The judgment of deficiency or absence is made by the clinician, taking into acc
The judgment of deficiency or absence is made by the clinician, taking into account factors that affect sexual functioning, such as age and context of the person’s life.
- The disturbance causes marked distress or interpersonal difficulty.
- The sexual dysfunction is not better accounted for by another Axis I disorder (except another Sexual Dysfunction) and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.
- Specify type:
- Lifelong Type
- Acquired Type
- Specify type:
- Generalized Type
- Situational Type
- Specify:
- Due to Psychological Factors
- Due to Combined Factors
Associated Features
- Hypoactive Sexual Desire Disorder affects women’s sexual desires, and contributes too many sexual dysfunctions. HSDD is a common reason for women’s sexual dissatisfaction. HSDD causes a lack in sexual desire, and usually leads to relationship problems, involving lack of communication, distrust, anger, and lack of a connection. The person will usually not initiate sex, and will be unresponsive to another person’s initiations. In extreme cases of HSDD some patients may have never felt sexual desire, and if they did at one time, but no longer have an interest, could be due to some traumatic event, such as incest,sexual abuse, or rape. However, if sexual trauma is absent it could be due to rigid religious training. Another possibility is that the initial attempts at sexual intercourse resulted in pain or sexual failure. Rarely, HSDD in both males and females may result from insufficient levels of the male sex hormone, testosterone.
The deficiency in sexual desire may be the primary dysfunction or may be the consequence of emotional distress induced by disturbances in excitement or orgasm. General medical conditions may have a nonspecific effect on sexual desire due to weakness, pain, problems with body image, or concerns about survival. Depressive disorders are often present with low sexual desire, and the onset of depression may precede, co-occur with, or be the consequence of the deficient sexual desire.
- Acquired HSDD- is acquired, situational HSDD in the adult is commonly associated with the boredom in the relationship with the sexual partner. Depression, the use of psychoactive or antihypertensive medication, and hormonal deficiencies may contribute to the problem. HSDD may also result from impairment of sexual function, particularly erectile dysfunction in the male, or vaginismus in the female. Vaginismus is defined as a conditioned voluntary contraction or spasm of the lower vaginal muscles resulting from an unconscious desire to prevent vaginal penetration. An incompatibility in sexual interest between the sexual partners may result in relative HSDD in the less sexually active member. This usually occurs in the presence of a sexually demanding partner.
- Painful Intercourse- (dyspareunia) is more common in women than in men, but may be a deterrent to geni