Hypoactive sexual desire disorder
Hypoactive Sexual Desire Disorder (HSDD) is a clinical condition characterized by a persistent or recurrent lack of sexual fantasies or desire for sexual activity. This condition is considered a sexual dysfunction and can cause significant distress or interpersonal difficulties for the individual affected.
Definition and Diagnosis[edit | edit source]
- HSDD is defined by the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) as a deficiency or absence of sexual fantasies and desire for sexual activity that causes marked distress or interpersonal difficulties. Furthermore, the condition cannot be better explained by a non-sexual mental disorder, a consequence of severe relationship distress or other significant stressors, or attributable to the effects of a substance/medication or another medical condition[1].
- Diagnosis is typically made by a healthcare professional after a thorough medical and psychological examination, along with detailed inquiries about the individual's sexual and psychosocial history.
Causes and Risk Factors[edit | edit source]
- There are various potential causes and risk factors for HSDD, including both physical and psychological issues:
- Medical conditions such as diabetes, heart disease, or hormonal imbalances can impact sexual desire.
- Certain medications, including some antidepressants and contraceptives, can also decrease sexual desire.
- Psychological issues such as depression, anxiety, or past sexual trauma can contribute to HSDD.
- Relationship issues such as lack of emotional intimacy or unresolved conflict can also be associated with diminished sexual desire[2].
Treatment
- The treatment for HSDD typically involves a combination of medical treatment and psychotherapy:
- Medical treatment may include hormone therapy or FDA-approved medications like flibanserin for premenopausal women.
- Psychotherapy, such as cognitive-behavioral therapy (CBT), can be helpful in addressing underlying psychological issues or improving sexual communication with the partner[3]
Epidemiology[edit | edit source]
HSDD is a relatively common condition, with studies suggesting that it affects approximately 10% of adult women and is less prevalent among men. The prevalence increases with age and other risk factors[4].
Impact on Quality of Life[edit | edit source]
HSDD can have a significant impact on an individual's quality of life, affecting self-esteem, body image, and intimate relationships. The distress caused by this condition extends beyond the sexual realm, influencing overall mental health and well-being[5].
See also[edit | edit source]
- Sexual dysfunction
- Flibanserin
- Cognitive behavioral therapy
- Diagnostic and Statistical Manual of Mental Disorders
References[edit | edit source]
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