Wednesday, June 25, 2014

Hypoactive Sexual Desire Disorder (HSDD) : Specialty Treatment & Psychological Counseling Center at Chennai, Tamilnadu, India

Hypoactive sexual desire disorder (HSDD)
Hypoactive sexual desire disorder (HSDD) refers to a woman's chronic or ongoing lack of interest in sex, to the point that it causes her personal distress or problems in her relationships.

It's normal for women to lose interest in sex from time to time. A woman's libido can fluctuate throughout her life. It might be high when she's feeling good about her relationship or if she's excited about a new one. It might decrease when she's under emotional stress or dealing with hormonal changes from pregnancy or menopause.

The important distinction with HSDD is that it causes personal distress. If a woman does not feel concerned about her sex drive, then she probably doesn’t have HSDD. She might have a lower libido than other women, but if she’s not bothered by it, then there generally isn't a problem.

According to the Society for Women’s Health Research, HSDD is the most common female sexual dysfunction and affects about 1 in 10 women. It can happen at any age. The Mayo Clinic notes that as many as 40% of women have HSDD at some point in their lives, according to some studies. 5% to 15% of women have the problem continuously.

HSDD can be frustrating for a woman and her partner. But it's a treatable condition. Even though it might take some time to discover what’s causing it, a woman with HSDD can return to a satisfying sex life.

Conditions - HSDD
HSDD is a complicated disorder with a number of possible causes. Sometimes, several underlying conditions contribute to HSDD all at once. There can be physical causes, such as hormonal fluctuations or surgery that changes a woman’s body image. There can also be psychological and emotional causes. Many women associate a positive emotional connection with their partner with pleasurable sex, so negative changes in a relationship can trigger a lack of interest.

Physical Conditions
Many illnesses, such as diabetes, cancer, arthritis, and coronary artery disease, can weaken a woman’s sex drive. Similarly, many medications, like those taken for depression and high blood pressure, can decrease her libido. Even fatigue can take its toll. A woman may just be too exhausted to want sex.

Women may experience lower sex drive during menopause, when levels of oestrogen – a hormone that boosts libido – fall substantially. Women can also see testosterone levels drop during menopause. Testosterone is usually associated with a man’s sex drive, but it affects women, too.

Also, hormonal changes during and after pregnancy can make a woman less interested in sex.

Psychological and Emotional Conditions
A number of psychological and emotional factors can affect a woman’s sex drive. She may have anxiety, depression, or poor self-esteem. She might be under a lot of stress. Or, she might be a victim of physical abuse, sexual abuse, or rape.

Problems in her relationship can also be a factor. If her partner has been unfaithful or deceitful, her lack of trust may make her less interested in sex. Low sex drive might result if she and her partner don’t communicate well or haven’t resolved a fight. She and her partner might not have satisfactory sex to begin with because they don’t talk about their needs or what they like in bed. They might not know how to talk about it or are too embarrassed to do so. That can fuel low libido, too.

Diagnosing HSDD
The main symptom of HSDD is a lack of interest in sex. But because every woman is different, there is no official threshold or diagnostic test that tells whether a woman has HSDD or not. Rather, diagnosis depends on how distressed she is about her low sex drive and whether it’s causing any problems for her.

However, if a woman does express concerns about low libido, doctors will usually try to pinpoint any underlying causes. They often start by looking for related physical causes and do a complete medical workup, including a medical history, screening tests, and pelvic exam.

Doctors might also refer women to a counsellor or sex therapist to see whether there are emotional or relationship issues that need attention.

Treating HSDD
There are many ways to treat HSDD. Just as a combination of factors can cause the disorder, a combination of treatments can be beneficial.

Treatments for the physical causes depend on the individual. For example, changes in medication or diabetes control may be in order. A woman might need to make some lifestyle changes to combat stress and fatigue.

Some women also benefit from counseling or sex therapy. Specialists can help them cope with any past sexual trauma. They can help women improve their self-esteem and understand their relationships with their partners. Women can learn how to talk about sex with confidence and express their needs and concerns to their partners. They might also introduce ways to make intimacy a bigger priority – and more interesting.

Understanding HSDD
Did you know that hypoactive sexual desire disorder (HSDD) affects about 1 in 10 women?

It’s the most common of female sexual dysfunctions, but it’s under diagnosed and undertreated.  Many practitioners aren’t sure of how to approach it with their patients.  Some clinicians feel uncomfortable discussing sex.  Others feel that they don’t have the expertise to handle HSDD complaints or that discussing sexual health will take up too much time during the office visit.

However, sexual health is important to overall general health.  And because HSDD can have medical and psychological implications, it’s best to keep it in mind when assessing your female patients or clients.

What is HSDD?
HSDD is a decrease or absence of sexual desire that causes a woman personal distress.  The “personal distress” aspect is critical.  Sexual desire varies from woman to woman. What might seem “normal” for one may not be “normal” for another.  If a woman is not bothered by her level of desire, then she probably does not have HSDD.  

