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:: Health Conditions
- Sexual Dysfunctions
Hypoactive Sexual Desire Disorder
Hypoactive Sexual Desire Disorder (HSDD) is a
deficiency or absence of sexual fantasies and
desire for sexual activity. This is considered
a disorder if it causes distress for the patient
or problems in the patient's relationships. It
must be determined that this is not the result
of another psychological disorder which is the
primary problem. If the sexual partner of a patient
with suspected hypoactive sexual desire disorder
feels that this is a problem within the relationship,
that concern should be sufficient for the individual
to seek psychological consultation (some couple practise hypnotherapy).
- Desire for and fantasy about sexual activity
are chronically or recurrently deficient or
absent. The clinician judges this on the basis
of the patient's age and other life circumstances
that may affect sexual functioning.
- This behavior causes marked distress or interpersonal
- Except for another Sexual Dysfunction.
- It is not directly caused by substance use
(medication or drug of abuse) or by a general
- Physical illnesses when they produce fatigue,
- Hormone deficiencies may occasionally be implicated.
- Insomnia or inadequate amounts of sleep, resulting
- Pain with intercourse, for women.
- Retarded Ejaculation.
Some disorders have similar or even the same
symptoms. The clinician, therefore, in his/her
diagnostic attempt, has to differentiate against
the following disorders which need to be ruled
out to establish a precise diagnosis.
This disorder can be present in adolescents and
can persist throughout a person's life. Many times,
however, the lowered sexual desire occurs during
adulthood, often times following a period of stress.
Interestingly, patients with a general dislike
of sexual activity (hypoactive desire or aversion),
at least with their current partner, can effectively
use an injury to justify avoidance of sexual contact.
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:: Counseling and Psychotherapy
Sex therapy may not be the best referral in some circumstances,
especially if the relationship between the sufferer and partner
has frequent have angry disagreements. Some couples just aren't
sexually attracted to each other, leading to HSDD in one or
both. They find it difficult to tell each other about the
lack of attraction. In all of these cases, referral to a psychotherapist
for couples counseling is the treatment of choice. Treatment
must be individualized to the factors that may be inhibiting
sexual interest. Often, there may be several such factors.
(some couple practise self hypnosis
- it is a powerful, effective and
100% natural part of you)Some couples will need
relationship enhancement work or marital therapy prior to
focusing directly on enhancing sexual activity. Declining
sex is sometimes one of the few areas where someone who feels
dominated in most other areas of a marriage may still exert
control. Many couples will need direct focus on the sexual
relationship wherein through education and couple assignments
they expand the variety and time devoted to sexual activity.
Some couples will also need to focus on how they may sexually
approach their partner in more interesting and desirable ways,
and in how to more gently and tactfully decline a sexual invitation.
When problems with sexual arousal or performance are factors
in decreasing libido, these sexual dysfunctions will need
to be directly addressed.