Hypoactive sexual desire is a repeated and persistent state of lack of desire or interest in performing any sexual activity. The person suffering from it avoids any sexual contact.
Primary and secondary Hypoactive Sexual Desire
When the lack of desire is not produced by any circumstance but suffered throughout life, even identified from puberty, the condition is known as primary HSDD.
On the one hand, it may be a lack of specific desire for some reason, such as problems in the couple, cheating, affinity to masturbation, where the passion has been felt previously but not currently. The condition is defined as secondary HSDD.
Hypoactive Sexual Desire - Causes
Many causes can lead to this state. It can be due to psychological, physiological, or even environmental reasons.
Below are some of the common causes.
Problems in the couple's relationship: Sexual, communication, etc.
The quality of sexual relations.
Psychological problems such as depression, anxiety, grief, etc.
Self-esteem or body satisfaction problems.
Stress, anxiety, problematic situations, and worries.
Certain drugs that decrease libido.
Hormonal imbalances.
Alcohol or drug problems.
Restrictive education in childhood about sexual relations.
Problems at work such as possible dismissal or stress situations.
Stages of one's own development, such as menopause.
Evaluation and treatment of Hypoactive Sexual Desire
Given the diversity of causes that can cause hypoactive sexual desire and its origin is different, to address the appropriate treatment, it will be necessary to carry out a good evaluation.
The evaluation shall help discover the real cause since it varies from reason like hormonal, psychological if the patient has depression, and environmental if it is a stressful time for them, etc.
If some psychological reasons justify the cause, cognitive behavioral therapy is done.
We must know that the sexual response is divided into four phases: desire, excitement, orgasm, and resolution.
The HSDD, because it is a low sexual appetite, is framed in phase 1, the desire. Desire is the one that needs to be addressed from the therapy, and once solved, monitoring whether there is any other problem in the remaining phases as well.
By way of conclusion, and as previously specified, the treatment to be carried out depends on the cause.
If there is any disorder, it should be treated by identifying how it affects the person and their desire.
Likewise, there are many cases in which sexual information must be provided, such as fears or phobias, and must be worked on, as well as anticipatory anxiety. The lack of communication in the couple and proper sexual education, in many cases, must be provided.
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