Hypoactive Sexual Desire Disorder (HSDD): A Guide for Patients

What is Hypoactive Sexual Desire Disorder (HSDD)?

• Hypoactive Sexual Desire Disorder (HSDD) is a condition characterized by a persistent or recurrent lack of sexual desire that causes distress or strain in relationships. It is one of the most common female sexual health concerns and can affect women of all ages.

Signs and Symptoms of HSDD

• Low or absent sexual desire that is not due to another medical condition or relationship issue
• Lack of sexual thoughts or fantasies
• Reduced interest in initiating or participating in sexual activity
• Emotional distress or frustration related to low libido
• Impact on relationships and self-esteem

Causes of HSDD

Biological Causes:

• Hormonal changes: Low estrogen (menopause, postpartum, breastfeeding) or low testosterone
• Medical conditions: Diabetes, thyroid disorders, heart disease, or chronic pain
• Medications: Antidepressants, birth control pills, and certain blood pressure medications
• Neurological conditions: Multiple sclerosis or other nerve-related disorders

Psychological and Emotional Causes:

• Depression and anxiety
• Chronic stress or fatigue
• History of trauma or sexual abuse
• Body image concerns or low self-esteem

Relationship and Lifestyle Factors:

• Relationship conflicts or lack of emotional intimacy
• Busy schedules, caregiving responsibilities, or lack of time for intimacy
• Substance abuse, including alcohol and drugs

Diagnosis of HSDD

• Medical and sexual history assessment to identify potential causes
• Hormone level testing if an imbalance is suspected
• Review of medications that may impact libido
• Psychological evaluation to assess stress, depression, or anxiety

Treatment Options for HSDD

Lifestyle and Behavioral Changes:

• Stress management techniques such as mindfulness, yoga, or therapy
• Regular exercise and a balanced diet to improve overall well-being
• Enhancing emotional intimacy through communication and relationship counseling

Medical Treatments:

• Hormone therapy: Estrogen therapy (topical or systemic) or testosterone in select cases
• Flibanserin (Addyi): A daily medication approved for premenopausal women to increase sexual desire
• Bremelanotide (Vyleesi): An injectable medication used before sexual activity to boost desire

Psychological and Sexual Therapy:

• Cognitive-behavioral therapy (CBT): Helps address negative thoughts and emotional factors affecting desire
• Sex therapy: Can provide guidance on rekindling intimacy and improving sexual satisfaction

When to See a Doctor

• If you experience a persistent lack of sexual desire that causes distress or affects your relationship, talk to a gynecologist. HSDD is a treatable condition, and a healthcare provider can help determine the best approach for restoring sexual well-being.

For more information or to schedule an appointment, contact our office today.