Sexual aversion; Sexual apathy; Hypoactive sexual desire
The primary symptom is lack of sexual interest.
Most of the time, a medical exam and lab tests will not show a physical cause.
However, testosterone is the hormone that creates sexual desire in both men and women. Testosterone levels may be checked, especially in men who have ISD. Blood for such tests should be drawn before 10:00 a.m., when male hormone levels are at their highest.
Once physical causes have been ruled out, interviews with a sex therapy specialist may be helpful to reveal possible causes.
Bhasin S, Basson R. Sexual dysfunction in men and women. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR, eds. Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 19.
Shafer LC. Sexual disorders and sexual dysfunction. In: Stern TA, Rosenbaum JF, Fava M, Biederman J, Rauch SL, eds. Massachusetts General Hospital Comprehensive Clinical Psychiatry. 1st ed. Philadelphia, Pa: Mosby Elsevier; 2008:chap 36.
Clayton AH, Hamilton DV. Female sexual dysfunction. Psychiatr Clin North Am. 2010;33:323-338.
Heidelbaugh JJ. Management of erectile dysfunction. Am Fam Physician. 2010;81:305-312.
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