Hypoactive Sexual Desire Disorder

Female sexual dysfunction is relatively common with over 40% of women reporting difficulty with sexual desire, arousal, orgasm, or pain according to recent studies. Based on the definition derived from the American Psychiatric Association DSM-IV-TR and the American Foundation for Urologic Disease, hypoactive sexual desire disorder (HSDD) is a persistent or recurrent deficiency of sexual fantasies, thoughts and/or desire for or receptivity to sexual activity, which causes personal distress. The prevalence of HSDD in adult women in the United States is ~10% based on data from the PRESIDE (Prevalence of Female Sexual Problems Associated with Distress and Determinants of Treatment Seeking) study. Sexual dysfunction negatively impacts physical and emotional satisfaction and overall quality of life, therefore incorporation of sexual health into routine female healthcare is warranted. Survey data indicate that women want to discuss sexual concerns with providers, however patient and provider-related barriers complicate communication on this important topic. General or structured communication strategies may facilitate discussions regarding sexual health, and screening tools may aid in the identification of HSDD or other sexual disorders. Management of HSDD requires consideration of the hormonal, pharmacological, neurobiological and psychosocial factors that can contribute to reduced desire in women. Patient education, psychotherapy, targeted sexual therapy and/or pharmacological therapies are used for the management of HSDD. While there are currently no FDA-approved treatments for HSDD, clinical trials are ongoing with several promising therapeutic approaches.

References

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Simon J. Opportunities for intervention in HSDD. J Fam Pract. 2009;58(7):S26-S30.