Hypoactive Sexual Desire Disorder (HSDD) is the most common problem in female sexual dysfunction. It is usually characterized by the absence or sexual fantasy or recurring desire. In other words, women are rarely in the mood for any form of sexual activity; He does not initiate sex and does not want sexual stimulation. This condition is also referred to as inhibiting sexual desire, low sexual desire, declining sexual interest, and low libido, among others.
Causes of Hypoactive Sexual Harassment
Excessive sexual desire disorders may occur in women of any age. It may be present in adolescence and may continue throughout a woman's life. However, HSDD often occurs in adult women, often following periods of stress. Sources of disruptive sexual desire disorders can be a variety of factors, medications, and psychological problems.
Menopause
HSDD in women is more common as a result of menopause. Reducing estrogen to a post-menopausal level can lead to vaginal dryness that makes painful sex lessening the motivation. The gradual decrease in hormones estrogen, progesterone and testosterone work together to reduce the drive.
Physical Problems
Physical illnesses such as diabetes, heart disease, vaginal yeast and urinary tract infections, neurological disorders, pelvic surgery, chronic liver disease and kidney disease can all lead to a decline or sexual desire.
Psychological Problems
Psychological factors such as work and family stress, relationship communication issues, anxiety, depression, and previous traumatic sexual experiences may also contribute to the development of this disorder.
Physical abuse
Lifetime or primary HSDD where a woman has never experienced sexual desire that does not show sexual interest can be the result of misfortune, sexual abuse or rape.
Culture of Oppression / System of Trust
Certain oppressive family attitudes that are often enhanced by strict religious practice may force individuals to view sex as immoral.
It was an unpleasant sexual experience
Initial attempts that have failed in a sexual relationship or hurt from the first sexual experience can also lead to HSDD.
Insufficient levels of sex hormones
Low testosterone levels can cause HSDD in both men and women. However, some people find that increasing testosterone levels even at low levels can also increase sexual energy; others argue that HSDD in men and women rarely results in insufficient levels of male sex hormone, testosterone.
Boredom relationship
A woman who suffers from stagnation or boredom in relationships may develop acquired HSDD.
Side Effects of Drugs
The use of antidepressants for depression, antihypertensive drugs, and oral contraceptives can interfere with sex drive, stimulation, and orgasm leading to the development of HSDD.
Sexual Functional Depression
Impairment of sexual function such as vaginismus (voluntary contraction or cramping of the pelvic floor and outer veins caused by an unconscious desire to prevent penetration of the vagina making it impossible or extremely painful) can develop into HSDD. This may be due to infertility in sexual relations between sexual partners. This can also happen in the presence of partners who are sexually demanding.
Dyspareunia
Dyspareunia or painful sexual relations due to surgery, injury or infection can also cause HSDD. Insufficient lubrication at the time of penetration from inadequate foreplay can also lead to painful sexual relations.
General symptoms of HSDD in patients include accidental and ultimately sexual inactivity; less enjoyable sexual activity than he used to; avoiding sex; and have little or no sexual dreams or fantasies. In selected and concentrated HSDDs, there may be zero interest in having sex with their partner but having a clear sexual desire or rising toward another man.
Treatment options for Hypoactive Sexual Harassment
HSDD treatment is usually directed at removing or minimizing the cause for example. misunderstandings, depression, and other sexual disorders (especially lust or orgasm difficulty). When problems that cause HSDD arise from issues of sexual arousal or performance, these inconsistencies need to be addressed directly. It is acknowledged that the majority of HSDD cases are the result of dissatisfaction and loss of interest in sexual partners. Therefore, the need for treatment to be within the context of the relationship itself and therefore, it is common for both partners to engage in therapy.
The use of antidepressants such as Prozac and Paxil in which women are the main users, has been identified as the leading cause of decreased libido in 60 percent of patients. Whenever possible, it is advisable to switch to lower doses or to lesser side effects, such as Celexa, Effexor, or Wellbutrin.
On the pharmaceutical side, testosterone supplementation in individuals with testosterone levels below normal range (20 nanograms per desiliter) appears to be the treatment of choice. Although testosterone has not yet been approved for the treatment of HSDD by the FDA, studies show that some women who have used testosterone patches have reported significant increases in frequency of sexual activity and satisfactory desire.
However, it should be noted that there is very limited data on the effectiveness of various types of drugs and therapies for HSDD women.
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