Understanding Female Sexual Interest/Arousal Disorder: Causes, Symptoms, and Treatments
Women experiencing a persistent lack of sexual desire and fantasies for six months or more may be dealing with female sexual interest/arousal disorder, previously known as hypoactive sexual desire disorder (HSDD). This common sexual dysfunction can stem from various physical and emotional causes, but it's important to note that it's not a normal part of aging.
HSDD is diagnosed through patient interviews, identifying underlying causes, and sometimes physical exams or blood tests. Symptoms include little to no interest in sexual activity, few to no sexual thoughts or fantasies, disinterest in initiating sex, difficulty getting pleasure from sex, and lack of pleasurable sensations during genital stimulation. These symptoms can lead to distress or interpersonal difficulties.
Physical causes of HSDD can include arthritis, coronary artery disease, diabetes, hormonal changes, fatigue, and certain medications. Emotional causes can range from anxiety and depression to low self-esteem, sexual abuse, and trust issues with a sexual partner. Many women may attribute symptoms to aging or physical changes, but it's crucial to seek medical advice.
Treatments for HSDD depend on the underlying cause and may include adjusting medications, counseling, estrogen therapy, or lifestyle changes. Lifestyle changes can involve regular exercise, setting aside time for intimacy, sexual experimentation, avoiding substances that affect sexual desire, and stress-relieving techniques. Flibanserin (Addyi) and bremelanotide (Vyleesi) are FDA-approved medications for treating low sex drive in premenopausal women, but they have potential side effects.
If a woman experiences a lack of sexual desire for six months or more, it's essential to consult a healthcare provider. They can help identify the cause and provide appropriate treatment. While HSDD is a common condition, it's treatable, and women don't have to live with it in silence.
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