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Revitalizing Psychiatry
Sexual Desire Disorder
Hypoactive Sexual Desire Disorder is a lack of sexual desire that causes a woman personal
distress. This includes a persistent or recurring deficiency or absence of sexual fantasies or
thoughts, or a lack of interest in sex or being sexual. Often women suffering with this complaint
will report they feel "flat" sexually or sexually "dead".
Potential Causes
- Medical factors: e.g. medications.
- Emotional factors: e.g. depression, anxiety, stress.
- Relationship factors: e.g. conflicts, anger, lack of trust
- Menopause: natural or surgical.
- Sexual arousal disorder: e.g. sex is frustrating and/or painful
What Can You Do?
First, consider whether there are indeed emotional or relationship variables contributing to your
problem. It helps to be evaluated by a trained sex therapist who can help you sort this out. Rule
out medical causes as well. The first step is to rule out hormonal factors, especially low
testosterone. This can be accomplished with simple blood tests. From what we presently
understand about the role of testosterone in women, Free Testosterone should be a minimum of
1.9 and Total Testosterone should be a minimum of 20. If your testosterone is low, you can talk to
your doctor about potentially replacing your testosterone. If you feel like your sexual response is
low and that is feeding into your lack of interest due to pain, dryness, or lack of response or
arousal, or physical release, you should consider seeking evaluation and treatment of sexual
arousal disorder.
Hypoactive Sexual Desire Disorder is a lack of sexual desire that causes a woman personal
distress. This includes a persistent or recurring deficiency or absence of sexual fantasies or
thoughts, or a lack of interest in sex or being sexual. Often women suffering with this complaint
will report they feel "flat" sexually or sexually "dead".
Potential Causes
- Medical factors: e.g. medications.
- Emotional factors: e.g. depression, anxiety, stress.
- Relationship factors: e.g. conflicts, anger, lack of trust
- Menopause: natural or surgical.
- Sexual arousal disorder: e.g. sex is frustrating and/or painful
What Can You Do?
First, consider whether there are indeed emotional or relationship variables contributing to your
problem. It helps to be evaluated by a trained sex therapist who can help you sort this out. Rule
out medical causes as well. The first step is to rule out hormonal factors, especially low
testosterone. This can be accomplished with simple blood tests. From what we presently
understand about the role of testosterone in women, Free Testosterone should be a minimum of
1.9 and Total Testosterone should be a minimum of 20. If your testosterone is low, you can talk to
your doctor about potentially replacing your testosterone. If you feel like your sexual response is
low and that is feeding into your lack of interest due to pain, dryness, or lack of response or
arousal, or physical release, you should consider seeking evaluation and treatment of sexual
arousal disorder.
Sexual Desire Disorder