HYPOACTIVE SEXUAL DESIRE DISORDER _ live discussion with Dr Rosemary and Meshy

追加: 2026-05-17

[00:01:51]Okay. Uhhuh.

[00:01:54]Good uh morning. Good morning. Good morning. Good morning everybody. Uh so this is Mishi from Smart Health 047. Uh your usual health educator. you've seen face in most of your smartphones, your tablets, your computers, your televisions. So, actually um this is not a new face. Okay. So, today we very very special guest with us and the guest uh speaker is um goes by the name uh Dr. Rosemary. So, Dr. Rose us through or will be will be helping us tackle a condition here called hypoactive sexual desire disorder. So just from the word hypo hypo. So before I continue let let me give you guys uh like around or 2 seconds then once I see that people have already joined we will just begin our session instantly. So let me just give you some time you join before we begin officially but uh in the meantime in the meantime let me just talk about what handled uh recently. Okay I'm waiting for others to join. I'm waiting for. So remember recently we tackled a condition here. Okay, we've tackled very many conditions. We tackled fibrosis. We tackled and I remember that on Saturday we tackled the last Saturday we tackled a condition called fistula. Okay. So condition where there is an abnormal connection bringing about an unwanted leakage. Okay. So that was all about the the previous uh weekend's session. It was on fistula and today we are doing something totally different. Okay. So let's talk about this condition called uh hypoactive sexual desire disorder.

[00:03:41]But before I continue give our guest some three to four seconds so that she says hi to us. She tells us her name what she'll be tackling today and kindly our guest speaker don't include so much of your personal information. So our guest speaker uh the floor is yours.

[00:03:56]Once you finish, you alert me. Just do this and I know that you finished.

[00:04:02]>> Okay. Hello guys.

[00:04:04]Good morning.

[00:04:06]My name is Rosemary Namura.

[00:04:10]Yeah, Mishak is my classmate and today we'll be tackling a topic on hypoactive sexual desire disorders.

[00:04:20]So yeah, you're all welcome.

[00:04:28]Okay. Okay. That was a very very brief but smart introduction from our guest speaker. So guys, just just as I mentioned today, we going to tackle a a common condition here called a hypoactive sexual desire disorder. So just from the word hypoactive that means that there is it's something that is in low effect. Okay, just from the word hypo. We always have hyper and hypo. So with uh no more stories, no more uh gaze works or anything else, let's just talk about the definition of this condition called hypoactive sexual desire disorder. What is this condition? Okay, so let's say this hypoactive sexual desire disorder is a persistent or recurrent deficiency or absence of sexual thoughts, fantasies and or desire for sexual activity that causes distress or interpersonal difficulty. So this one is a persistent condition. It is something recurrent and it can also cause absence of sexual thoughts, sexual desires, fantasies or even uh desire for sexual activity and it causes marked marked distress or interpersonal difficulty. So this condition actually it causes stress because tell me you are a man or you are a woman yet you don't have the sexual desires you don't have the sexual thought the sexual fantasies it's going to be it's going to be uh sorry it's going to be difficult even maintaining a relationship that's the definition of hypoactive hypoactive sexual desire disorder in simple terms in simple terms this condition is where sorry this condition is where someone has got maybe someone has can have a low sexual desired low sexual desire liido what you commonly call it. Okay. So guys before I proceed if you are new to this face of this channel kindly subscribe to us and if you already the session kindly like the session for us so that it reaches many people share the link invite friends and let's learn together.

[00:06:25]So that was the definition of hypo hypoactive sexual desire disorder. And I said it's a persistent or recurrent deficiency or absence of sexual thoughts, fantasies or desire for sexual activity that causes marked distress or interpersonal difficulty. Interpersonal difficulty. You can even talk of relationships. Relationships normally break because of this condition because your partner will want to have maybe um your partner will want to engage in maybe uh some sexual activity uh during the night but you you don't have the desire. So that one will cause our guest speaker kindly look for look for stable internet kindly kindly make sure you have stable internet. Anyway, let's proceed. That was all about the definition of hyperactive sexual desire disorder. So let me just mention something small then I will give I'll get to say something on the causes and the other things right. So let's let's say this that it is classified under under sexual dysfunctions in the DSM5 TR criteria. Okay. So DCM5 uh DSM5 criter criteria simply stands for diagnostic and statistical manual of mental disorders under the fifth edition. Okay.

