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Understanding Hypoactive Sexual Desire

This document discusses hypoactive sexual desire disorder (HSDD), including its history, classification, potential causes, and treatment options. It notes that HSDD is characterized by a lack of sexual fantasies and desire that causes distress and interpersonal issues. The document reviews models of sexual response from the 1970s and covers biological and psychosocial factors that can influence sexual desire levels. It also outlines assessments and potential pharmacological and psychotherapeutic treatments for HSDD.

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Visham Bhimull
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129 views23 pages

Understanding Hypoactive Sexual Desire

This document discusses hypoactive sexual desire disorder (HSDD), including its history, classification, potential causes, and treatment options. It notes that HSDD is characterized by a lack of sexual fantasies and desire that causes distress and interpersonal issues. The document reviews models of sexual response from the 1970s and covers biological and psychosocial factors that can influence sexual desire levels. It also outlines assessments and potential pharmacological and psychotherapeutic treatments for HSDD.

Uploaded by

Visham Bhimull
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd

Hypoactive Sexual Desire

Low Sex Drive


Objectives
• History
• Classification
• Etiology
• Treatment
History
• Masters and Johnson (1970)
• Kaplan (1972)
• Lief (1972)
• Kaplan and Lief (1978)
Message
“ Sex is good for you, the more the better”
Strong Message
• Level of sexual desire is socially and culturally
defined. It is never neutral in animals
• New information on female anatomy and
female sexuality based on medical evidence
• It saw people who habitually uninterested in
sex saw themselves as in adequate
HSDD
• A lack of absence of sexual fantasies and
desire for sexual activity for some period of
time (Lifelong vs. Acquired)
• Within the context of a monogamous
relationship ( General vs. Situational)
Ablard and Heloise
“The name wife may seem more sacred or
worthy but sweeter would always be the word
lover or whore”
Components of Desire

• Drive
• Wish
• Motive
Determinants of Sexual Desire Levels

• Age
• Sex
• Hormone levels
• Health
• Psychosocial stressors
• Environment of up bringing
DSM IV
• Low sex drive
• Causes distress and interpersonal difficulty
• Not caused by another mental or medical
disorder or drug
History
• Sexual Behavior
• Psychological Manifestations
• Body changes in repose to sexually arousing
stimuli
Determinants of Sexual Desire
• Age
• Sex
• Hormone level
• Psychosocial issues
• Environment individual brought up in
Subcategories HSDD
• Classification made based on observation
• Improvement also based on clinical
observation
History
• Sexual Behavior
• Psychological Manifestations
• Body changes in repose to sexually arousing
stimuli
On Examination
• Significance determined by patient history
• Indicated in aquired/generalized form
• Disorder vs Syndrome? - Cancer, Depression,
renal or cardiac disease
• Physical changes associated with
abnormalities in endocrine function
• Hypoandrogen states, Hypothyroid states
Investigations

• Testosterone
• LH
• Prolactin
• Oestogens
• Thyroid status
Treatment
• Psychotherapy
-Relationship and communication issues
- improved communication, verbal and
nonverbal
- Working on non-sexual intimacy
- Education about sexuality
- Stress relief factors
- Meaning of sex for both partners
Pharmacotherapy
• Testosterone patch (Intrinisa)
• 5-HT1A agonists and 5-HT2 agonists
(Flibanserin)

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