HSDD is classified as generalized or situational.  In generalized cases, a woman lacks desire in most sexual circumstances.  When HSDD is situational, it only happens at certain times.

HSDD can also be classified as acquired or lifelong.  Acquired HSDD happens after a woman has had normal functioning for some time.  

There are many possible causes for HSDD.  Common physical ones include diabetes, high blood pressure, and coronary artery disease. Certain medications, such as antidepressants, can affect sex drive.  And hormonal changes from pregnancy or menopause can play a role.

Psychological issues like stress, anxiety, depression, low self-esteem, and sexual abuse are other causes.  A woman might also lose her desire for sex if there are problems with her partner or relationship.

Often, there is a combination of causes at work.  For example, a new mother might lose interest in sex because of hormonal changes and because she’s exhausted from caring for a newborn baby.

HSDD can lead to, or worsen, poor self-esteem, anxiety, and problems with relationships.

Patient/Provider Communication

Why is HSDD under diagnosed and undertreated?
The problem may be communication – or lack of it.  Many healthcare providers don’t bring up the subject of sex.  It’s awkward sometimes.  There are cultural taboos.  Taking a sexual history may not be part of the everyday routine.  Some providers are afraid of offending their patients.  Or they might not feel confident in their abilities to handle sexual health issues.

Unfortunately, female patients are often just as – or even more – reluctant to bring up the subject.  Many women are brought up to believe that “nice girls” aren’t supposed to want to have sex or that their sexual needs aren’t important.  Some believe, or fear, that it’s all in their heads.

Also, many women simply don’t know about HSDD and that it’s a treatable condition.  A recent survey conducted by the Society for Women’s Health Research showed that women were 7 times more familiar with erectile dysfunction in men (ED) than with HSDD.  66% of the women surveyed knew about ED, but only 9% knew about HSDD.

But remember, you and your patient are a team.  Your goal is to improve overall health and addressing sexual health concerns, when appropriate, is part of that goal.

So how can you approach the topic?
Establish rapport with your patient.  Help her understand the importance of sexual health and that it’s okay to discuss sexual matters.

For diagnosing HSDD, the Decreased Sexual Desire Screener (DSDS) is a helpful tool.  The DSDS is a five-point questionnaire that a woman can easily fill out during her office visit (click here to see the questions).  Provided instructions guide the practitioner in clarifying and evaluating the patient’s answers to determine if she does have HSDD.

After diagnosis, you can decide what next steps might be appropriate for your patient.  She may need to be screened for certain illnesses, have her hormone levels checked, or have medications changed.

She may also need a referral to a specialist, such as a sex therapist or counsellor, to help her work through any psychological or relationship issues.

Whom to contact for Hypoactive sexual desire disorder (HSDD) Treatment
Dr.Senthil Kumar Treats many cases of Hypoactive sexual desire disorder (HSDD), In his medical professional experience with successful results. Many patients get relief after taking treatment from Dr.Senthil Kumar.  Dr.Senthil Kumar visits Chennai at Vivekanantha Homeopathy Clinic, Velachery, Chennai 42. To get appointment please call 9786901830, +91 94430 54168 or mail to,

For more details & Consultation Feel free to contact us.
Vivekanantha Clinic Consultation Champers at
Chennai:- 9786901830
Panruti:- 9443054168
Pondicherry:- 9865212055 (Camp)
Mail :,

For appointment please Call us or Mail Us

For appointment: SMS your Name -Age – Mobile Number - Problem in Single word - date and day - Place of appointment (Eg: Rajini – 30 - 99xxxxxxx0 – Hypoactive sexual desire disorder (HSDD)– 21st Oct, Sunday - Chennai ), You will receive Appointment details through SMS


For Appointment Feel Free to Contact Us


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Clinic & Camp Clinics

For more details & Consultation Feel free to contact us.

Vivekanantha Clinic Consultation Champers at

Chennai:- 9786901830

Panruti:- 9443054168

Pondicherry:- 9865212055 (Camp)

Mail :,

For appointment please Call us or Mail Us.


Ø We are taking only minimum number of patients per day.

Ø We are allotting 40 to 5o minutes for new patients & 15 to 20 minutes for follow-ups.

Ø So be there at time to avoid unwanted waiting

Ø we concentrate more to patient’s privacy, so we are allotting 40 to 50 minutes/client – “so be there at time”

Ø We treat Many Diseases, so no one can know for what problem you are taking the treatment – So feel free to talk with Doctor and visit the Clinic.

For appointment: SMS your Name -Age – Mobile Number - Problem in Single word - date and day - Place of appointment (Eg: Rajini- 30 - 99xxxxxxx0 – Psoriasis – 21st Oct, Sunday - Chennai ). You will receive Appointment details through SMS


The information provided herein should not be used during any medical emergency or for the diagnosis or treatment of any medical condition. A Registered Medical Practitioner should be consulted for diagnosis and treatment of any and all medical conditions,

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