Hypoactive Sexual Desire Disorder

Hypoactive sexual desire disorder or HSDD is the lack of interest in sex in a woman which is extended to her being in stress and also causing problems in the relationship. HSDD may also be seen in men.

Basic Insight into HSDD

It is also known as inhibited sexual desire or ISD. A person having HSDD will not respond to the sexual desires of his/her partner.

This causes stress between both the partners. It also leads to disturbance in the relationship between the partners.

The History Behind It

  • Earlier almost till 1970, there were mainly two types of sexual dysfunctions, namely frigidity in women and impotence in men.
  • Later in 1977, it was reported that people have been experiencing a lack of sexual desire.
    It was then that a sexual dysfunction called Hypoactive Sexual Desire (HSD) came into existence.
  • Later in 1984, the disorder was named HSDD and divided from into a new category called Sexual Aversion Disorder (SAD).
  • It was in 2013 that HSDD was classified in its two main categories called Male HSDD and female HSDD.

Some people were having HSDD for a very long time. It was just the matter of research and study that it came to light that lack of sexual desires is a disorder.

HSDD has had many names and has been criticized and amended many times.


Low sexual desire and HSDD are to different things. For something to be a disorder on its own, it needs to have caused distress or interpersonal difficulties.

It may be of three kinds.

  • Lifelong HSDD is when the person does not get sexually excited at all throughout the life,
  • Situational HSDD is the lack of sexual desire for the current partner, and
  • Acquired HSDD is when the person had sexual desires for the partner but now lacks them for the same partner.

The main causes of HSDD, in general, are health issues, psychiatric problems, and low testosterone levels. It may also be caused by high levels of prolactin. Medical problems and health issues are more of a reason to cause HSDD in men than in women.


HSDD can be felt by you if you suffer from it. If you feel that you lack sexual thoughts and desires or lack the initiating of sexual activity, then you might be having HSDD.

You will also experience an increased amount of stress within yourself and the relationship with your partner will be filled with tension.

You might also be diagnosed for HSDD if you are disinterested and do not respond towards the initiation of sexual activity by your partner.

If you suspect yourself of having HSDD, then you must contact a sex therapist and get consulted. It is not a thing to get too worried about as it is curable.

You will just need to get yourself determined that you can get out of it. Now let us see the ways of treating HSDD.


Treatment of HSDD can be done in two respects. One is counseling, and the other is medication.  Otherwise, you can read the Erect on Demand book to alleviate HSDD.

In counseling, as the name suggests, you need to go to a therapist to consult your problems. The therapist will then advise you on how to increase you sex drive.

If the HSDD is of the lifelong type, then it is less likely to be treated by therapy. Many people have unrealistic perceptions about sexual activities.

All the misconceptions can be cleared out by the counseling method. The medication method lays emphasis on balancing the hormones.

One of the short-term measures that can be taken is to give testosterone supplementation to the person having HSDD.

Flibanserin is the first drug that is approved for the treatment of HSDD. People using Flibanserin have been reported to feel an increase in sexual desires.