Low Sexual Desire — Is it All in Her Head? Pathophysiology, Diagnosis, and Treatment of Hypoactive Sexual Desire Disorder

Hypoactive sexual desire disorder is the most common cause of sexual dysfunction in women. According to a national survey, approximately a third of all women experience low sexual desire. The etiology of the disorder is often multifactorial. Research in treatment options for hypoactive sexual desire disorder is limited. In this article, treatment options including sex therapy, hormone therapy (estrogen, testosterone, dehydroepiandrosterone, tibolone), non-hormonal medical therapies (buproprion, buspirone, phosphodiesterase-5 inhibitors, amantadine and apomorphine) and herbal therapies (Avlimil®, Arginmax®, Zestra®, yohimbine and Ginkgo biloba) are reviewed.

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Why We Should Stop Confusing Hypoactive Sexual Desire Disorder with Low Sexual Desire/Interest Syndrome

Journal of Sexual Medicine ◽

10.1111/jsm.12998 ◽

2015 ◽

Vol 12 (10) ◽

pp. 1989-1991 ◽

Cited By ~ 1

Author(s):

Eusebio Rubio-Aurioles

Keyword(s):

Sexual Desire ◽

Hypoactive Sexual Desire Disorder ◽

Low Sexual Desire ◽

Desire Disorder

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Socio-demographic Determinants of Low Sexual Desire and Hypoactive Sexual Desire Disorder: A Population-based Study in Iran

10.21203/rs.3.rs-18574/v1 ◽

2020 ◽

Author(s):

Zeinab Hamzehgardeshi ◽

Mina Malary ◽

Mahmood Moosazadeh ◽

Soghra Khani ◽

Mehdi Pourasghar

Keyword(s):

Sexual Desire ◽

Sexual Interest ◽

Population Based ◽

Reproductive Age ◽

Hypoactive Sexual Desire Disorder ◽

Personal Distress ◽

Iranian Women ◽

Women Of Reproductive Age ◽

Low Sexual Desire ◽

Desire Disorder

Abstract Background: Various socio-demographic factors are determinants of Low Sexual Desire (LSD), but whether these are the determinants of Hypoactive Sexual Desire Disorder (HSDD) are unclear. The aim of this study is to evaluate the Socio-demographic determinants of LSD and HSDD in Iranian women of reproductive age.Methods: This was a population-based, cross-sectional study of 1000 Iranian women of reproductive age (15-49 years) who met the inclusion criteria and were chosen through systematic random sampling from all the healthcare centers in Sari, Iran. LSD was defined as a score no higher than 33 on the Sexual Interest and Desire Inventory-Female (SIDI-F); sexually related personal distress was defined as a score of at least 11.0 on the Female Sexual Distress Scale–Revised (FSDS-R); and HSDD was defined as a combination of these scores. Descriptive statistics were used to describe demographic characteristics while for analyzing grouped variables, chi-square test was applied. Multivariate regression test was also used to adjust the effect of confounding variables. Results: The mean score of sexual interest/desire among women who referred to healthcare centers in the city of Sari is estimated as 30.6±10.5. After adjusting the effect of the confounder variables by logistic regression multivariate analysis, the age at first intercourse, the length of time spent in marriage, and the level of satisfaction with income were variables significantly associated with LSD and HSDD (P < .01). Although increasing individual′s age (P < .001) and body mass index (P < .01) were predictors of LSD in women, HSDD was not statistically significant.Conclusion: There are some factors that are associated with LSD in women but are not related to HSDD. In other words, some factors associated with LSD do not cause personal distress which are one of the criteria necessary for HSDD.

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