Hypoactive Sexual Desire Disorder

Hypoactive-sexual-desire-disorder

Hypoactive sexual desire disorder (HSDD) or inhibited sexual desire (ISD) is considered a sexual dysfunction and is characterized as a lack or absence of sexual fantasies and desire for sexual activity, as judged by a clinician.

Hypoactive sexual desire disorder (HSDD) or inhibited sexual desire (ISD) is considered a sexual dysfunction and is characterized as a lack or absence of sexual fantasies and desire for sexual activity, as judged by a clinician.

  • Inhibited sexual desire (ISD) refers to a low level of sexual interest. A person with ISD will not start or respond to their partner’s desire for, sexual activity.
    ISD can be primary (in which the person has never felt much sexual desire or interest), or secondary (in which the person used to feel sexual desire, but no longer does).
    ISD can also relate to the partner (the person with ISD is interested in other people, but not his or her partner), or it can be general (the person with ISD isn’t sexually interested in anyone). In the extreme form of sexual aversion, the person not only lacks sexual desire but may find sex repulsive.
    Sometimes, the sexual desire is not inhibited. The two partners have different sexual interest levels, even though both of their interest levels are within the normal range.
    Someone can claim that his or her partner has ISD, when in fact they have overactive sexual desire and are very demanding sexually.

In the DSM-5, male hypoactive sexual desire disorder is characterized by “persistently or recurrently deficient (or absent) sexual/erotic thoughts or fantasies and desire for sexual activity”, as judged by a clinician with consideration for the patient’s age and cultural context.

Among all the problems of female sexual health, the prevalence of hypoactive sexual desire disorder (HSDD), is the highest and includes:

  • Absence or recurrent and persistent deficiency of sexual fantasies and the desire and motivation for sexual activity.
  • The desire as a response to erotic signals and stimulation is reduced or absent.
  • Avoidance of situations that lead to sexual activity
  • Persistent absence of the desire to participate in sexual activity
  • Inability to maintain interest or desire through sexual activity
  • A personal response of distress that includes negative feelings such as worry, frustration, loss, sadness, incompetence or grief
  • The cause of these symptoms is not a general or psychiatric medical condition

Symptoms of Hypoactive sexual desire disorder must cause clinically significant distress, persist for at least six months, and not be better explained by another condition.

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