Hypoactive Sexual Disorder Treatment

Dr. Vinesh ChandramaniyaMD - Psychiatry, Diploma in Psychological Medicine-DPM, MBBS Bachelor of Medicine and Bachelor of Surgery, Post Graduate Diploma in Sexology, Certificate Course in Sex Therapy and CounsellingPsychiatrist

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Kindly consult a sexologist nearby bcoz loss of sexual desire has many reasons behind it. Dis condition is called as hypoactive sexual desire disorder (HSDD). Causes Desire for sex is based on a complex interaction of many things affecting intimacy, including physical and emotional well-being, experiences, beliefs, lifestyle, and your current relationship. If you're experiencing a problem in any of these areas, it can affect your desire for sex. Physical causes A wide range of illnesses, physical changes and medications can cause a low sex drive, including: •Sexual problems. If you have pain during sex or can't orgasm, it can reduce your desire for sex. •Medical diseases. Many nonsexual diseases can affect sex drive, including arthritis, cancer, diabetes, high blood pressure, coronary artery disease and neurological diseases. •Medications. Certain prescription drugs, especially antidepressants called selective serotonin reuptake inhibitors, are known to lower the sex drive. •Lifestyle habits. A glass of wine may put you in the mood, but too much alcohol can affect your sex drive. The same is true of street drugs. Also, smoking decreases blood flow, which may dull arousal. •Surgery. Any surgery related to your breasts or genital tract can affect your body image, sexual function and desire for sex. •Fatigue. Exhaustion from caring for young children or aging parents can contribute to low sex drive. Fatigue from illness or surgery also can play a role in a low sex drive. Hormone changes Changes in your hormone levels may alter your desire for sex. This can occur during: •Menopause. Estrogen levels drop during the transition to menopause. This can make you less interested in sex and cause dry vaginal tissues, resulting in painful or uncomfortable sex. Although many women still have satisfying sex during menopause and beyond, some experience a lagging libido during this hormonal change. •Pregnancy and breast-feeding. Hormone changes during pregnancy, just after having a baby and during breast-feeding can put a damper on sex drive. Fatigue, changes in body image, and the pressures of pregnancy or caring for a new baby also can contribute to changes in your sexual desire. Psychological causes Your state of mind can affect your sexual desire. There are many psychological causes of low sex drive, including: •Mental health problems, such as anxiety or depression •Stress, such as financial stress or work stress •Poor body image •Low self-esteem •History of physical or sexual abuse •Previous negative sexual experiences Relationship issuesFor many women, emotional closeness is an essential prelude to sexual intimacy. So problems in your relationship can be a major factor in low sex drive. Decreased interest in sex is often a result of ongoing issues, such as: •Lack of connection with your partner •Unresolved conflicts or fights •Poor communication of sexual needs and preferences •Trust issues. 

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Dr. Jagadeesan M.S.MD - PsychiatryPsychiatrist

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You say you are aroused on touching, but do not like while doing sex, many women have the same problem, they like more carassing and doing things gently. So discuss with your hubby your needs, try to get rgasm first an then let him have sex and get oorgacm, so both will be satisfied. All the best 

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You get your UTI treated by Urine C/s examination and proper antibiotic course. Once your UTI is treated, you take 2-3 weekly courses of Nuforce 3Kit (taken one day per week only) to get rid of fungal and nonspecific bacterial infections. Then do pelvic exercises and general exercises to boost your physical stamina. Now your sex partner should be very gentle and cooperative. He should do proper and long foreplay before inserting and should use the posture that suits you best. You may use doggy style or in mission keeeping your legs on shoulder of your partner so that you don't get stress on legs. Initially you may enjoy oral sex (cunnilingus) and clitoral orgasm to boost your sexual desire. The lack of sexual desire is psychological and failure to have proper pleasureful sex may further diminish your desire. Hypoactive sexual desire disorder (HSDD) or inhibited sexual desire (ISD) is considered a sexual dysfunction and is characterized as a lack or absence of sexual fantasies and desire for sexual activity, as judged by a clinician. For this to be regarded as a disorder, it must cause marked distress or interpersonal difficulties and not be better accounted for by another mental disorder, a drug (legal or illegal), or some other medical condition. A person with ISD will not start, or respond to their partner's desire for, sexual activity. Other terms used to describe the phenomenon include sexual aversion and sexual apathy. There are various subtypes. HSDD can be general (general lack of sexual desire) or situational (still has sexual desire, but lacks sexual desire for current partner), and it can be acquired (HSDD started after a period of normal sexual functioning) or lifelong (the person has always had no/low sexual desire.) Treatment of HSSD: 1. Psychological counselling and guidance 2. Feeling of Pleasurable sexual activity may increase desire. 3. Testosterone supplementation is effective in the short-term 4.Flibanserin is the first medication approved for the treatment of HSDD. It is only slightly effective over placebo, having been found to increase the number of satisfying sexual events per month by 0.5 to 1 Previously it was not available in India but now it is available as Addyi (flibanserin) 100 mg tablets and may be tried. 3. 

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