In Ayurveda, sexual anhedonia can be related to an imbalance in the ojas, sattva, and vata dosha. A holistic approach involving lifestyle changes, dietary adjustments, and herbal remedies can help restore balance. Incorporating grounding practices such as meditation, yoga, and pranayama (breathing exercises) can help calm the mind and improve energy flow. Herbs like Ashwagandha, Shatavari, and Gokshura are often recommended to support vitality and hormonal balance. A personalized consultation with an Ayurvedic practitioner is essential to tailor the treatment to your specific constitution and imbalances.

Sexual anhedonia, or the inability to feel pleasure during orgasm, can be caused by neurotransmitter imbalances, nerve dysfunction, hormonal deficiencies, chronic stress, or excessive past sexual activity. Since you've been experiencing this for over five years, it’s important to consider underlying causes such as low dopamine, serotonin imbalances, testosterone deficiency, or nerve desensitization. Certain medications, especially antidepressants (SSRIs), diabetes, excessive pornography use, or long-term stress, can also contribute to reduced sexual pleasure. A detailed medical evaluation, including hormone tests, nerve function assessments, and lifestyle analysis, would be helpful in finding the root cause. From an Ayurvedic perspective, sexual pleasure is linked to healthy Ojas (vital energy), balanced Vata-Pitta dosha, and proper nerve function. If Vata is imbalanced, it can cause nerve desensitization and lack of pleasure, while Pitta imbalance can lead to mental stress and emotional disconnection from pleasure. Ayurvedic herbs like Ashwagandha, Shatavari, Kaunch Beej (Kapikacchu), and Safed Musli help restore dopamine balance, improve nerve sensitivity, and enhance sexual vitality. Practicing Abhyanga (warm oil massage) with Mahanarayan oil, consuming nutrient-rich foods, avoiding processed or excessively spicy foods, and engaging in regular yoga and meditation can help restore sensitivity. Since your pleasure levels fluctuate, it suggests that certain lifestyle factors, diet, or stress levels might be influencing it. Improving dopamine production naturally through exercise, reducing stress, and avoiding overstimulation from pornography or excessive sexual activity may help in long-term recovery. If there’s an underlying hormonal issue or nerve dysfunction, Ayurvedic treatments combined with medical guidance can be effective. Consulting a sexologist, neurologist, or Ayurvedic gynaecologist for a customized treatment plan would be beneficial.