Are you experiencing a lack of sexual desire, something that bothers you? This can be a symptom of HSDD.
HSDD stands for hypoactive sexual desire disorder, which is a sexual dysfunction characterized by a persistent or recurring lack of sexual desire or interest in sexual activities. Lack of sexual desire is considered HSDD only if it is bothersome to the person and there are no easily modifiable factors that can correct the problem.
This sexual dysfunction can be very distressing for the person experiencing it and can put a strain on their sexual relationship. It can also negatively affect their overall well-being. While HSDD can occur in both men and women, it is more commonly reported by women.
There may be a variety of biopsychosocial factors that contribute to HSDD, including physical, psychological, and relationship factors. Some possible contributors include hormonal imbalances, certain medications, medical conditions (such as thyroid disorders), psychological issues (such as depression, anxiety, or past trauma), and lifestyle factors. A diagnosis of HSDD is considered when individuals have low sexual desire that causes distress unrelated to or caused by specific, modifiable factors such as relationship factors or menopausal genitourinary syndrome – these other factors must be addressed.
If you are experiencing a lack of sexual desire that is bothering you, here are some steps you can take:
Consult a healthcare professional: If you suspect you have HSDD, it’s important to talk to your doctor. This professional can perform a thorough evaluation, possibly including blood tests, to determine possible underlying causes and recommend appropriate treatment options.
Psychotherapy: Counseling or therapy may be beneficial in addressing psychological factors that may contribute to HSDD. Cognitive-behavioral therapy (CBT) or sex therapy can help people identify and address underlying emotional or psychological barriers.
Medicines: A healthcare professional can prescribe medication for HSDD. Postmenopausal women could consider testosterone. In some cases, drugs such as flibanserin or bremelanotide may be prescribed to treat low sexual desire, but their use should be thoroughly discussed with a healthcare professional.
Lifestyle changes: Making healthy lifestyle choices can have a positive impact on sex drive. Regular exercise, stress management, a balanced diet and adequate sleep can contribute to overall well-being, including sexual health.
Communication with your partner: If HSDD is affecting your relationship, open and honest communication with your partner is vital. Couples therapy or relationship counseling can help address any relationship issues that may be contributing to or being exacerbated by the disorder.
It is important to remember that there is no one-size-fits-all approach to treating HSDD. The appropriate treatment strategy will depend on the individual’s specific circumstances, underlying causes, and personal preferences. Make an appointment with your doctor or a sexual medicine specialist to discuss the best course of action if you are experiencing symptoms of HSDD.
For more information on this topic, read these publications from ISSM Journals: The Journal of Sexual Medicine, Sexual Medicine Reviews, and Open Access Sexual Medicine:
Bibliographical references:
Goldstein, I., Kim, NN, Clayton, AH, DeRogatis, LR, Giraldi, A., Parish, SJ, Pfaus, J., Simon, JA, Kingsberg, SA, Meston, C., Stahl, SM, Wallen, K., & Worsley, R. (2017). Hypoactive Sexual Desire Disorder: International Society for the Study of Women’s Sexual Health (ISSWSH) Expert Consensus Panel Review. Mayo Clinic Proceedings, 92(1), 114–128.
Pachano Pesantez, GS, & Clayton, AH (2021). Treatment of hypoactive sexual desire disorder among women: General considerations and pharmacological options. Focus (American Psychiatric Publishing), 19(1), 39–45.
Parish, SJ, Goldstein, AT, Goldstein, SW, Goldstein, I., Pfaus, J., Clayton, AH, Giraldi, A., Simon, JA, Althof, SE, Bachmann, G., & Komisaruk, B. ( 2016). Towards a more evidence-based nosology and nomenclature for female sexual dysfunctions – part II. The Journal of Sexual Medicine, 13(12), 1888-1906.
