The Epidemiology and Diagnosis of Hypoactive Sexual Desire Disorder and Causes of HSDD: Situational, Depression, Drugs, Chronic Illnesses, and Hormonal Depletion

  • Sharon J. ParishEmail author
  • Steven R. Hahn


Hypoactive sexual desire disorder (HSDD) is defined as persistent deficient sexual fantasies and desire for sexual activity that causes marked distress or interpersonal difficulty and is not better accounted for by another psychiatric disorder or substance, medication, or medical condition. HSDD affects 10 % of women ages 18 and older. HSDD is associated with lower health-related quality of life, lower general happiness and relationship satisfaction, and low self-esteem. HSDD is underdetected; important areas for diagnostic evaluation include screening for depression, medications, relationship satisfaction, and androgen status. The decreased sexual desire screener is a tool for detecting and diagnosing HSDD, validated for use in primary care.


Hypoactive sexual desire disorder Distressing low libido Androgen deficiency Hormonal insufficiency Menopausal symptoms 


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Copyright information

© Springer Science+Business Media New York 2016

Authors and Affiliations

  1. 1.Weill Cornell Medical CollegeNew YorkUSA
  2. 2.Westchester DivisionNew York Presbyterian HospitalWhite PlainsUSA
  3. 3.Albert Einstein College of MedicineBronxUSA

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