Hypoactive Sexual Desire Disorder (HSDD) causes disinterest in sex and can have physiological or psychological causes. It can be difficult to treat, and can lead to marital problems. Treatment options include therapy and medication.
Hypoactive Sexual Desire Disorder (HSDD) is a fairly well-known disorder that causes disinterest in sex in what would normally be situations where arousal is common. It can also cause a lack of normal fantasy, total disgust with normal sexual activity, or panic or depression when in sexual situations. The condition occurs in both women and men and can be present with no underlying, identifiable cause, or it can have clear physiological causes. In many cases, HSDD is more problematic when a person is in a relationship with someone else because unmet expectations for relationship in a close relationship such as a marriage can lead to marital problems.
When it occurs without underlying physical symptoms, it is called primary hypoactive sexual desire disorder and can be more difficult to treat. Other times, physical attributes or conditions contribute to it and these may include immature sexual development, pain that occurs in the vagina during intercourse, little or no sensation or sensation in the male organ, or tumors in the pituitary gland. HSDD should be viewed as distinct from other causes of sexual disinterest such as severe depression or medications often taken for depression which can dramatically reduce libido.
There are peculiarities in hypoactive sexual desire disorder that are worth noting. Sometimes all that is missing is the desire for the person. They cannot, for example, be specifically aroused by their partner. This is very challenging, and while sex therapy can occasionally help, it is not always. Such couples may decide to live without sexual intercourse or they may decide not to continue a marriage, particularly if one spouse finds it necessary to exit the marriage for sexual gratification. It is not always the case that HSDD is person specific and some people are unable to get aroused under any circumstances.
As stated, hypoactive sexual desire disorder tends to be more problematic when a person is in a relationship with someone else, where there is a normal expectation of intercourse. A person with HSDD may have the physical ability to function through intercourse, but the experience may be adverse, traumatic, painful, or boring. The level of sexual activity tends to decrease in such relationships to the point where it may not exist at all.
A physiology-based explanation for hypoactive sexual desire disorder is often met with the most favorable outcome, as many physiological causes have treatment. In primary HSDD, the condition is more difficult to treat. Psychotherapy and sex therapy can be tried, along with medications that might increase libido or dull anxiety, such as some of the antidepressants that don’t cause sexual side effects. The cure rate is not excellent and some people find that the only way to cure the problem is to change sexual partners, while others find that the problem is not addressed. This condition and others like it strongly underscore the ongoing need for a better understanding of the psychological, social, and biological factors that influence sexual interest and arousal.
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