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Hypoactive Sexual Desire Disorder in Men (HSDD)

Sexual disorders expand on to vast territories from the conventionally known erectile dysfunction or some disability that might be affecting men in general to deprive an active, regular sex life. Some disorders are categorised to be a mental one than being present in a physical state in the person affected.

One such problem is the Hypoactive Sexual Desire Disorder (HSDD). In HSDD, the person has diminished or total absence of sexual interests or desires, including lack of sexual thoughts, fantasies or any responsive sexual desire. The patient often has no motivation whatsoever to be sexually aroused, and in many cases, these are absent in the person.

A lack of sexual desire could also be a natural problem, as the life cycle and relationship duration could become critical factors for the same.

Some of the symptoms of HSDD are –

The persistent or recurrent absence of sexual/erotic desires, thoughts or fantasies. However, this is only to a degree which causes distress and impairments in the person’s interpersonal relationships. Although these deficiencies are calculated, and the total absence of the same is determined by the clinician, taking into other contexts of the person’s life such as age and other details about their personal life.

This disorder, however, is termed as a mental one and could be due to a direct consequence of substance use, or any medical condition. Conditions like diabetes, obesity, hypothyroidism, cardiovascular disease or a metabolic syndrome could all pave the way for lack of sexual desire.


At CSM or anywhere else for that matter, there is no specific medications that are designed to solve the problem in men with low sexual desire or interest. However, some methods could work on patients, including drugs. However, at CSM, Dr Srinivas Madhavaram would determine the exact treatment based on the diagnosis results of the person in question.

A low sexual desire disorder such as HSDD is pretty much standard. Moreover, once there is distress or tension regarding the problem, men should take a direct approach with the doctor to see if the problem can be solved. However, with most sexual disorders, physical, genetic or mental, the aspect of treatments lies with the timing of the same. So generally a visit to the doctor is must if you feel you are not aroused by things that possibly used to make you think something different previously or regular arousals are not forthcoming.