hypoactive sexual desire disorder

Hypoactive Sexual Desire Disorder (HSDD): A Condition Characterized by Low Libido

Hypoactive sexual desire disorder, also known as HSDD, is a condition in which individuals experience a persistent or recurrent lack of sexual desire or interest. This can manifest as a deficiency or absence of sexual fantasies and thoughts, making it difficult to engage in sexual activity.

Key Features of HSDD:

• Persistent low libido: A lack of sexual desire that persists for six months or more, causing distress or interpersonal difficulty.
• Absence of sexual fantasies: A decrease or complete absence of sexual fantasies and thoughts.
• Marked distress: The condition causes significant emotional distress or affects relationships.

Causes and Contributing Factors:

• Hormonal changes: Changes in hormone levels can contribute to HSDD.
• Medical conditions: Certain medical conditions, such as diabetes or thyroid disorders, can affect libido.
• Lifestyle factors: Stress, anxiety, and certain medications can also impact sexual desire.

Prevalence of HSDD:

• Affects approximately 10% of adult women: According to the International Society for the Study of Women's Sexual Health expert consensus panel.
• Underdiagnosed and undertreated: HSDD is often not diagnosed or treated due to sociocultural barriers, shame, and limited understanding among healthcare providers.

References:

• [1] The objective of the International Society for the Study of Women's Sexual Health expert consensus panel was to develop a concise, clinically relevant, evidence-based review of the epidemiology, physiology, pathogenesis, diagnosis, and treatment of hypoactive sexual desire disorder (HSDD), a sexual dysfunction affecting approximately 10% of adult women. Etiologic factors include conditions or [4].
• [2] Hypoactive sexual desire disorder causes a lack of sexual desire or sexual thoughts, leading to relationship problems. It's a common issue that can be caused by hormonal changes, medical conditions, and some lifestyle factors. If you're experiencing a lack of sexual desire, talk to your healthcare provider. [3]
• [5] Hypoactive sexual desire disorder, the mental and physical loss of desire to have sex for an extended period of time, is a treatable medical condition.
• [10] Hypoactive sexual desire disorder (HSDD), hyposexuality, or inhibited sexual desire (ISD) is sometimes 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. For this to be regarded as a disorder, it must cause marked distress or interpersonal [10].

Common Signs and Symptoms of Hypoactive Sexual Desire Disorder

Hypoactive sexual desire disorder (HSDD) can manifest in various ways, causing distress or difficulties in intimate relationships. The following are some common signs and symptoms:

• Persistent lack of interest: A consistent lack of interest in sex, which may be a lifelong concern or develop over time [1][2].
• Low sex drive: A decrease or absence of spontaneous desire for sexual activity [3][4].
• Difficulty achieving or maintaining an erection: In men with HSDD, one of the common signs and symptoms is difficulty achieving or maintaining an erection [5].
• Lack of sexual fantasies and thoughts: The absence of sexual fantasies and thoughts, which can cause personal distress or difficulties in intimate relationships [6][7].
• Recurring deficient sexual or erotic thoughts: Persistent or recurrently deficient sexual or erotic thoughts, fantasies, and desire [8].

Types of HSDD

There are two main types of HSDD:

• Generalized Hypoactive Sexual Desire Disorder: In generalized HSDD, sexual desire is absent in all sexual circumstances, regardless of the partner, the situation, or the type of sexual activity [9].
• Situational Hypoactive Sexual Desire Disorder: Situational HSDD is specific to situations and people. It may be noted as occurring only in response to certain triggers or contexts [10].

Important Considerations

It's essential to note that HSDD can cause significant distress or difficulties in intimate relationships. If you're experiencing a persistent lack of interest in sex, it's crucial to discuss this with your healthcare provider.

References:

[1] Context 1 [2] Context 4 [3] Context 3 [4] Context 6 [5] Context 11 [6] Context 13 [7] Context 8 [8] Context 7 [9] Context 12 [10] Context 12

Diagnostic Tests for Hypoactive Sexual Desire Disorder (HSDD)

Hypoactive sexual desire disorder, also known as female sexual interest/arousal disorder (FSIAD), is a condition characterized by a persistent or recurrent lack of sexual fantasies and desire for sexual activity. Diagnosing HSDD can be challenging due to the complex interplay of psychological, social, and biological factors involved.

Diagnostic Tools

Several diagnostic tools are used to assess HSDD, including:

• Decreased Sexual Desire Screener (DSDS): A self-report questionnaire that helps identify and discuss hypoactive sexual desire disorder. The DSDS is a simple, validated diagnostic tool that can assist healthcare professionals in diagnosing HSDD [8][9].
• Medical History: A doctor may take a medical history to assess symptoms and identify any underlying medical conditions that could be contributing to the lack of sexual desire.
• Physical Exam: A physical exam may also be conducted to rule out any underlying medical conditions that could be affecting sexual function.

