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Hypoactive sexual desire disorder: prevalence and differential diagnosis

Hypoactive sexual desire disorder: prevalence and differential diagnosis

Confounding factors in the diagnosis of HSDD include concurrent major depressive disorder (MDD) with related features of onset with hormonal changes associated with reproductive-life events, financial dependency, greater number of children, history of sexual harassment, and co-morbid diabetes mellitus. The greatest dilemma in differentiating between HSDD and MDD appears to be related to women responsive to antidepressant therapy with a serotonin reuptake inhibitor, but with associated sexual dysfunction/diminished desire. Surveys of primary care physicians and specialists reveal low comfort and knowledge about diagnosis and treatment of HSDD. As a result, providers rarely initiate discussions with patients about sexual functioning, and sexual disorders go undiagnosed. Evaluation should include assessment of all phases of the sexual response cycle with emphasis on nature, duration, and intensity of the change in sexual desire, level of personal distress, quality of the relationship, sexual history, and notation of medical and psychiatric diagnoses and treatments with targeted physical examination and laboratory studies. Current treatment options are limited; further research is needed.
Speakers: Anita Clayton
Conference: Demo