[00:07:41]So we are saying that this condition called hypoactive sexual desire sexual desire disorder is classified under the DSM5- TR criteria that's now often grouped under the female sexual interest or arousal disorder in women. So we also have these conditions in um okay uh we have a comment here comment from someone by the name Joel. Joel is saying hi. Okay Joel thank you so much for tuning in. This is Mishi uh doing health education and uh I'm very very happy to see you on board. Thank you so much for tuning in. Kindly share the link, subscribe to us, like the videos and we will really really appreciate.

[00:08:19]Anyone else in the forum like the videos, like the session, comment, tell us what your thought your thoughts are and let's keep learning together. So I was saying that uh in men in men uh similar symptoms may be referred to as male hypoactive sexual desire disorder.

[00:08:36]Okay. So there's always a myth that always trend that people people always say that only men have got sexual disorders. No that's not true because as time goes by we will find that this condition that we are tackling today it's more common in females. Okay. So those myths those misconcept misconceptions that people always say that this condition is only that only men only men are the people who have got sexual disorders. No even the female gender have got sexual disorders. Let's get this right. And this condition called hypoactive sexual desire disorder. It is more common common in females than in males. So without moving so much further, let me give our guest speaker some time. She she tells she talks to us about the causes and the treatments. So talk about two things first. Talk about the causes of this condition and the treatment options for this condition. Our guest speaker uh kindly proceed.

[00:09:30]>> Thank you my Okay. So, I'm going to tackle on the possible causes of the hypoactive sexual disorder. And as Mishak has said, it's more than just not being in the mood. Sometimes it's lack of the desire. Usually, it goes on for a long time, you know. Okay. So, I'm going to start. So, the first possible cause of maybe this hypo sexual desire disorder is stress or anxiety. when someone stress or anxiety when when the person is depressed when you are having relationship problem hormonal changes and on hormonal changes um one thing we all know that hormones really play a very important role on sexual desires um especially on the one hormone is the estrogen for the female, testosterone for the male. Um um for these hormones, they contribute to low libido.

[00:10:41]Yeah. In fe in male. Yeah. Yeah. And the other possible cause of the HSD is certain medication.

[00:10:54]And on the certain medication um they lower sexual desire such as the antidresent.

[00:11:03]So this is anti-depressant is taken and it works by changing brain chemicals called the neur neurotransmitters especially the serotonin dopamine and the yeah those two. So some anti-depressant anti increases serotonin levels well this helps improve depression and we have said one of it is depression that causes um this HSDD.

[00:11:36]So these anti-depressants increase serotonin levels. Well, this helps improve depression and anxiety too. Much serotonin cause sometimes low libido, reduce sexual thoughts and make aerosol more difficult. Okay. Um the other medication and substance that causes this this HD HSDD is blood pressure medication. when a person is taking blood pressure medication in a reduce the the having sex and we also have hormonal contra cons contraceptives.

[00:12:18]Okay, sorry for that. So the other one is the medic medical condition. If someone has diabetes you know if someone has diabetes in a reduced the age of having sex desires if someone has cancer you know this medical condition comes with pain. So there is no time for thinking about having sex. You have hypertension chronic pain.

[00:12:43]When someone has they tend to have low desires of sex.

[00:12:51]Yeah. H treatment management. We can say someone can go for counseling and therapy. We can say lifestyle changes like stress reduction.

[00:13:05]You can reduce the stress that you're having. Okay. And at some point it can reach where you can go for medical condition. I mean medical treatment.

[00:13:14]Okay. So yeah, I think I'm done on the treatment.

[00:13:20]Um I think yeah, I'm done.

[00:13:25]You can continue.

[00:13:29]Okay, that was a nice presentation on the causes of uh this condition called uh hypoactive sexual desire disorder. So our guest speaker has just taken us through the causes what the what the things that cause these sex uh this hyperactive sexual desire disorder of various causes. Okay. So let me just go through maybe in summary. Okay. Let me just go through them quickly. I'm just going to give a summary just in a nutshell about 3 minutes then I will proceed to the next thing. So she has talked about various factors and let's say this that this condition called hyperactive sexual desire is so is a sorry is multiffactorial meanwhile it is caused by various factors many many factors. So we can have factors like psychosocial factors relationship factors medical and pharmacological factors drugs hormonal causes and social socioultural factors. So all these factors all these factors are very very essential. They're very very important in causing this condition called hypoactive sexual desire disorder. So let's just begin with the first one. You have got what you call psychological causes. So how do psychological causes reduce sexual desires or reduce libido or even reduce sexual thoughts or fantasies in a normal human being. So under psych psychological causes we have got depression, anxiety disorders, stress, low self-esteem. We also have history of trauma or sexual abuse.

