What is it?

Hypoactive sexual desire disorder (HSDD) is characterized by lack or absence of sexual fantasies and desire for sexual activity. In order to be diagnosed as a disorder, it must not be a cause of another mental disorder, a drug or a different medical condition. There are several subtypes of the disorder; general lack of sexual desire, situational (for current partner), or lifelong. The disorder must cause distress
and interpersonal difficulty. Possible causes include hormonal imbalance and intimacy difficulty.

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Additional names

This group contains additional names:
- HSD
- Low Libido

Signs & symptoms

Symptoms of HSDD include no or little interest in sexual activity, no or few sexual thoughts, no or few attempts to initiate sexual activity or respond to partner’s initiation, or no or little pleasure or excitement from sexual experiences.

Diagnosis

HSDD diagnosis, according to the DSM-5 is characterized by persistently or recurrently dificient (or absent) sexual or erotic thoguhts or fantasies and desire for sexual activity. Other diagnostic criteria, as mentioned above, must be met. Symptoms must persist at least 6 months, cause clinically significant distress and not to be better explained by other conditions.

Treatment

Treatment of HSDD is by personal or couple’s therapy. The medication approved for HSDD is Filbanserin and bremelanotide for premenopausal women. Some say that antidepressants like bupropion may help. Testosterone replacement may be good for the short term.

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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