ICD-10: F52.0
Hypoactive sexual desire disorder
Clinical Information
Inclusion Terms
- Male hypoactive sexual desire disorder
- Sexual anhedonia
- Lack or loss of sexual desire
Additional Information
Approximate Synonyms
Hypoactive Sexual Desire Disorder (HSDD), classified under ICD-10 code F52.0, is a condition characterized by a persistent or recurrent lack of sexual desire or interest in sexual activity. This disorder can significantly impact an individual's quality of life and relationships. Below are alternative names and related terms associated with HSDD.
Alternative Names for Hypoactive Sexual Desire Disorder
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Low Sexual Desire: This term is often used interchangeably with HSDD and refers to a general lack of interest in sexual activity.
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Sexual Apathy: This phrase describes a state of indifference towards sexual activity, which can be synonymous with HSDD.
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Decreased Libido: Libido refers to sexual drive or desire, and its decrease can be a symptom of HSDD.
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Asexuality: While not a disorder, asexuality describes a sexual orientation characterized by a lack of sexual attraction to others, which can sometimes overlap with HSDD.
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Inhibited Sexual Desire: This term emphasizes the inhibited nature of sexual interest, aligning closely with the clinical definition of HSDD.
Related Terms and Concepts
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Sexual Dysfunction: HSDD falls under the broader category of sexual dysfunction, which includes various disorders affecting sexual desire, arousal, and performance.
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Female Sexual Interest/Arousal Disorder: In the DSM-5, this term is used for women who experience a lack of sexual interest or arousal, which can be similar to HSDD.
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Male Hypoactive Sexual Desire Disorder: This term specifically refers to the condition in men, highlighting that HSDD can affect individuals of any gender.
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Psychosexual Disorders: HSDD can be classified under psychosexual disorders, which encompass various psychological factors affecting sexual function.
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Sexual Desire Disorders: This broader category includes various conditions that affect sexual desire, including HSDD.
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Affective Disorders: Conditions such as depression and anxiety can contribute to or exacerbate HSDD, linking it to affective disorders.
Conclusion
Understanding the alternative names and related terms for Hypoactive Sexual Desire Disorder is essential for both clinical practice and patient education. These terms help in identifying the condition and discussing it within the context of sexual health. If you or someone you know is experiencing symptoms of HSDD, consulting a healthcare professional can provide guidance and potential treatment options.
Description
Hypoactive Sexual Desire Disorder (HSDD) is classified under the ICD-10 code F52.0. This condition is characterized by a persistent or recurrent lack of sexual desire or interest in sexual activity, which can lead to significant distress or interpersonal difficulties. Below is a detailed overview of HSDD, including its clinical description, diagnostic criteria, and implications.
Clinical Description
Definition
Hypoactive Sexual Desire Disorder is defined as a marked decrease in sexual desire that is not attributable to a medical condition, substance use, or another mental disorder. Individuals with HSDD may experience a lack of interest in sexual activity, which can affect their quality of life and relationships.
Symptoms
The primary symptoms of HSDD include:
- Persistent or Recurrent Lack of Sexual Desire: This is the hallmark symptom, where individuals report a significant reduction in their interest in sexual activity.
- Distress or Interpersonal Difficulties: The lack of sexual desire often leads to emotional distress, anxiety, or relationship issues, particularly if the partner has a differing level of sexual interest.
- Duration: The symptoms must be present for at least six months to meet the diagnostic criteria.
Exclusions
To diagnose HSDD, it is essential to rule out other factors that may contribute to the lack of sexual desire, including:
- Medical Conditions: Conditions such as hormonal imbalances, chronic illnesses, or neurological disorders.
- Substance Use: The effects of medications, alcohol, or recreational drugs that may impair sexual desire.
- Other Mental Disorders: Conditions like depression or anxiety that can also affect sexual interest.
Diagnostic Criteria
According to the ICD-10, the diagnosis of Hypoactive Sexual Desire Disorder (F52.0) requires:
1. A persistent or recurrent lack of sexual desire for a period of at least six months.
2. The lack of sexual desire causes significant distress or interpersonal difficulties.
3. The symptoms are not better explained by another mental disorder, medical condition, or substance use.
Treatment Options
Treatment for HSDD may involve a combination of approaches, including:
- Psychotherapy: Counseling or sex therapy can help address underlying psychological issues and improve communication between partners.
- Medical Interventions: Hormonal treatments or medications may be considered, particularly if hormonal imbalances are identified.
- Lifestyle Changes: Encouraging healthy lifestyle choices, such as regular exercise, stress management, and open communication with partners, can also be beneficial.
