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What is Hypoactive Sexual Desire Disorder

What is Hypoactive Sexual Desire Disorder?

Hypoactive sexual desire disorder (HSDD) is considered as sexual dysfunction. It is a lack or absence of sexual fantacies and inclination for sexual activities.  HSDD is also known as Inhibited Sexual Desire(ISD). A person with HSDD will not start or respond to their partner’s desire or sexual activity. HSDD is found in all age groups. The prevalence increases with age, esp after menopause. According to The Society For Women’s Health Research, HSDD is found in one out of 4 woman. Hormonal changes, medication side effects, and stress can all dampen sex drive. But these periods are usually temporary and libido may or may not return. 

HSDD is chronic and causes great distress for both women and their partners. A woman may not know why she’s lost her sex drive. Her partner might become frustrated and worry about the fate of the relationship.

Distress is an important criterion for diagnosing Hypoactive Sexual Desire Disorder (HSDD). If a woman does not feel bothered by her diminished libido, she probabl

There are various subtypes of HSDD.

• HSDD can be Global ( lack of sexual desire with all partners ) 

• HSDD can be situational (has sexual desire, but lacks sexual desire for current partner)

• HSDD can be acquired (started after a period of normal sexual functioning)

• HSDD can be lifelong (always had no sexual desire)

Causes of HSDD:

HSDD has a variety of causes, namely- Physical, Psychological & Emotional

Physical Causes:

• Various medical conditions - Diabetes, heart disease, cancer, psychiatric conditions (depression), neurological diseases (multiple sclerosis), hypothyroidism, and arthritis can all diminish libido.

• Medications - Many drugs have sexual side effects, including decreased sex drive. 

• Harmonal changes - during Menopause, pregnancy, and breastfeeding, there is a drop in estrogen and that can trigger HSDD.

• Lifestyle- Caregiving, work responsibilities, or a hectic social schedule can be tiring and stressful. At the end of a tired long day, people may not be interested to think about sex.

• Sexual problems- When sex involves pain or dysfunction, disappointment and dissatisfaction may reduce desire.

Psychological & Emotional Causes :

• Psychological conditions - Anxiety, depression and low self-esteem are just some of the psychological factors that affects sex drive. Also past sexual trauma, physical abuse can make the idea of sex, frightening and not appealing.

• Relationship issues – Many women associate satisfying sex with the emotional connection they have with their partner. If that emotional bond is broken, they may be less likely to want sex. This can happen if partner is unfaithful, lack of trust, or partners are not competent to discuss sexual issues.

Counseling :

Less than half of patients with sexual problems and issues need to seek help or initiate counseling with physicians. Patients are normally discouraged by fear of the response of physicians and so it is better that physicians should initiate the discussion.

Conclusion :

HSDD is a distinct condition, affecting different phases of sexual response representation and hence need clear and exclusive clinical depiction and sufficient interaction between the medical practitioner and patient for proper diagnosis, management and treatment. Psychotherapeutic and pharmacological interventions focus to intensify sexual excitant process and decrease inhibitory processes. Women will benefit more from intervention in primary care, behavioral health and sexual medicine environment.

Flibanserin is the first daily medication for HSDD recommended for premenopausal women, but it has not given consistent results. 

For more on the diagnosis and treatment of HSDD- please consult online at Vivan Hospital.

If you have signs or symptoms of any type of sexual health issues, talk to an expert sexologist. They have a team of experienced doctors. Consult with the best sexologist in Jaipur to solve erectile dysfunction, Erection Problems, Early Ejaculation or delayed / no ejaculation, feeling of orgasmic pleasure which may be reduced in men or women, reduced satisfaction, pain during sex, and more sexual health issues

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