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What is Hypoactive Sexual Disorder (HSDD) in Women?

11.11.25 in Women's Health Issues

What is Hypoactive Sexual Disorder (HSDD) in Women?

Hypoactive Sexual Disorder (HSDD) in Woman - Riverwalk Women's Health

Mood, hormones, relationships, and overall health can all affect a woman’s sexual desire. But when it causes distress or strain in personal relationships, it may be a condition called hypoactive sexual disorder in women (HSDD). Unfortunately, this condition affects millions of women worldwide.

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Understanding Hypoactive Sexual Disorder in Women

Hypoactive Sexual Desire Disorder is characterized by a consistent lack of interest in sexual activity that lasts for at least six months. It can lead to relationship or emotional challenges. Women with HSDD say they have very little to no interest in sexual intimacy, and rarely initiate sexual activity. Their experience distress over the lack of desire, feeling confused, frustrated, or worried about their libido. HSDD is not about choosing abstinence or simply being tired but rather a clinical condition affecting both mental well-being and quality of life.

What Causes HSDD?

There is no single cause of hypoactive sexual disorder in women. Instead, it often results from a mix of biological, psychological, and social factors, including:

Biological Factors

Hormonal changes, especially during menopause or after childbirth are contributing factors. Chronic medical conditions like thyroid disorders, diabetes, and cardiovascular disease can also cause low sexual desire. The side effects of medications such as antidepressants and hormonal treatments add to the problems.

Psychological Causes

Stress, anxiety, or depression can affect a woman’s sexual activity. Conditions like body-image concerns, low self-esteem, history of trauma or negative sexual experiences, generally leads to low sexual desire.

Relationships and Lifestyle Influences

Other causes of HSDD include conflict or lack of emotional connection with a partner. Plus, fatigue, lifestyle pressures, and cultural or religious expectations surrounding sexuality can be culprits.

Symptoms to Watch For

Signs of HSDD may include persistent lack of sexual interest or fantasies, as well as emotion distress regarding low desire. Reduced responsiveness to sexual stimulation, and avoiding intimacy due to lack of libido are also common symptoms. It’s important to note that having a low sex drive sometimes is normal. HSDD involves ongoing loss of desire combined with distress.

How Is HSDD Diagnosed?

At Riverwalk Women’s Health, we typically evaluate medical history, mental health, hormone levels, medication use, and relationship dynamics. There is no stigma in seeking support. Sexual health is an important part of overall well-being.

Treatment Options

Depending on the root cause, we offer treatment for hypoactive sexual disorder in women at Riverwalk Women’s Health. Some of the options may include hormone therapy, medications for premenopausal women, and adjusting medications when appropriate. Lifestyle strategies like improving sleep, exercise, communication with a partner, and reducing stress may also help.

Final Thoughts

Hypoactive sexual disorder in women is not uncommon and affect women of all ages and backgrounds, but its treatable. Understanding the condition and seeking support can help restore sexual desire and improve emotional well-being.

If you believe you may have HSDD, speak with a provider at Riverwalk Women’s Health day. Your treatment is a part of a balanced, fulfilling life, and there is absolutely no shame in asking for help.


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