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

  • Chapter
Management of Sexual Dysfunction in Men and Women

Abstract

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.

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Author information

Authors and Affiliations

  1. Weill Cornell Medical College, New York, NY, USA

    Sharon J. Parish M.D.

  2. Westchester Division, New York Presbyterian Hospital, 21 Bloomingdale Rd, White Plains, NY, 10605, USA

    Sharon J. Parish M.D.

  3. Albert Einstein College of Medicine, Bronx, NY, USA

    Steven R. Hahn M.D., F.A.C.P.

Authors
  1. Sharon J. Parish M.D.
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  2. Steven R. Hahn M.D., F.A.C.P.
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Corresponding author

Correspondence to Sharon J. Parish M.D. .

Editor information

Editors and Affiliations

  1. Chief, Division of Male Reproductive Medicine and Surgery; Scott Department of Urology, Baylor College of Medicine, Houston, Texas, USA

    Larry I. Lipshultz

  2. Assistant Professor; Division of Male Reproductive Medicine and Surgery; Center for Reproductive Medicine; Scott Department of Urology, Baylor College of Medicine, Houston, Texas, USA

    Alexander W. Pastuszak

  3. Department of Obstetrics and Gynecology; George Washington University; School of Medicine and Health Sciences, The Center for Vulvovaginal Disorders, Washington, District of Columbia, USA

    Andrew T. Goldstein

  4. Psychiatric Center Copenhagen; Institute of Clinical Medicine; University of Copenhagen, Sexological Clinic, Copenhagen, Denmark

    Annamaria Giraldi

  5. Weill Medical College Cornell University; Co-Director, Human Sexuality Program; The New York Presbyterian Hospital; Founder, MAP Education and Research Fund, Clinical Professor of Psychiatry, Reproductive Medicine and Urology, NEW YORK, New York, USA

    Michael A. Perelman

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Parish, S.J., Hahn, S.R. (2016). The Epidemiology and Diagnosis of Hypoactive Sexual Desire Disorder and Causes of HSDD: Situational, Depression, Drugs, Chronic Illnesses, and Hormonal Depletion. In: Lipshultz, L., Pastuszak, A., Goldstein, A., Giraldi, A., Perelman, M. (eds) Management of Sexual Dysfunction in Men and Women. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3100-2_20

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  • DOI: https://doi.org/10.1007/978-1-4939-3100-2_20

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-3099-9

  • Online ISBN: 978-1-4939-3100-2

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