arousalsresistens

Arousalresistens is a term used in some clinical and research discussions to describe a reduced or inhibited arousal response to sexual stimuli despite adequate sensory input and motivational desire. It is not a widely standardized diagnostic category in major manuals, and usage varies by language and discipline; in English literature the concept is more commonly referred to as arousal resistance or hypoarousal.

Context and domains: The term is discussed in sexology, neuroscience, and psychology to capture situations where physiological readiness does not match subjective desire or arousal cues.

Causes and mechanisms: Arousalresistens may arise from interactions between brain circuits governing attention, emotion, and reward, including the limbic system, prefrontal control, and hypothalamic pathways. Biological factors such as hormonal changes, fatigue, pain, and medication effects (notably certain antidepressants and antipsychotics) can contribute, as can psychological factors like stress, anxiety, trauma, or relationship problems.

Assessment: Evaluation relies on history and standardized sexual-function questionnaires, along with medical assessment to identify contributing conditions and medication effects. In some cases, physiological tests or hormonal profiling may be used, though clinical focus often centers on functional impact and treatment targets.

Management: Treatment emphasizes addressing underlying causes, including medical optimization, psychotherapy (cognitive-behavioral or sex therapy), couples therapy, and behavioral strategies such as sensate focus. Medication adjustments should be made with a clinician; in some contexts, augmentation or alternative therapies may be considered.

Related concepts include hypoarousal and arousal threshold in sexual response, and ongoing research continues to clarify its prevalence, mechanisms, and best practices for management.