obsolete psychosexual dysfunction with inhibited sexual excitement

Inhibited Sexual Excitement (ISE) was an outdated term used to describe a type of psychosexual dysfunction characterized by the recurrent and persistent suppression of sexual excitement during sexual activity.

• This condition was marked by a lack of interest in or pleasure from sex, making it difficult for individuals to experience arousal or excitement during intimate moments [1].
• People with ISE would often struggle to initiate or respond to their partner's sexual overtures, leading to feelings of frustration and distress [4].
• The term "inhibited sexual excitement" was used to describe this condition, which was considered a type of psychosexual dysfunction [9].

Key characteristics:

• Recurrent and persistent suppression of sexual excitement during sexual activity
• Lack of interest in or pleasure from sex
• Difficulty initiating or responding to partner's sexual overtures

It's worth noting that the term "inhibited sexual excitement" is no longer commonly used in modern psychology, having been replaced by more accurate and descriptive terms such as "Hypoactive Sexual Desire Disorder (HSDD)" [5].

Based on the provided context, here are the signs and symptoms of obsolete psychosexual dysfunction with inhibited sexual excitement:

• Decreased sexual function: This is a general sign of psychosexual dysfunction, including inhibited sexual excitement (11).
• Inhibited sexual excitement: This is a specific symptom of psychosexual dysfunction, where individuals experience difficulty becoming aroused or excited during sexual activity (7, 14).
• Unable to become aroused when appropriately stimulated: Women may experience this symptom, which is related to inhibited sexual desire and excitement (14).
• Not able to achieve orgasm: This is another symptom that can be associated with psychosexual dysfunction, including inhibited sexual excitement (14).

It's worth noting that these symptoms are considered obsolete in modern medical literature, as the classification and terminology of psychosexual disorders have evolved over time. However, they may still provide some insight into the historical understanding of these conditions.

References: * [11] Pathological Conditions, Signs and Symptoms. Clinical finding. Sign or Symptom. Genitourinary Signs and Symptoms. Sexual Dysfunction and Infertility. Decreased sexual function. * [7] Female sexual arousal disorder has also been termed low/impaired/inhibited sexual arousal/excitement and can be defined as 'persistent or recurrent partial... * [14] Inhibited sexual desire; Inability to orgasm; Psychosexual Symptoms in Women. Symptoms for women include: Unable able to become aroused when appropriately stimulated; Not able to achieve orgasm; Inhibited sexual desire; Vaginismus — an unconscious spasm or tightening of the muscles around the vagina that interferes with sexual intercourse

Diagnostic Tests for Inhibited Sexual Excitement

Inhibited sexual excitement, also known as hypoactive sexual desire disorder (HSDD), is a medical condition characterized by recurrent and persistent suppression of sexual excitement during sexual activity. Diagnostic tests are essential to assess and diagnose this condition.

• Biopsychosocial Assessment: A comprehensive evaluation that considers the physical, psychological, and social factors contributing to inhibited sexual excitement is crucial [1].
• Screening Tools: Validated screening tools can help identify individuals with HSDD. These tools may include questionnaires or assessments that evaluate symptoms of depression, anxiety, or other mental health conditions [2].
• Physical Examination: A physical exam may be performed to rule out any underlying medical conditions that could be contributing to inhibited sexual excitement [3].
• Blood Tests: Blood tests can check for hormone imbalances, such as low testosterone levels, which can affect libido and sexual desire [4][5].
• Imaging Tests: Imaging tests, like MRI or CT scans, may be ordered to rule out any underlying medical conditions that could be contributing to inhibited sexual excitement [6].

It's essential to note that laboratory testing is not used to make a diagnosis of HSDD. However, thyroid hormone and prolactin levels should be measured where clinically indicated to rule out other potential causes [7].

References:

[1] Pettigrew JA (2021) - For assessment and diagnosis, validated screening tools are discussed, and the importance of a biopsychosocial assessment is emphasized.

