Definition of HSDD (Hypoactive Sexual Desire Disorder)

作者：Naumann G^*; Skala C; Albrich S; Koelbl H

来源：Geburtshilfe und Frauenheilkunde, 2010, 70(9): 701-706.

DOI：10.1055/s-0030-1250278

• Female Sexual Dysfunction
• Hypoactive Sexual Desire Disorder
• Decreased Sexual Desire Screener
• HSDD
• flibanserin

Hypoactive Sexual Desire Disorder (HSDD) is the most common form of FSD (Female Sexual Dysfunction) and the most common sexual disorder in women in clinical practice. HSDD is defined as a deficiency or absence of sexual fantasies and of the desire for sexual activity with a great impact on interpersonal relationships which cannot be attributed to other causes such as psychiatric or medical illnesses or the effect of particular drugs. Both pre- and postmenopausal women may be affected by HSDD. The pathophysiology of HSDD is not known in any detail; the current scientific opinion is that it may be due to a neurobiological imbalance in the inhibitory and excitatory factors which control sexual desire in the brain. HSDD leads to reduced sexual and interpersonal satisfaction and is associated with high emotional psychological strain. Gynecologists should be first persons to whom women affected with HSDD should be able to turn, but due to the lack of specialist training, time, and effective therapy many doctors shy away from broaching the topic. The Decreased Sexual Desire Screener (DSDS(R)) is a short and simple diagnostic tool for the detection of HSDD by non-specialist colleagues. As the range of therapies currently available to women with HSDD is limited, multidimensional treatments should be offered to women with HSDD.

• 出版日期2010-9