Hypoactive Sexual Desire Disorder (Decreased Sexual Desire)

Sexual desire disorder is characterized by a persistent or recurrent lack of sexual desire or absence of sexual fantasies. In general, it is observed more frequently in women than in men.

In Women

When considering women in our country, the most commonly observed sexual dysfunction is “low sexual desire.” However, the rate of seeking professional help for complaints related to low sexual desire is quite low. One of the main reasons for this is the widespread presence of myths and misconceptions about sexuality. In our society, sexuality is often regarded as something primarily belonging to men, and there are common beliefs suggesting that men have the right to desire sexuality, experience pleasure, and achieve satisfaction. In line with these beliefs, sexuality may become an area of “duty” rather than a source of “pleasure” and “satisfaction” for women.

The causes of decreased sexual desire in women may include dissatisfaction within the relationship, dissatisfaction during sexual intercourse, emotional and psychological distress, the onset of menopause or postmenopausal period, use of medication or substances, and insufficient yet repetitive sexual fantasies.

In Men

Underlying causes of decreased sexual desire in men may include obsessions about penis size being smaller than average, specific conditions such as premature ejaculation, fear of not satisfying one’s partner, and feelings related to impotence. Sexual desire is directly proportional to one’s belief in positive expectations. In men, decreased sexual desire is often associated with the presence of another sexual dysfunction, such as frustration or shame caused by premature ejaculation or erectile dysfunction.

Sometimes, low sexual desire may also result from a medical illness or side effects of medication, disappointment related to the partner or relationship, alcohol or substance addiction, depression or anxiety, relationship stress or emotional alienation, lack of time or energy, or being overly occupied with children, family responsibilities, or career demands.

References

Kumkale, Çıdam. “Examining Marital Adjustment and Attachment Styles in Spouses with Sexual Dysfunction.” Published Master’s Thesis, Beykent University, Institute of Social Sciences, Department of Psychology, Clinical Psychology Program, Istanbul, 2015.