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Writer's pictureDr P K Gupta

Hypoactive Sexual Desire in Sexology Consultation

Sexual desire (dissatisfactions derived from its absence or decrease) are one of the most common consultations for sexologists in Delhi. The absence or decrease of sexual desire, or hypoactive sexual desire, as is usually called more clinically, accounts for around 60-70% of consultations in a sexologist clinic in Delhi. Being a traditionally feminine demand (especially by women in heterosexual relationships), we observe that in recent years there is a growing trend of hypoactive sexual desire consultations by men as well.


What is hypoactive sexual desire disorder?

Hypoactive sexual desire disorder is the expression that from the medical field is used to describe problems related to low interest towards erotic activity in general: low motivation towards erotic relationships, absence of sexual thoughts or fantasies or very low frequency of them, etc. Sexologist in Delhi prefers to talk about “dissatisfactions” rather than “disorders”, because the word disorder refers more to illness or abnormality, and many dissatisfactions or difficulties related to desire are not necessarily a dysfunction but are the logical consequence to a number of conditions. Sexologist doctor in Delhi believes that health or disease labels widely used in the medical field are not always adequate to describe human sexuality.



When is the lack of sexual desire considered a disorder?

Sexologists do not usually use the expression disorder to describe the problems for which patients or consultants seek our help. It is true that, from the medical manuals, some criteria are established, but in my opinion, whenever a couple or a person comes to the consultation of a sex specialist in Delhi, it is because they are dissatisfied with their erotic life and need help, regardless of whether What happens to them coincides more or less with the description of the manual. Sex specialist doctor in Delhi gives a very clear example. Traditionally, many cases that were not were considered hypoactive desire disorders or female desire disorders. Criteria are often established to assess how sexual desire has to work, very stereotyped and based on the functioning of male erotic desire, but in many occasions, the feminine desire does not work the same, it has its own rules and dynamics.


Many women (and some men too) who are in long relationships, begin to sexually desire once intimacy and caresses have begun with their partner, and not before. Traditionally it has been considered to take the initiative as an indicator that you have a desire, so that in the context of heterosexual couples, many men consider that their partners have no desire simply because they do not take the sexual initiative. The truth is that although many women have traditionally been considered with desire problems, in many cases what failed was more intimacy or seduction (which is not a personal matter but relational, of the couple), than desire, that in optimal conditions it was activated.


What are the possible causes of hypoactive sexual desire disorder?

Erotic desire is related to many factors, so there are several aspects that can influence the decrease of erotic desire:

  • couple problems,

  • poor quality intimacy,

  • unsatisfactory or pleasant relationships,

  • erotic relationships poor in caresses and very finalists,

  • problems to reach orgasm or excitement,

  • painful intercourse,

  • lack of attraction to the couple, etc.


Of course, each case must be evaluated in detail to know what factors may be influencing, because the same intervention is not always performed. This is what the best sexologist in Delhi do in the first sessions of a process: evaluate to know what are the most convenient steps to follow in each case.


Is the prevalence of hypoactive sexual desire known?

Dissatisfactions related to sexual desire (low) are the most common reason for consultation in women, and increasing demand in men. I believe that in our sex clinic in Delhi, this type of consultation supposes between 60-70% of the demands that come to us seeking help.


Can hypoactive sexual desire disorder affect women at any stage of their life or age?

Yes, dissatisfactions related to erotic desire can affect anyone and at any age or stage of their life. They are usually more frequent when a long-term relationship is maintained, and infrequent when the initial phase of a relationship or crush phase is experienced. In this phase, it is when in general people are more desiring and there is usually a lot of adjustment in the wishes of the two members of the couple, explains sex doctor in Delhi.


How is the approach to hypoactive sexual desire in a sexology consultation?

The intervention is not always the same because it relies on initial evaluation to know the reasons why the desire is low or has decreased. But in general, it is always or almost always addressed as a couple, because it often has to do with the game or the intimacy that the couple has or the satisfaction or pleasure obtained in relationships, and in this, the two intervene, explains the best sex doctor in Delhi.


Is there any therapeutic option available in India for hypoactive sexual desire?

The best option for a dissatisfied couple on this issue is Sexological advice, by top sexologist in Delhi.

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