[00:14:58]History of trauma or sexual abuse. How someone might be wondering how does this cause this condition? If someone maybe let's talk give a good example of maybe a rape case. If someone had been has ever been raped before she the person he whether he or she she will be afraid of engaging in sexual activity again because she'll be like what if I have the same feeling I had the other day. So you get it. So that's the way in which trauma and maybe um trauma or history of uh sexual abuse can cause this condition called hypoactive sexual desire disorder. We also have depression.

[00:15:32]Someone who is depressed. We we know very well that stress and depression really affects these reproductive hormones or the sex hormones and we have the hormones that stimulate the sexual desires. So once stress and depression have reduced these hormones, someone is going to be inactive sexually. Right. Yeah. We also have anxiety disorders. Someone is just anxious. What will happen next? Yeah.

[00:15:54]Someone will be like, "What if I get an infection? What if I do what if this and this happens?" Yeah. Because of maybe some beliefs. We have we have got the second factor called relationship factors. Under relationship factors, you have got poor communication, conflict of resentment, lack of emotional intimacy and partner sexual dysfunction. Poor communication. There are those of us who don't know to communicate sexually.

[00:16:17]Yeah. You want to use you want like you find someone going to bed with official clothes. Someone is wearing suits.

[00:16:22]Someone is wearing no you have to for sexual desires to maybe to be brought up. You have to communicate well sexually. Right. We also have lack of emotional intimacy. That way that's where that's where now what we call bonding comes in. If there is no bonding with uh between you and your partner, you'll find it even difficult to maybe engage sexually. But if there is good bonding, we are going to have uh emotional intimacy. Right? We also have another factor called conflict and resentment. Conflict couples who have just and who are just from conflict will not even have sex in the in the in instantly. They'll take some time. Okay?

[00:17:00]So you'll find that the man wants to have sex but the lady is still still angry. So she she won't engage in that sexual activity. You also have um partner sexual dysfunction. Partner sexual dysfunction. There are these these disorders or these conditions we can find one or both the partners have these conditions that are making them to maybe this be sexually inactive. We have the third factor called medical and pharmacological causes. Under medical and pharmacological causes we have some chronic diseases like diabetes, melitans, hypertension and cancer.

[00:17:34]People who have these diseases are always are always up. Okay. And once I say very well that when once someone has got stress or depression this one this one will affect the sexual hormones. We also have another thing like hormonal disorders. So there we have got hypogonadism and thyroid disorders. So thyroid disorders you have got hypothyroidism. We have got hypothyroidism. Those are just effects like examples of thyroid disorders. Then under um hypogonad gonadism we always have things we call gonads. That's in anatomy or biology in high school.

[00:18:07]gonads right so hypogon hypogonadism simply means that there are little or less gonads and gonads are sexual just like a sexual sexual tools so if they are in insufficient amount you'll find that someone has got low or less desire for sexual activity we also have now the fourth factor called drugs there are these drugs they are these drugs that suppress sexual hormones okay we have drugs like anti-depressants okay we have anti-depressants.

[00:18:39]We also have uh anti-hypert hypertensives. Okay. We also have antiscychotics and hormonal contraceptives. Hormonal contraceptives.

[00:18:49]Those who are undergoing like hormonal therapy. Some of these drugs we take can affect they can affect our sexual desires. Okay. We also have the fifth factor uh or the fifth cause of this condition called hormonal causes. Now this one I want you to pay much attention. need hormonal causes. So hormonal causes we have got low testosterone hormone or we can also have menopause and we all know that once someone reaches menopause menopause simply means that maybe these sex sex hormones are always now they are they are being reduced. Okay that's now the simple terms of menopause. Once someone reaches monopol the sexual desires will now have will now be reducing and in this stage this one is now where people will be having this hypoactive sexual desire disorder. Let's get let's get let's get this right. We also have hypo sorry hyper prolactinmia.