[2] Halvorsen JG, Metz ME (1992) - Sexual dysfunction, Part II: Diagnosis, management, and prognosis.

[3] Context result 3 - Diagnosing Sexual Dysfunction.

[4] Context result 8 - May 28, 2023 — Your doctor can test you for low testosterone (low T), which can cause a drop in sexual desire.

[5] Context result 11 - Inhibited sexual desire (ISD) is a medical condition with only one symptom: low sexual desire. ... blood tests to check for diabetes, high cholesterol, thyroid problems, or low testosterone ...

[6] Context result 6 - How is low libido diagnosed? · Physical exam. · Pelvic exam. · Blood tests, such as hormone level tests. · Imaging tests.

[7] Goldstein I (2017) - Although laboratory testing is not used to make a diagnosis of HSDD, thyroid hormone and prolactin levels should be measured where clinically indicated to ...

Treatment Options for Inhibited Sexual Excitement

Inhibited sexual excitement, also known as hypoactive sexual desire disorder (HSDD), is a medical condition characterized by a persistent or recurrent absence of sexual fantasies and desire for sexual activity. While there are various treatment options available, the search results suggest that some of these treatments may be considered obsolete.

Medications:

• Flibanserin (Addyi) was approved in 2015 by the FDA for the treatment of generalized acquired HSDD among premenopausal women [2]. However, its effectiveness and safety profile have been debated.
• Testosterone therapy has been explored as a potential treatment option for men with desire disorders, including inhibited sexual excitement [8].

Psychotherapy:

• Private counseling or drug therapy can treat male problems such as impotence or delayed ejaculation, which may be related to inhibited sexual excitement [1].
• Psychotherapy and medication are considered treatment options for sexual desire disorders, including HSDD [14].

Other Considerations:

• Hormonal changes, such as those experienced during menopause, can contribute to the development of HSDD in women [10].
• Sociocultural barriers, shame, and healthcare professionals' limited understanding contribute to underdiagnosis and inadequate management of female sexual interest/arousal disorder (FSIAD), which includes HSDD [9].

It's essential to note that these treatment options may not be universally effective or recommended for all individuals with inhibited sexual excitement. A comprehensive evaluation by a qualified healthcare professional is necessary to determine the best course of treatment.

References:

[1] Context result 1 [2] Context result 2 [8] Context result 8 [9] Context result 9 [10] Context result 10 [14] Context result 14

The differential diagnosis of obsolete psychosexual dysfunctions, specifically those related to inhibited sexual excitement, involves identifying and distinguishing between various conditions that may present with similar symptoms.

Conditions to Consider

• Female Sexual Arousal Disorder (FSAD): This condition is characterized by a persistent or recurrent inability to attain or maintain sufficient sexual excitement.
• Hypoactive Sexual Desire Disorder (HSDD): This disorder involves a persistent or recurrent lack of interest in sex, which causes distress or interpersonal difficulty.
• Inhibited Female Orgasm: This condition is marked by the persistent or recurrent inability to achieve orgasm despite adequate stimulation.
• Functional Dyspareunia: This is characterized by persistent or recurrent painful sexual intercourse.
• Functional Vaginismus: This involves involuntary contractions of the vaginal muscles, making it difficult or impossible to engage in sexual activity.

Diagnostic Considerations

When differentiating between these conditions, healthcare professionals should consider factors such as:

• The presence and severity of symptoms
• The impact on daily life and relationships
• Any underlying medical or psychological conditions that may be contributing to the symptoms

References

• [3] by AH Clayton · 2018 · Cited by 189 — If a sexual desire discrepancy exists between the patient and her partner, it may only be considered HSDD if the desire discrepancy causes her distress.
• [4] by AH Clayton · 2018 · Cited by 189 — If the DSDS suggests the diagnosis of low sexual interest without distress, distressing lifelong sexual desire, or situational low sexual desire, the HCP should ...
• [14] A psychosexual dysfunction was defined in DSM- III as an inhibition in the appetitive or psychophysi- ological changes that characterize the complete sexual response cycle.