Causes of Hypoactive Sexual Desire Disorder (HSDD)
HSDD is a multifactorial medical condition1

Assessing HSDD

 

There are many contributors to consider when assessing sexual desire problems

Contextual

  • Lack of privacy
  • Safety
  • Emotional rapport
  • Cultural beliefs

Expectation of negative outcome

  • Past history of disappointing sex

Biological

  • Neurotransmitters
  • Sex hormones
  • Illness
  • Fatigue
There are many contributors to consider when assessing sexual desire problems

Intrapersonal development history

  • Trauma (sexual, physical, medical)
  • Negative emotions (anxiety, fear, shame, guilt)

Lack of appropriate stimuli

  • Stimulation
  • Partner dysfunction

Interpersonal

  • Relationship discord
  • Absence of emotional intimacy

Adapted from Basson R et al. J Sex Med. 2004;1(1):24-34. http://www.sciencedirect.com/science/journal/17436095. ©2004 with permission from the International Society for Sexual Medicine.


The Sexual Tipping Point®* model


HSDD may occur if sexual excitation is too weak or sexual inhibition too strong, or a combination of both2

  • The mind and body both inhibit and excite sexual response, which is described by the Sexual Tipping Point® model2
  • The set point or threshold for the expression of a sexual response may vary dynamically within and between sexual experiences2
  • The Sexual Tipping Point® demonstrates how both mental and physical contributors act as inhibitory or excitatory forces that may lead to sexual function and dysfunction2

*The Sexual Tipping Point is a registered trademark of the MAP Education & Research Fund, Inc.

The dual-control model illustrates the multifactorial etiology of sexual dysfunction2

The Sexual Tipping Point® modelThe Sexual Tipping Point® model

Adapted from Perelman MA. J Sex Med. 2009;6(3):629-632. http://www.sciencedirect.com/science/journal/17436095. ©2009 with permission from the International Society for Sexual Medicine.


The brain, the body, and sexual response

Jim Pfaus, PhD, Concordia College, provides an overview of the female sexual response.
Jim Pfaus, PhD
Concordia University

Dr. Pfaus is a consultant for AMAG Pharmaceuticals, Inc. and Palatin Technologies, Inc.

Examine the sex-brain-body connection

 

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References: 1. Basson R, Althof S, Davis S, et al. Summary of the recommendations on sexual dysfunctions in women. J Sex Med. 2004;1(1):24‐34. 2. Perelman MA. The Sexual Tipping Point®: a mind/body model for sexual medicine. J Sex Med. 2009;6(3):629‐632.

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