Hypoactive Sexual Desire Disorder

Not in the mood? You’re not alone. Approximately 43 percent of women ages 18-59 experience some form of sexual dysfunction. The most frequent complaint? You guessed it: lack of interest. Now add in the fact that you're TTC, and the irony is, you're working so hard to make a baby, but having sex is the last thing you feel like doing!

What Is Hypoactive Sexual Desire Disorder?

Hypoactive Sexual Desire Disorder (HSDD) is a persistent lack or absence of sexual desire, fantasies, or thoughts. It is the most common form of female sexual dysfunction. And, it’s associated with infertility both as a cause as well as a consequence. HSDD can be acquired or lifelong, and associated with one partner in particular or with any partner.

What Causes HSDD?

If you suffer from HSDD, you might think, “It’s all in my head.” But that’s not necessarily the case. HSDD is a health issue that can be caused by:

• Lifestyle factors — those that leave you too exhausted or stressed out to desire sex.
• Psychological issues, including depression. (Did you know the rate of depression in women with infertility is as great as the depression in women with cancer?)
• Medical illnesses
• Medications, such as birth control pills, anti-depressants and blood pressure medications
• Menopause, which can lead to decreased estrogen levels, vaginal dryness and pain during intercourse
• Low testosterone levels, which can decrease sex drive

How Is Hypoactive Sexual Desire Disorder (HSDD) Treated?

Depending on the cause of your HSDD, psychological or medical intervention may be recommended — or both. When lifestyle issues are the culprit, they should be addressed. If counseling or therapy is recommended, usually both partners are advised to participate. And, your physician can advise on remedies when medical issues, including medication, hormone levels or illnesses are the cause.

The first step? Talk to your physician. It might not be an easy subject to broach, but it’s an important one. And a key to good health.