Diagnostic Criteria

The diagnostic criteria for HSDD include:

• A persistent or recurrent deficiency (or absence) of sexual fantasies and desire for sexual activity
• Marked distress or interpersonal difficulty not related to a medical or psychiatric condition or the use of a substance or medication [11]

Screening Tools

Several professional societies recommend using screening tools, such as the Decreased Sexual Desire Screener (DSDS), to diagnose HSDD. These tools can help healthcare professionals identify individuals who may be experiencing HSDD and initiate further evaluation and treatment [5][6].

In conclusion, diagnosing hypoactive sexual desire disorder requires a comprehensive approach that includes medical history, physical exam, and the use of diagnostic tools such as the Decreased Sexual Desire Screener (DSDS). Healthcare professionals should consider these factors when evaluating individuals for HSDD.

References:

[1] Context 1 [2] Context 1 [5] Context 5 [6] Context 6 [8] Context 8 [9] Context 9 [11] Context 11

Treatment Options for Hypoactive Sexual Desire Disorder (HSDD)

Hypoactive sexual desire disorder (HSDD) can be treated with a combination of psychotherapy and medication. The primary goal of treatment is to address the underlying causes of HSDD, such as hormonal imbalances, medical conditions, or lifestyle factors.

Medications for HSDD

Several medications have been approved by the FDA to treat HSDD in women:

• Flibanserin (Addyi): This is a daily pill that works on neurotransmitters to increase sexual desire. It was approved by the FDA in 2015 and is available only with a prescription.
• Vyleesi (bremelanotide): This medication was approved by the FDA in 2019 for the treatment of acquired, generalized HSDD in premenopausal women.

Other Treatment Options

In addition to medications, other treatment options may include:

• Psychotherapy: This can help individuals address underlying emotional or psychological issues that may be contributing to their low sex drive.
• Sex therapy: A type of psychotherapy specifically designed to address sexual concerns and improve intimacy.
• Hormone replacement therapy (HRT): In some cases, HRT may be recommended to address hormonal imbalances that are contributing to HSDD.

Important Considerations

It's essential to note that treatment for HSDD should only be initiated under the guidance of a healthcare provider. They can help determine the underlying causes of HSDD and recommend the most effective course of treatment.

References:

• [3] Female sexual interest/arousal disorder (FSIAD), a combination of 2 formerly separate disorders, is a poorly treated and underdiagnosed disorder that is highly prevalent among women.
• [6] Treatment for a sexual desire disorder may include psychotherapy and medication.
• [10] Hypoactive sexual desire disorder (HSDD) affects 10% of U.S. women and is associated with depression and other negative emotional states.
• [12] Treatments include sex therapy and medications.
• [13] Jun 21, 2019 — FDA approved Vyleesi (bremelanotide) to treat acquired, generalized hypoactive sexual desire disorder (HSDD) in premenopausal women.

Differential Diagnosis of Hypoactive Sexual Desire Disorder (HSDD)

Hypoactive sexual desire disorder (HSDD) can be challenging to diagnose, as it often presents with a lack of clear symptoms or physical manifestations. However, there are several conditions and factors that should be considered in the differential diagnosis of HSDD.

Psychiatric Disorders

• Depression: A common comorbidity with HSDD, depression can contribute to decreased libido and interest in sex [1].
• Anxiety disorders: Anxiety can also impact sexual desire and function, making it essential to consider anxiety disorders in the differential diagnosis [2].

Medical Conditions

• Breast cancer: Hormonal changes associated with breast cancer treatment can lead to decreased libido and HSDD symptoms [3].
• Diabetes: Certain medications used to treat diabetes can contribute to HSDD symptoms [4].
• Thyroid problems: Hypothyroidism, in particular, has been linked to decreased libido and HSDD symptoms [5].

Other Factors

• Medications: Certain medications, such as antidepressants and blood pressure medications, can contribute to HSDD symptoms [6].
• Hormonal changes: Changes in hormone levels, particularly testosterone, can impact libido and lead to HSDD symptoms [7].

Important Considerations

• Early diagnosis and treatment of underlying conditions are crucial for effective management of HSDD.
• A comprehensive medical history, including a review of medications and medical conditions, is essential for accurate differential diagnosis.

References:

[1] Context 4 [2] Context 32 [3] Context 14 [4] Context 10 [5] Context 14 [6] Context 13 [7] Context 6