Hypoactive sexual desire disorder HSDD and sexual aversion disorder SAD are an under-diagnosed group of disorders that affect men and women. Despite their prevalence, these two disorders are often not addressed by healthcare providers and patients due their private and awkward nature. Using the Sexual Response Cycle as the model of the physiological changes of humans during sexual stimulation and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition this article will review the current literature on the desire disorders focusing on prevalence, etiology, and treatment. Despite their prevalence, these disorders are often not addressed by healthcare providers or patients due to their private and awkward nature. Using the Sexual Response Cycle as the model of the physiological changes of humans during sexual stimulation and the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition DSMIV-TR , this article will review the current literature on the two desire disorders, focusing on prevalence, etiology, and treatment. Sexuality is a complex interplay of multiple facets, including anatomical, physiological, psychological, developmental, cultural, and relational factors.
Sexual Desire Disorders
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Female sexual dysfunction - Symptoms and causes - Mayo Clinic
Sex is a motive force bringing a man and a woman into intimate contact. Sexuality is a central aspect of being human throughout life and encompasses sex, gender identities and roles, sexual orientation, eroticism, pleasure, intimacy, and reproduction. Sexuality is experienced and expressed in thoughts, fantasies, desires, beliefs, attitudes, values, behaviors, practices, roles and relationships. Though generally, women are sexually active during adolescence, they reach their peak orgasmic frequency in their 30 s, and have a constant level of sexual capacity up to the age of 55 with little evidence that aging affects it in later life. Desire, arousal, and orgasm are the three principle stages of the sexual response cycle. Each stage is associated with unique physiological changes.
Female sexuality
It is normal for females to experience fluctuations in sexual desire throughout life. FSIAD is a type of sexual dysfunction. A person with the condition may experience a lack of sexual desire, a lack of physical arousal, or both. FSIAD describes a loss or significant reduction in sexual desire or physical arousal in females.
Hypoactive sexual desire disorder HSDD , hyposexuality or inhibited sexual desire ISD is considered a sexual dysfunction and is characterized as a lack or absence of sexual fantasies and desire for sexual activity , as judged by a clinician. For this to be regarded as a disorder, it must cause marked distress or interpersonal difficulties and not be better accounted for by another mental disorder, a drug legal or illegal , or some other medical condition. A person with ISD will not start, or respond to their partner's desire for, sexual activity. There are various subtypes.
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