Hypoactive Sexual Desire Disorder (HSDD) occurs when a person has no or low interest in sex, which causes discomfort. It is one of the most common sexual problems. It can be a lifelong problem or manifest over time. It can be a persistent problem or only occur in certain situations.
People with HSDD have few or no sexual thoughts or fantasies, don't respond to their partner's sexual cues or suggestions, lose sexual desire during sex, or avoid it altogether.
If you think you may have HSDD, schedule an appointment with your nurse or doctor, such as those at your local Planned Parenthood center, to discuss your concerns and treatment options. The nurse or doctor may ask you about your health, any problems you may be experiencing, and your sex life. Try to be as honest as possible about what's happening to you so they can provide you with the best care. Doctors and nurses are experts and have seen and heard it all. They may also perform a physical exam or take a blood test to check for any medical problems.
Are there treatments for HSDD?
Treatment will depend on the cause of the problem. Your nurse or doctor can help you determine the best treatment for you.
Treatments to increase sexual desire may include:
Kegel exercises: These can increase blood flow and sensitivity to the genitals.
Talking with your partner about your sexual likes and dislikes.
Exploring pornography (movies, magazines, websites, or other types of entertainment) that gives you sexual pleasure.
Masturbate, possibly with vibrators or other sex toys if you find it pleasurable.
Reduce stress to improve your mood through activities like getting more sleep, meditation, and breathing exercises.
Limit your alcohol consumption and stop smoking and using drugs.
Exercise regularly to improve your mood and have more energy.
Consult a therapist who specializes in sexual and relationship issues.
Medications that may help:
Flibanserin (also known as Addyi): A once-daily pill to increase sexual desire (premenopausal).
Bremelanotide
Estrogen: A ring, cream, or pill inserted into the vagina (menopausal). It can strengthen and lengthen the vaginal muscles, increasing blood flow and hydration.
Testosterone therapy, including a testosterone gel applied to the calf in postmenopausal women.
What causes HSDD?
There are many potential causes, both physical and psychological.
Several physical conditions are associated with HSDD, including breast cancer, diabetes, depression, urinary incontinence, thyroid problems, and multiple sclerosis, among others.
An imbalance of neurotransmitters (chemicals) in the brain may be the cause, as the chemicals that can trigger (or inhibit) sexual desire and arousal may be out of balance.
Low libido can be a side effect of certain medications, such as those used to treat depression, anxiety, and high blood pressure, as well as some painkillers.
Relationship problems can be a contributing factor for some women. If there is conflict or a lack of trust in a relationship, women may lose interest in sex with their partner. (Although it's worth noting that a woman can experience HSDD even without being in a relationship.)
Some psychological conditions may be associated with the development of HSDD, such as depression, anxiety, and low self-esteem.
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