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Hypoactive sexual desire in women
Sexual dysfunction has been shown to be associated with a statistically significant decrease in emotional health, energy, and social function, and is associated with relationship conflict and undiagnosed medical conditions.1Women with hypoactive sexual desire disorder (HSDD) are more likely than women with normal desire to agree with statements expressing negative emotional or psychological states, such as feelings of frustration, hopelessness, anger, loss of femininity, and decreased self-esteem.2
It is easy to see why a clinically adequate definition of hypoactive sexual desire remains elusive- women do not seem to follow one universal sexual response and often present clinically with concerns that are often interdependent.
Psychotherapy treatments of hypoactive sexual desire
Psychotherapy is typically favored when the HSDD DSM speifiers are acquired/situational and treatment will focus on modifying precipitating or contributing circumstances or behaviors.49 However, when the low desire is determined to be secondary to psychological factors such as relationship problems, personality traits, depression, anxiety, poor body image, or sexual abuse/assault, psychotherapy should address these problems either in conjunction or before treating the symptom of hypoactive sexual desire.44 Sex therapy and cognitive-behavioral therapy (individual and/or couples) are the major treatment approaches represented in the empirical literature.
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