Sexual Desire Disorder

Sexual Desire Disorder

dysfunction of sexual desires & interest lack of sexual desire to genital social contact Females

Types of Sexual Desire Disorder

1. Hypoactive sexual desire disorder 2. Sexual aversion disorder

1. Hypoactive sexual desire disorder

Disinterest in sexual activity Deficiency or absence of sexual fantasies & desires for sexual activity Females

Causes
Lifestyle factors Psychological issues Medical illnesses Medications Menopause Low testosterone or estrogen levels Prolactinoma

Signs & Symptoms

Sexual Aversion Inhibited Sexual Desire Sexual Anorexia

Treatment
Psychotherapy

Treatment
Medical Therapy - Administering IM testosterone - Bupropion hydrochloride

Treatment
Changing drugs in the occasional case of androgen deficiency Lowering dosages of antidepressants Prozac, Zoloft and Paxil

2. Sexual aversion disorder

Aversion or avoidance of genital sexual contact with sexual partner or masturbation Disgust, fear, revulsion or lack of desire in consensual relationships involving genital contact.

Causes
Sexual trauma experience Fears in sexual intercourse Oedipal Conflicts Vagina Dentata

It can be:

Lifelong Situational Generalized

Treatment
Psychotherapy Couples Counselling

Hypoactive Sexual Desire Disorder

Sexual Aversion Disorder

Not interested in sex at all

Does not have sexual fantasies

Do not enjoy or desire any anticipation in sexual activities including kissing and caressing.

May have normal sexual fantasies

Do enjoy sexual foreplay until the point of genital contact

Female Sexual Arousal Disorder (FSAD)

Female Sexual Arousal Disorder (FSAD)

the persistent or recurrent inability of a woman to achieve or maintain an adequate lubrication-swelling response during sexual activity. Previously known as Frigidity

 May often results to sexual avoidance, painful intercourse, and sexual tension in relationships. Masters & Johnsons 4 stages of sexual response: Excitement is affected.

Physiological Changes:
Expansion of blood vessels in the pelvic region Transudation(seepage of fluid through the walls of blood vessels) vaginal lubrication ( wetness ) vaginal lengthening and enlargement swelling of the external genitals

 swelling of the vaginal lower third, creating the so-called "orgasmic platform" increase of the uterine volume ascent of the uterus in the pelvis

Causes of FSAD
Physiological:

damage to the blood vessels of the pelvic region resulting in reduced blood flow damage to the nerves in the pelvic area resulting in diminished arousal general medical conditions that damage blood vessels (coronary artery disease, high blood pressure, diabetes mellitus)

 general medical conditions that cause changes in hormone levels (thyroid disorders, adrenal gland disorders, removal of the ovaries) lower levels of sex hormones due to aging (menopause) side effects of medications (antidepressants, antipsychotic drugs, drugs to lower blood pressure, sedatives, birth control pills, or other hormone-containing pills)

Psychological:

chronic mild depression (dysthymia) emotional stress past sexual abuse emotional abuse self-image problems

 relationship problems with partner other mental health disorders (major depression, post-traumatic stress disorder or obsessive-compulsive disorder )

Treatment
Psychotherapy or Talk therapy HRT or Hormonal Replacement Therapy Eros-CTD Kegels exercise