Conclusion
Hypoactive Sexual Desire Disorder (ICD-10 code F52.0) is a complex condition that can significantly impact an individual's emotional well-being and relationships. Understanding the clinical description, diagnostic criteria, and treatment options is crucial for effective management. If you or someone you know is experiencing symptoms of HSDD, it is advisable to seek professional help for a comprehensive evaluation and tailored treatment plan.
Clinical Information
Hypoactive Sexual Desire Disorder (HSDD), classified under ICD-10 code F52.0, is characterized by a persistent or recurrent lack of sexual desire that causes marked distress or interpersonal difficulties. Understanding the clinical presentation, signs, symptoms, and patient characteristics associated with this disorder is crucial for effective diagnosis and management.
Clinical Presentation
Definition and Overview
HSDD is defined as a deficiency or absence of sexual thoughts or fantasies and a lack of desire for sexual activity. This condition can occur in both men and women, although it is more frequently reported in women. The disorder is not attributed to a medical condition, substance use, or another mental disorder, which distinguishes it from other sexual dysfunctions.
Signs and Symptoms
The symptoms of HSDD can vary widely among individuals but generally include:
- Reduced Sexual Interest: A noticeable decrease in sexual thoughts, fantasies, and desire for sexual activity.
- Distress: The lack of sexual desire often leads to significant distress or interpersonal difficulties, impacting relationships and overall quality of life.
- Duration: Symptoms must persist for at least six months to meet diagnostic criteria.
- Exclusion of Other Factors: The disorder is diagnosed only when the lack of sexual desire is not better explained by other factors, such as medical conditions (e.g., hormonal imbalances), medications (e.g., antidepressants), or psychological issues (e.g., depression or anxiety) [5][6].
Patient Characteristics
Patients with HSDD may exhibit various characteristics, including:
- Demographics: While HSDD can affect individuals of any age, it is more commonly reported in middle-aged and older adults. Women are more frequently diagnosed than men, although men can also experience this disorder.
- Psychosocial Factors: Patients may have a history of relationship issues, trauma, or stressors that contribute to their sexual dysfunction. Psychological factors such as anxiety, depression, or low self-esteem can also play a significant role.
- Medical History: A thorough medical history is essential, as conditions such as diabetes, cardiovascular diseases, or hormonal imbalances can influence sexual desire. Additionally, certain medications, particularly those affecting neurotransmitters, may lead to decreased libido [4][9].
Conclusion
Hypoactive Sexual Desire Disorder (ICD-10 code F52.0) is a complex condition characterized by a significant reduction in sexual desire, leading to distress and interpersonal challenges. Recognizing the clinical presentation, signs, symptoms, and patient characteristics is vital for healthcare providers to offer appropriate evaluation and management. A comprehensive approach that considers psychological, medical, and relational factors is essential for effective treatment and support for individuals experiencing HSDD.
Diagnostic Criteria
Hypoactive Sexual Desire Disorder (HSDD) is classified under the ICD-10 code F52.0. This condition is characterized by a persistent or recurrent lack of sexual desire that causes marked distress or interpersonal difficulties. The diagnostic criteria for HSDD, as outlined in the ICD-10 and supported by the DSM-5, include several key components.
Diagnostic Criteria for Hypoactive Sexual Desire Disorder
1. Persistent or Recurrent Lack of Sexual Desire
- The individual experiences a deficiency or absence of sexual thoughts, fantasies, and desire for sexual activity. This lack of desire must be persistent or recurrent, typically lasting for at least six months.
2. Distress or Interpersonal Difficulty
- The absence of sexual desire must lead to significant distress or interpersonal difficulties. This means that the individual is not only experiencing a lack of desire but is also affected by it in a way that impacts their quality of life or relationships.
3. Exclusion of Other Factors
- The diagnosis of HSDD should not be attributed to:
- A medical condition (e.g., hormonal imbalances, chronic illnesses).
- The effects of substances (e.g., medications, drugs, or alcohol).
- Other mental disorders (e.g., depression or anxiety) that could explain the lack of sexual desire.
4. Duration
- The symptoms must be present for a significant duration, typically defined as at least six months, to differentiate HSDD from temporary fluctuations in sexual desire that may occur due to stress, relationship issues, or other situational factors.
Importance of Comprehensive Evaluation
A thorough evaluation is essential for an accurate diagnosis of HSDD. This may involve:
- Clinical Interviews: To assess the individual's sexual history, relationship dynamics, and any psychological factors contributing to the disorder.
- Physical Examinations: To rule out any underlying medical conditions that could affect sexual desire.
- Psychological Assessments: To evaluate for coexisting mental health issues that may influence sexual functioning.
