In the United States, hypoactive sexual desires disorder is a prevalent sexual disorder in both men and women and at the same time, it is difficult to address this sexual dysfunction. It is considered to be a sexual dysfunction which is characterized by the lack of sexual fantasies or desires for sexual activity. Hypoactive sexual desire disorder can be clearly explained through two definitions:

  • Reduction in the sexual spontaneous desires or responsive desires for the stimulation or an inability to maintain interest through sexual activity.
  • Loss of desires to participate in any sexual activity, including behavioral responses.

 Hypoactive Sexual Desire Disorder

Hypoactive sexual desires disorder is a complex sexual disorder that may be an indicator for other underlying diseases. Sexual desires include emotions, thoughts, and fantasies that activates the sexual appetite in a person and when there is deficiency or absence of sexual desires and fantasies for sexual activity, it causes marked personal and interpersonal distress. It is difficult to know what exactly leads to a reduction in the sexual desires or what causes impaired body image, self confidence, self worth, feel less connected to their partners. But there are many pieces of evidence that prove that there is a connection between sexual desires and hormones. Biological factors play one of the vital roles to understand sexual desires and within biological factors, hormonal influence on sexual desires is important to examine. Decreased androgen levels that can be due to aging, illness or any surgical or chemical castration lessens the sexual desires. Testosterone which is one of the most important hormones for the male reproductive system is linked to the sexual desires. Any fluctuations in the testosterone level will directly affect the sexual desires of a person. According to one study, a change in the level of testosterone causes a subsequent change in the sexual desires as well. There is a strong relationship between aging and low sexual desires as several endocrine factors lead to a decline in the sexuality due to aging. Also, high prolactin levels are also linked to sexual desires and all the men who suffer from hyperprolactinemia experience difficulties with sexual desires, erections and also faces ejaculation dysfunction.

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Types of Hypoactive sexual desire disorder

1. Sexual Desire Discrepancy

Sexual desire discrepancy can be defined as a difference between actual frequency of sexual intercourse within a relationship and the desired frequency of sexual intercourse. It is a sexual desire problem that becomes visible when two partners are sexually interested but not at the same level. Most of the time under this condition even though both the partners are interested but the interest of one partner is comparatively higher than the other one. Those people who experience higher rates of sexual desire discrepancy reveals a low level of satisfaction in the relationship and this high discrepancy also impairs other aspects of the relationship.

2. Lifelong And Generalized Absence Of Sexual Desires

In this type of hypoactive sexual desire disorder, a person experiences very little indication of sexual appetite in the form of thoughts, feelings or actions, in the present or in the past. In this form of desire disorder any sexual experience is very rare and uncommon and if it happens, it is due to an initiative of a partner.  Such experiences do not fulfill the needs of their own but instead participates to fulfill the needs of the partner. It may also lead to an occurrence of vaginal lubrication and orgasm but they do not cause much significance. According to various studies, this form of sexual desire disorder is more common in females as compared to males.

3. Acquired And Generalized Absence Of Sexual Desires

In acquired and generalized absence of sexual desire disorder, a person feels to be sexually interested and active in the past but relates to the same feeling about sexual activity in the present like the patient who suffers from a lifelong form of hypoactive sexual desire disorder.  The major difference between the acquired and generalized absence of sexual desires and lifelong and generalized absence of sexual desires is that the present status explains the considerable change from the past.

4. Acquired And Situational Absence Of Sexual Desires

This type of Hypoactive sexual desire disorder, the sexual feelings exists in the present but it occurs when a person is alone and it occurs in thoughts or in actions through masturbation rather than in a sexual activity with a partner. Sexual activity with the partner becomes less frequent than sexual thoughts.


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