[00:19:41]This one is just a condition that maybe leads to high levels of what we call prolactin. Prolactines are just hormones. Okay. Prolactines are hormones. So when there is a condition called hyper prolactinmia it's going to affect the sexual desires leading to leading to lower libido lower intimacy something sort of that right we also have socioultural factors here we have got beliefs we have got sexual repression and lack of sexual education that is why I am doing sexual education today okay we have got also sexual repression we also have cultural or religious beliefs cultural and religious beliefs a good example There are those religions that believe that when uh tomorrow is a Sabbath day, then you should not have sex that the the night to a night before that day.

[00:20:28]There are beliefs that dictate. So, so these ones affect the sexual desires, right? You find that maybe one maybe if if maybe there's a man and a woman who are married then the the religion state.

[00:20:42]So, so you'll find that maybe the man wants to engage in some sexual activity but now there is a law that bringing in that obstruction that you can't have sex when maybe tomorrow is Sab there such things. Okay, that one being mentioned that was just a summary of what our guest speaker talked about just a summary causes or ideology of uh hyperactive sexual desire uh disorder.

[00:21:07]So that one being being said uh let me give uh before I give our guest speaker time to talk about the treatment let me quickly talk about the epidemiology of this condition epidemiology epidemiology the research that has been done what does it show like which part does it affect most which parts does it affect like maybe in low levels so under epidemiology we say this condition is more common in women than men are we getting this right so those who always assume that only men have got sexual disorders. No, that is totally false.

[00:21:42]This condition called hypoactive sexual desire disorder is more common in females than in males. Then another thing is that the prevalence so in women it takes about 10 to 10 to 30%. So this one varies with age and population 10 to 30% in women and it varies with age because with age as time goes by someone is getting old someone is get is approaching menopause and that one will lead to the hypoactive sexual desire disorder. We also have a so it's more frequent in increasing ages chronic illnesses and relationship dissatisfaction.

[00:22:18]Relationship dissatisfaction when when your partner does not satisfy you sexually you'll have that condition.

[00:22:23]you'll be like uh maybe it will leads to some distress, some stress, some depression and that one will lower the sexual hormones. We are not doing this work. We are talking about facts that have been approved scientifically.

[00:22:36]So I've talked about the uh the definition the epidemiology and I've gone through what our guest speaker talked about under the ethology. So let me talk about now uh normal sexual desire physiology. Normal sexual desire physiology. We've talked about now the uh abnormal sexual desire physiology. So let's talk about now the normal one. How is the sexual physiology brought about the normal now in in a normal way. So let's say this sexual disorder is regulated by a complex interaction of number one we have got neurotransmitters.

[00:23:11]So sexual disorder is regulated by number one you have got neurotransmitters and one mention of these three these three neurotransmitters. We have got serotonin. We have got dopamine and we have got no what's the name norepinephrine or no something sort of that. So for dopamine this one increases desire what you call prosexual you've heard someone saying that pro like something of that. So we saying that dopamine dopamine can hormone or neurotransmitter. So dopamine increase the desires. So if you see that someone is highly like sexual highly sexually active maybe we can talk of neurotransmitters like dopamine. Then about neuropinephrine this one enhances arousal arousal mostly in females arosal there are those females that you can you can do the f until you're tired but they are not even arosed. So we have got that problem with the what we call neuropinephoprine that's a neurotransmitter. We also have serotonin.

[00:24:17]So serotonin this one inhibits uh inhibits desire. So high levels of serotonin uh high levels of serotonin reduces libido. So someone who has got a lower libido there can be there can be possibility of high levels of serotonin hormones or neurotransmitters. So let's not just blame our partners. Let's not blame everybody that oh so and so has got hyperactive sexual desire. No, some of these things are uh caused by maybe neurotransmitters, hormones and yeah biological factors. We also have now um we also have hormones. Hormones also affect sexual desires. So under hormones we have got hormones like testosterone uh estrogen and also oxytocin. So for oxytocin this one brings about the bonding and intimacy. Oxytocin is always very very important. Without oxytocin we cannot even develop those feelings we always have before the sexual activity.