Conclusion
The diagnosis of Hypoactive Sexual Desire Disorder (ICD-10 code F52.0) requires careful consideration of the individual's sexual desire patterns, the impact on their life, and the exclusion of other potential causes. Understanding these criteria is crucial for healthcare providers to offer appropriate treatment and support for individuals experiencing this condition. If you or someone you know is struggling with symptoms of HSDD, consulting a healthcare professional is a vital step toward addressing the issue effectively.
Treatment Guidelines
Hypoactive Sexual Desire Disorder (HSDD), classified under ICD-10 code F52.0, is characterized by a persistent or recurrent lack of sexual desire that causes marked distress or interpersonal difficulties. The management of HSDD involves a multifaceted approach, including psychological, medical, and lifestyle interventions. Below is a detailed overview of standard treatment approaches for this condition.
Psychological Interventions
Cognitive Behavioral Therapy (CBT)
Cognitive Behavioral Therapy is one of the most effective psychological treatments for HSDD. CBT focuses on identifying and changing negative thought patterns and behaviors that contribute to low sexual desire. It can help individuals and couples address underlying issues such as anxiety, depression, or relationship problems that may be impacting sexual desire[7].
Couples Therapy
In cases where relationship dynamics contribute to HSDD, couples therapy can be beneficial. This approach encourages open communication between partners, helping them to explore their sexual relationship and resolve conflicts that may be affecting intimacy[8].
Medical Treatments
Hormonal Therapies
For women, hormonal imbalances can play a significant role in HSDD. Treatments may include:
- Estrogen Therapy: Often prescribed for postmenopausal women, estrogen can help alleviate symptoms associated with low libido.
- Testosterone Therapy: Although primarily associated with men, testosterone therapy has been explored for women with HSDD, particularly those who have low testosterone levels[9].
Pharmacological Options
Several medications have been approved or are being investigated for the treatment of HSDD:
- Flibanserin (Addyi): This medication is approved for premenopausal women and works by modulating neurotransmitters in the brain to enhance sexual desire.
- Bremelanotide (Vyleesi): Another option for premenopausal women, this injectable medication is used on an as-needed basis to increase sexual desire[8].
Lifestyle Modifications
Education and Counseling
Providing education about sexual health and addressing misconceptions can empower individuals and couples. Counseling can also help in setting realistic expectations regarding sexual activity and desire[6].
Stress Management
Stress and anxiety are significant contributors to HSDD. Techniques such as mindfulness, yoga, and relaxation exercises can help reduce stress levels, potentially improving sexual desire[7].
Healthy Lifestyle Choices
Encouraging a healthy lifestyle, including regular physical activity, a balanced diet, and adequate sleep, can positively impact overall well-being and sexual health. These changes can enhance mood and energy levels, which may, in turn, improve sexual desire[9].
Conclusion
The treatment of Hypoactive Sexual Desire Disorder (ICD-10 code F52.0) is highly individualized, often requiring a combination of psychological, medical, and lifestyle interventions. Effective management typically involves collaboration between healthcare providers, patients, and their partners to address the multifaceted nature of sexual desire. As research continues to evolve, new treatment options may emerge, offering hope for those affected by this condition. If you or someone you know is experiencing symptoms of HSDD, consulting a healthcare professional is essential for a tailored treatment plan.
Related Information
Approximate Synonyms
- Low Sexual Desire
- Sexual Apathy
- Decreased Libido
- Asexuality
- Inhibited Sexual Desire
Description
- Persistent lack of sexual desire
- Significant distress or interpersonal difficulties
- Duration of at least six months
- Medical conditions excluded
- Substance use excluded
- Other mental disorders excluded
Clinical Information
- Persistent lack of sexual desire in men and women
- Marked distress or interpersonal difficulties caused
- Defined by reduced sexual interest and thoughts
- Duration of at least six months to meet criteria
- Not attributed to medical conditions or substance use
- More common in middle-aged and older adults
- Women are more frequently diagnosed than men
- Psychosocial factors like relationship issues contribute
Diagnostic Criteria
- Persistent lack of sexual desire
- Significant distress or interpersonal difficulties
- Exclusion of medical conditions and substances
- Duration of at least six months
Treatment Guidelines
- Cognitive Behavioral Therapy
- Couples Therapy for relationship issues
- Estrogen Therapy for postmenopausal women
- Testosterone Therapy for low testosterone levels
- Flibanserin (Addyi) medication for premenopausal women
- Bremelanotide (Vyleesi) injectable medication for premenopausal women
- Stress Management techniques like mindfulness and yoga
- Healthy Lifestyle Choices including exercise and balanced diet
Coding Guidelines
Excludes 1
- decreased libido (R68.82)
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