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Disorders of Sexual Desire

It is also known as hypoactive sexual desire is the one that occurs most frequently and is defined as the persistent or recurrent deficiency or absence of sexual thoughts or fantasies and/or desire or receptivity for sexual activity, being the cause of personal distress (distress, frustration, anxiety). The most severe form is given by persistent or recurring phobic aversion to sexual contact.

Image of young psychiatrist comforting her sad patient

It is the most frequent sexual dysfunction in women, reaching an incidence of 33% between 18 and 59 years and up to 45% in menopause.

Sexual desire is rooted in the rhinencephalon and in the limbic region of the brain, highly dependent on hormones (androgens, estrogens) and modulated by different mental states such as mood and depression. Motivational, affective and cognitive factors are fundamental for an adequate direction of sexual desire.

Alterations of sexual desire have different origins, both biological and affective-motivational (couple relationship) and cognitive.

The following are the most frequent biological causes

Endocrine

  • Hypoestrogenism
  • Hypoandrogenism
  • Hyperprolactinemia
  • Hypothyroidism

Affective disorders

  • Depression
  • Anxiety and/or phobia

Neurovegetative disorders

  • Hot flashes
  • Insomnia

Drugs and toxic

  • Alcohol and drugs
  • Antidepressants
  • Antiandrogens
  • Levosulpiride

The diagnosis is based on a detailed medical history and physical examination.

According to the best sexologist in Noida, Delhi, a hormonal (total and free testosterone, DHEAS, estradiol, SHBG, FSH, TSH) and psychological evaluation can be performed.

Due to a large number of factors involved in sexual desire, the treatment presents many difficulties. When hormonal alterations exist, a substitute treatment with testosterone or estrogen, or with hypoprolectants and thyroxine in cases of hyperprolactinemia and hypothyroidism may be indicated. If there are toxic factors or drugs, they should be suppressed or, if possible, substituted.

Psychotherapy and sex education will be advisable in most cases.

If sexual desire disorders are the consequence of other sexual disorders (excitability, orgasm, coital pain), these should be timely assessed and treated.