[00:25:13]Without oxytocin you can do the foreplay for about 1 hour yet there is no change or no result. We also have testosterone hormone. So this one is a key driver of libido in both sexes. Testosterone hormone. So testosterone hormone is found in both the females and the males.

[00:25:28]So in this one is a key driver in libido in both sexes. We also have estrogen hormone. This one is all about vaginal health and sexual responsiveness.

[00:25:39]We also have now so apart from the neurotransmitters, the hormones and the uh so let's talk about now the brain areas. So there are these brain areas that are also engaged or included in the sexual activity or sexual desires. So number one you have got the lyic system the lyic system. So the lyic system brings about the emotions emotions. Emotions if you don't have emotions how are you going to even bond with this person? And how you going to engage in that intimacy? Another part of the brain areas you have got hypothalamus. Very very important. So for the hypothalamus, this one is all brings about the hormonal regulation.

[00:26:14]Hypothalamus is a part of the brain and it brings about uh hormonal regulation.

[00:26:20]So it's going to regulate this sexual hormones to either bring to either raise sexual desire or lower sexual desire. We also have prefrontal cortex. This one brings about cognition and inhibition.

[00:26:34]Guys, that was all about what I want to talk about. I've talked about the definition epidemiology, normal sexual desire physiology, and I've passed through what our guest speaker talked about on causes of this condition called hypoactive sexual desire disorder. So, let me give us our guest speaker time again to talk us through the treatments and the diagnosis for hypoactive sexual desire disorder. Our guest speaker, the time is all yours.

[00:27:01]Thank you very much.

[00:27:04]Okay, I'm going to tackle on the treatment of the hypoactive sexual disorder and let me say something about it. So having a low sex drive occasionally is having sex drive. Low sex drive sometimes is normal. Okay. But it becomes hypoactive sexual disorder when it persists. Okay. So yeah, let me I was just briefing about that. Okay, on the treatment, it depends on the course and it may include one counseling counseling or sex therapy. So you can find a therapy and go for counseling.

[00:27:50]It may be one okay. Oh lord, that is one of the treatment. Okay. The second one is stress stress management.

[00:27:59]You know if you are having stress okay about something like okay physically you can take a walk. Okay. So that is one management of sex treatment on the hypo sexual um desire disorder and the third one is treating underlaying med medical or mental health condition. Okay. Can the treating and ling medical for example you have diabetes you can go for >> okay uh let's continue I think uh our guest speaker is having some uh internet errors our guest speaker kindly once more look for a stable internet I'm repeating this our guest speaker look for look for stable internet cuz it's bringing about some interruptions so guys as our guest speaker is sing about the issues of uh the internet uh errors let's now talk about the clinical features. Clinical features of someone having guess you back.

[00:29:04]>> Hey, look for stable internet. Kindly look for stable internet.

[00:29:12]>> I'm back.

[00:29:14]>> Okay, proceed.

[00:29:17]>> Okay, let me do it um quickly. adjusting medication and we also have the hormonal medication treatment in some courses. Um on the diagnosis health care providers diagnosis through okay on the diagnosis it can be diagnosed um on the medical history if you have a medical history of it. The second one if you have okay the sex history it can be diagnosed through your sex history. The third one is physical examination and the fourth one we have psych psychological strobe assessment.

[00:29:55]>> Okay guys let's proceed. Seems like our guest speaker has got no stable internet but that one will not for us from proceeding. So guys as she is sorting out the issues I believe she she's sorting out the issue of internet errors. Let's talk about now the clinical features. the clinical features of someone having the uh hypoactive sexual desire.

[00:30:19]So the number one so we have got the key symptoms these one are things that maybe notice you will you will just note that someone is having the hyperactive sexual desire disorder. Okay. So the one sorry the one the first clinical feature you have got reduced or absent sexual thoughts or fantasies. Someone is just blank. She he or she doesn't have sexual fantasies, sexual thoughts. They are just like they don't know anything. So such kind of people it's either they are introverts or they don't the sexual desire. Okay. So this one is a condition that affects many people.

[00:30:56]The second clinical feature called the decreased initiation of sexual activity.

[00:31:01]Decreased initiation of sexual activity.

[00:31:03]These are people that are not initi initiated easily into sexual activity.

[00:31:08]You will do them whatever it takes. You will conduct the foreplay. I hear you call it foreplay. You will do everything it takes. You will attract them sexually but they will not they will not be having any sexual desire. They will not be no need for intimacy. We have the third factor.

