Hypoactive Sexual Desire Disorder HSDD is a condition that affects many people, yet it often goes unrecognized and untreated. This disorder can have a significant impact on a person’s quality of life and relationships, making it crucial to understand its causes, symptoms, and treatment options. In this blog, we will explore the intricacies of HSDD to help you recognize its signs and take appropriate action. We will also discuss the difference between HSDD and other sexual disorders, as well as answer some frequently asked questions about this condition.

Table of Contents

• What Is Hypoactive Sexual Desire Disorder
• Symptoms of Hypoactive Sexual Desire Disorder
• Causes of Hypoactive Sexual Desire Disorder
• Diagnosis of Hypoactive Sexual Desire Disorder
• Treatment of Hypoactive Sexual Desire Disorder
• Frequently Asked Questions About HSDD

What Is Hypoactive Sexual Desire Disorder

Hypoactive Sexual Desire Disorder HSDD is a sexual dysfunction characterized by a lack or absence of sexual fantasies and desire for sexual activity. This condition can affect both men and women and lead to personal distress and relationship difficulties. HSDD was first recognized as a disorder in the Diagnostic and Statistical Manual of Mental Disorders DSM in 1980, and it remains a valid diagnosis to this day

It is important to understand that a temporary loss of libido is not the same as HSDD. People with this disorder may feel worried about their lack of sexual desires, especially if it affects their romantic relationships. If you suspect that you or your partner may have HSDD, consider reaching out to a mental health professional for a proper diagnosis

Symptoms of Hypoactive Sexual Desire Disorder

How can you tell if you or your loved one has HSDD? Pay attention to the following warning signs.

• Lack of Interest in Sexual Activity—The most obvious symptom of HSDD is a low sex drive. People with this disorder may rarely or never engage in sexual fantasies
• Absence of Sexual Thoughts—It is normal to occasionally daydream about sex or feel aroused without an external trigger. If these thoughts are missing, a person may have HSDD
• Disinterest in Intimacy—While sex is not the most important part of a relationship, it can help partners feel closer and more connected. When a person is no longer interested in having sex with their partner, it may lead to relationship problems
• Personal Distress—HSDD is considered a disorder only when it causes a person to feel upset about their low libido. If the lack of sexual desires does not bother you, you may not need to seek treatment

If you recognize these symptoms in yourself or your partner, your next step should be a visit to a therapist who can diagnose HSDD.

Causes of Hypoactive Sexual Desire Disorder

What makes a person lose their sexual desire in the first place? There are many potential causes of HSDD, from hormonal changes to external stressors. Here are a few reasons why you may be experiencing this disorder

• Hormonal Imbalance—Hormones play a huge role in a person’s sex drive. For example, testosterone is responsible for sexual arousal in both men and women. A decrease in testosterone levels may lead to HSDD
• Psychological Factors— Mental health issues such as anxiety and depression are often linked to HSDD. If a person has a negative view of sex, they may want to avoid this activity
• Medication Side Effects—Are you taking antidepressants, birth control pills, or blood pressure medication? Loss of libido is a common side effect of many drugs.
• Relationship Problems—Sometimes the reason for a low sex drive is not physical or mental. If you are not getting along with your partner, you may not want to be intimate with them.

Your doctor will be able to determine the root cause of HSDD based on your hormonal medical history and lifestyle.

Diagnosis of Hypoactive Sexual Desire Disorder

To diagnose HSDD, a healthcare provider will usually

• Review the patient’s medical history—in some cases, HSDD is a side effect of medication a person is taking for their physical or mental health.
• Discuss the Patient’s Symptoms—The therapist will want to know when the loss of sexual desire started and whether it is causing the patient to feel distressed.
• Perform a Physical Exam—A doctor may need to run a few tests to check the patient’s hormone levels and rule out underlying medical conditions that may be affecting their libido.

The American Psychiatric Association (APA) states that to be diagnosed with HSDD, a person should experience the symptoms of this disorder for at least 6 months, as well as feel intense distress due to the lack of sexual desire.

Treatment of Hypoactive Sexual Desire Disorder

The good news is that HSDD is a treatable disorder, and patients have many treatment options to choose from

• Hormone Therapy—If HSDD is caused by a hormonal imbalance, a doctor may prescribe hormone replacement therapy HRT to restore the patient’s hormone levels and increase their sex drive
• Medication—Currently, there are two drugs approved by the Food and Drug Administration FDA for the treatment of HSDD in women—Addyi and Vyleesi. Talk to your doctor to find out if these medications are suitable for you
• Therapy—Working with a psychologist can help you overcome HSDD. A professional therapist will assist you in identifying the reasons behind your low libido and coming up with a personalized treatment plan
• Lifestyle Changes—In addition to or instead of medication, you may want to make a few changes to your lifestyle to boost your sex drive. This may include quitting bad habits such as drinking and smoking, reducing stress levels, and improving communication with your partner

No matter what treatment you choose, you should see positive results within a few months as long as you adhere to your treatment plan.

If you or someone you care about is struggling and needs reliable, compassionate support, Los Angeles Mental Health is here to help. Our team is dedicated to providing safe, effective mental health treatment tailored to each individual’s needs. Contact us today to learn more about your options, ask questions, or schedule an appointment. You don’t have to navigate this alone—expert guidance is only a click away.

FAQs About HSDD