Hypoactive sexual desire is defined as the absence of sexual thoughts or desire for sexual activity. It is a process that many biological, hormonal and psychosocial factors involved. It is therefore important a good study and diagnosis, provided the best individualized treatment administered.
Desire and sexual response are very complex and difficult processes to study, and involved different elements at different levels of the human body. Dependent biological, hormonal and psychosocial factors.
Loss of sexual desire or hypoactive sexual desire (HSD): what it is and what causes
The loss of sexual desire or hypoactive sexual desire (HSD) is defined as the persistent deficiency or absence of sexual fantasies or thoughts and / or desire or receptivity to sexual activity. Usually it causes anxiety, dissatisfaction and discomfort in the person who suffers and can lead to a deterioration of interpersonal relationships. For proper diagnosis, sexual dysfunction should not be associated with another disorder, drug or medical condition (except another sexual dysfunction).
Prevalence of hypoactive sexual desire (HSD)
HSD is the most common sexual dysfunction in women, with an incidence of 33% between 18 and 59 years. However, in humans there are few studies regarding its prevalence, with data ranging between 3 and 50% according to the source. In males usually it appears after age 60.
Regulation of sexual activity and factors involved
The brain is the organ responsible for the regulation of sexual activity. Brain act on different substances that modulate the activity, such as neurotransmitters at the neuronal level and hormones, especially sex (androgens and estrogens) systemically. On the other hand cultural, motivational and affective factors are of great importance for a good sexual relationship.
Causes of hypoactive sexual desire (HSD)
The DSH can have, therefore, different biological and affective-motivational origins:- Psychological aspects. Some of them may be the loss of attractiveness, anxiety, stress, mood disorders and marital conflict.- Chronic diseases and their treatments- Consumption of drugs- Hormonal changes: increased prolactin (hyperprolactinemia) or alterations of thyroid (hyperthyroidism or hypothyroidism) are the most common hormonal causes of DSH.- Previous sexual dysfunctions- Age, which can lead to lower testosterone levels
Often the DHS appears associated with other sexual dysfunction. This would act as a defense mechanism, in the same way that when there is no sexual desire may end up being affected erection or ejaculation.
Diagnosis of hypoactive sexual desire (HSD)
The diagnosis is mainly based on a careful history and physical examination. According to the data obtained, a hormonal and psychological evaluation could be performed.
Treatment of hypoactive sexual desire (HSD)
The DSH must be addressed as any other health problem. The patient should consult a professional expert in Andrology and this must be properly prepared to address the problem.
Treatment aims to restore the motivation to enter sex. Due to its multifactorial origin, it is sometimes not easy to establish:- If there are toxic or drugs will be recommended withdrawal / replacement- If there is a deficit hormone replacement therapy will be recommended- Detection of testosterone deficiency in men is important, as this hormone is essential for the development of its functions, not just sexual, but for your overall health- Psychotherapy and sex education will be advisable in most cases- If the DSH was the result of other sexual disorders, they should be assessed and treated.