free-downloads CSEVideos

Understanding Hypoactive Sexual Desire Disorder

Discussion in 'Gynaecology and Obstetrics' started by Egyptian Doctor, Dec 3, 2013.

  1. Egyptian Doctor

    Egyptian Doctor Moderator Verified Doctor

    Mar 21, 2011
    Likes Received:
    Trophy Points:
    Practicing medicine in:

    Hypoactive sexual desire disorder (HSDD) 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. For this to be regarded as a disorder, it must cause marked distress or interpersonal difficulties and not be better accounted for by another mental disorder, a drug (legal or illegal), or some other medical condition.

    Hypoactive sexual desire disorder is a common problem between men and women but we are discussing the problem in the Gynecology forum here so we are focusing on the females.

    but we are Sexuality is an essential component of a full and healthy life. However, at one time or another, sexual problems plague more than 40 percent of women in the U.S. Among the sexual issues women experience, the #1 problem reported is low sexual desire. When that’s compounded by distress — which nearly a fourth of women say they have because of their low libido — you have the hallmarks of (HSDD). This is a problem that can wreak havoc on an intimate relationship.

    HSDD is a condition in which a woman experiences distress and/or relationship difficulties because she is lacking sexual desire, which means she has few or no sexual thoughts, fantasies or sexual desires. The episodes can be intermittent or sustained over a long period of time. HSDD isn’t just “not being in the mood” every once in a while. The diagnosis of HSDD is confirmed after a physician, psychologist, or other trained healthcare professional determines that the HSDD isn’t the result of a medication or underlying medical condition.

    Although it is fairly common, HSDD is underdiagnosed and undertreated, a situation that is likely the result of physicians feeling ill-equipped to treat it. Not only do some lack the formal training to treat sexual disorders in women, they also rarely ask women about their sex lives or lack thereof. This lack of discussion is compounded by the fact that physicians do not have the appropriate tools to treat female sexual dysfunction. Currently, there are no drugs available in the United States for treating women with low sexual desire. How can doctors feel motivated to even start a conversation, when they feel like they don’t have the resources to address the problem or treatment options to offer women?

    Without a solution, doctors rely heavily on behavioral therapy to address psychological issues and may often direct women to over the counter products such as lubricants and arousal gels, which can help heighten sensation during sex. Many also try using vibrators, massage oils and nutritional or herbal supplements to increase arousal or try “new things” in the bedroom to break up an otherwise boring sexual routine. However, none of these actually stimulate sexual thoughts or fantasies; they may enhance the sexual experience itself, but “if your head’s not in it,” satisfaction can be reduced. So, it’s necessary for the healthcare professional to look at other causes of low desire.

    Understanding HSDD is not always straightforward. It can be a complicated condition that affects a wide range of women. Age is not directly correlated with HSDD, nor is menstrual status, as it can affect both pre- and post-menopausal women. However, psychological and social issues are possibilities. Studies suggest that women with HSDD over-focus on their sexual response to stimulation, which may lead to poor overall response. Other problems may include past negative experiences, low self-esteem, concerns about pregnancy or sexually transmitted diseases, and, of major significance, the quality of her relationship with her partner. These issues may require referral to an appropriate health professional for psychological counseling.

    Another major factor contributing to HSDD is the delicate balance of pathways in the brain that regulate sexual desire. An imbalance between the stimulating signals and the inhibiting signals is likely one of the causes of HSDD. These imbalances may result from excessive inhibition, insufficient excitation, or a combination of the two. While treatments targeting a specific component of this imbalance have shown some positive effects, side effects and mixed efficacy have caused the FDA to reject all “single pathway” treatments reviewed so far. There is, in fact, no FDA approved therapy for HSDD. The complicating factor may be that restoring the brain’s natural balance may require a more comprehensive approach, in effect, “re-tuning” a woman’s brain sexual chemistry. Indeed, new products that target multiple pathways have shown promise in clinical studies, with one such product currently under review by the FDA.

    While no one modality or treatment is likely to solve all sexual problems in every woman, the array of options is increasing. Near-term prospects of treatments that can address and balance the underlying problem of brain chemistry will add an important new approach to treating HSDD, which could truly enrich women’s lives — and their intimate relationships.



    Add Reply

  2. msaka

    msaka Young Member

    Nov 27, 2013
    Likes Received:
    Trophy Points:
    Practicing medicine in:
    well,i think this problem is not only available at us but also in most of african nations ,we have experienced,in east africa especially Tanzania,that most of the girls have such problem ,however I think,we should conduct reseach on types of food that we use to take every day,it may be the causetive of this,chemicals composition of these food some time may not be good due to the fact that,it use to interact with hormones as a results ,many problems comeup

Share This Page

Infographic maker for medical doctors