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Hypoactive Sexual Desire Disorder

by nadi

in Sexual Disorders


HSDD Overview
HSDD Symptoms and Types
HSDD Diagnosis and Tests
HSDD Treatment and Care

HSDD Overview

Absence or lack of sexual interests is the key definer of hypoactive sexual desire disorder (HSDD). It is listed under the sexual and gender identity disorders in the Diagnostic and Statistical Manual (DSM) of Mental Disorders and is identified as one of the commonest causes of sexuality-related distresses and relationship difficulties among partners. Some 26% of adult females and over 13% of adult males are said to be suffering from some sort of sexual drawback symptom, but not all of them would be qualified to be diagnosed as suffering from hypoactive sexual desire disorder.

Hypoactive Sexual Desire Disorder sexual disorders The causes of hypoactive sexual desire disorder are many. With Masters and Johnson’s 1970 book “Human Sexual Inadequacy”, more people started becoming aware of such conditions and stared looking for treatment. In fact, hypoactive sexual desire disorder maybe perceived in different ways by various individuals depending on the degree to which they believe they should be sexually active. The diagnostic criteria however, states that only when a person is unable to express sexually his or her desires for a prolonged period of time, will he or she be diagnosed as suffering from the condition. The condition may be brought about be due to biological, medical, psychological and social factors.

Hypoactive sexual desire disorder is positive correlated to depression and other anxiety disorders. Whether depression caused the lack of interest in sex or whether it was the inability to perform well sexually that brings about the depressed mood is questionable. Research has also shown that being underweight and malnourished, being obese and losing self confidence and inability to be physically active, societal pressures, sexually inactive partners, low self-esteem, prolonged use of drugs and alcohol and having certain types of personality disorders can lead to a low libido. If untreated, the above conditions can cause an individual to develop hypoactive sexual desires.

Another common cause for this disorder is lack of access to a desirable partner. Losing one’s long term sexual partner and/ or not having someone who is both emotionally and physically satisfying can lead to lowered sexual interest in some, especially those in cultures in which sex is limited only to intimate relationships. Low levels of testosterone or high levels of prolactin (a peptide hormone associated with lactation) also lead to lowered interest in sex.

HSDD Symptoms and Types

The key symptom of hypoactive sexual desire disorder is the lack of interest in sex and the inability to perform sexually. Individuals may find it difficult to maintain an erection and reach an orgasm even when a highly arousing situation is presented. If the ability to reach sexual gratification is limited to one situation, person or object, the individual may be suffering from another sexual disorder and not hypoactive sexual desire. The symptoms may also include, depression, asocial or antisocial behavior and severe impairment in the person’s daily lives.

According to the Diagnostic and Statistical Manual (DSM) of Mental Disorders, there are six primary types of hypoactive sexual desire disorder as follows

  1. lifelong type – no desire for sexual gratification for a prolonged period of time or never
  2. acquired type – sudden absence of sexual desire, after a period of normative functioning
  3. generalized type – inability to arouse sexual desires in any given setting
  4. situational type – inability to get sexually aroused only in a certain situation (e.g. – with a particular partner)
  5. due to psychological factors
  6. due to combined factors

HSDD Diagnosis and Tests

The diagnostic criteria for hypoactive sexual desire disorder are;

  • Persistent absence of sexual desires and enthusiasm about sexual activity
  • The condition brings about marked distress and interpersonal difficulties in the individual
  • The lack of sexual desire and inability to perform is not due to the influence of drugs, general medical condition and/ or other physiological disorder such as a personality disorder, anxiety, depression or mood disorder

Once thorough physical examination is done and several interviews are conducted to ensure that the inability to reach sexual gratification is the sole reasons for the client’s impairments, the therapists may give them the diagnosis and start the most suitable therapy. Being culturally sensitive is essential when it comes to labeling the condition and structuring therapy.

HSDD Treatment and Care

Treatment methods of hypoactive sexual desire, is highly subjective. Most often therapist find couples trying to deal with the problem together and thus, the most recommended therapy form is couple therapy with cognitive and behavioral methods involved. Couples are taught to communicate more effectively, take the perspective of the other partner, gratify each other, display understanding and methods of staying sexually active. Teaching methods to improve non-sexual intimacy or closeness.

If the condition is brought about solely due to a physiological factor, then, it maybe treated using artificial hormones such as testosterone pills. If the lowered sexual desire is a result of lowered self esteem, positive psychological concepts are taught to the clients. These therapies may encourage the clients to eat healthy, exercise, maintain healthy social relationships and cognitive and emotional management skills. Even though most may be reluctant to speak about their lack of sexual urges with others, group therapy may help some. Through group therapy, clients are able to discuss their problem with others who are experiencing the same and get positive feedback.

Some of the common myths about sexual hypo activity are as follows. These myths may cause people to ignore their condition which will ultimately bring about much severe impairments and difficulties to regular functioning.

  • women’s sexual urges lower once they have children
  • long term couples reach gratification through non-sexual intimacy and loose interest in sex gradually
  • physical illnesses such as high blood pressure, cancer, arthritis can lower sexual urges
  • the size of your genitals determine the degree to which you maybe aroused
  • being physically or mentally disabled causes your sex-drive to be low
  • women start loosing sexual interests from the age of 30 and men from the age of 50
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What would be the primary treatment be for HSDD life long, without causing the body any harm? Why does this spesific disorder happen especially when o

Apr 09, 2012 by bernadette

What would be the primary treatment be for HSDD life long, without causing the body any harm? Why does this spesific disorder happen especially when one is born this way?
Any suggestions or cures.


I see this primarily with bipolar disorder, and I see a LOT of it today.

http://psychia

Dec 25, 2011 by Marie Gronley MD
Mental Health Disorders 5534094 Deira, baniyas Dubai NA, 30109 UAE

I see this primarily with bipolar disorder, and I see a LOT of it today.

http://psychiatristscottsdale.com/


Mental Health Disorders 5534094 Deira, baniyas Dubai NA, 30109 UAE 5.0 5.0 2 2 What would be the primary treatment be for HSDD life long, without causing the body any harm? Why does this spesific disorder happen especially when one is born this way?Any sugg
Mental Health Disorders
Deira, baniyas DubaiNA30109 UAE 
 • 5534094

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