[00:31:32]can be uh so much willing to engage in maybe uh an intimacy but with you if you are having this condition it will be very difficult for you to uh chip in it will be very difficult for you to maybe engage in an intimacy. Okay, we have the fourth clinical feature uh lack of pleasure in sexual activity. Lack of pleasure in sexual activity. We have these people, this one is very very we have these people that they they'll be like h so and so does not satisfy me so and so I don't know it's not sweet or something. You always you always say these things right you always say them so you're not new to them. So these kind of people it's ether sexual desire disorder this is just a disorder a disorder mental it can be mental disorder actually because you always included the brain as another factor. So for someone having um hypoactive sexual desire uh disorder they can have lack of pleasure in sexual activity that being mentioned I've talked about the clinical features. So let's talk about now the next thing under the key requirements. What are the key requirements of this condition? So we have so this condition number one it must cause number one distress and number two it must cause interpersonal difficulty. distress. Someone will just be stressed up. Then we can also have interpersonal uh difficulty.

[00:32:51]Interpersonal difficulty. These are these most of the breakups, most of the uh instability in hips. Okay. Because of the uh maybe the uh we have the maybe the low sexual desires or even the intimacy. Most of you call them call it a libido. Okay. So someone having these conditions they will have problems in their relationships in their marriage mess and they will end up in breakups.

[00:33:20]These these are the like um someone broke up with so and so because the person was not maybe responding to her advances not satisfying her well as you always say. So these are things that happen actually these are things that happen. So I don't know how strong the guest speaker's internet is. Guest speaker uh are you okay now?

[00:33:45]Okay so the guest speaker is saying she's our guest speaker kindly kindly kindly next time kindly look for stable internet. So guest speaker maybe you can take us through uh you can take us through the treatments and the diagnosis. So kindly take us through the treatments and the diagnostic measures for this condition called hypoactive sexual desire disorder.

[00:34:10]Okay, I'll just be repeating myself cuz I've already tak very very serious problems. But anyway, uh at least she's with us. She's uh maybe okay. Okay. But next time we just hope that you have a stable internet kindly. Okay. So let us talk about now uh the diagnosis of this condition called hypoactive sexual desire disorder. Diagnosis. How do we know that someone is having this sexual disorder?

[00:34:54]Okay. Because it's not everyone who has who have got low sexual desires that have got this condition. No, some of them have got other problems. So how do we diagnose someone? How do we diagnose that someone is having this condition?

[00:35:06]How do we come up with a conclusion that someone is having this condition? So we have got the DCSM5 criteria. I talked about this and I defined it and I gave the full meaning of this DSM5 criteria.

[00:35:19]So for the diagnosis the uh the symptoms uh for One.

[00:36:27]Okay. Okay. Sorry guys. Sorry, sorry, sorry, sorry. I think there's also a technical error with my system also. But at least we are back again. So, let me quickly because I'm seeing there's some problem. Let me quickly talk about the diagnosis of this condition called hypoactive sexual desire disorder. So we have got uh symptoms lasting more than 6 months. So symptoms are lasting for more than 6 months. Right? And the symptoms may include number one you have got reduced sexual interest. Number two we have got reduced erotic thoughts. Number three we have got reduced initiation.

[00:37:03]Number four we have got reduced pleasure of or excitement. I've talked of four conditions. So if these symptoms last for more than 6 months then we can say that someone is having the hyperactive sexual desire disorder.

[00:38:24]Okay. Okay.

[00:38:26]I just want to end the forum because it seems then internet is uh now not stable. So thank you so much guys for attending. Let us proceed from Tuesday as we will handle another condition.

[00:38:35]Anything left behind I will attend to it. I will maybe make some comments. I will send a voice not. So check on my YouTube channel, check for everything.

[00:38:43]If you are new, subscribe if you have already subscribed. Like, comment, give us feedback and we really appreciate that there are problems with my internet. And I really beg, I really have to stop at this point because if I proceed, I may disappoint you guys. So, thank you so much guys for tuning in.

[00:38:58]Thank you so much for staying with us till the end of the session. It was a pleasure. It was a great time spending with you so much. Thank you so much guys and have a great and nice weekend ahead.

[00:39:07]Bye.