In the past, was your level of sexual desire/interest good and satisfying to you?
Has there been a decrease in your level of sexual desire/interest?
Are you bothered by your decreased level of sexual desire/interest?
Would you like your level of sexual desire/interest to increase?
If a woman answers ‘no’ to any of these questions, she likely will not be diagnosed with HSDD. If she answers ‘yes’ to these, she will also be asked about other factors that may be contributing to her low desire, including physical and mental health conditions, recent childbirth, her relationship with her partner, her level of stress and fatigue, and other issues.
Treatment may include sex therapy or counseling, alone or with a woman’s partner, to address any mental health or relationship issues that may be present. Medications may be evaluated as contributing factors, and underlying medical conditions may be addressed.
For women who have not yet gone through menopause, there is a single FDA-approved treatment for HSDD called flibanserin. This drug works on neurotransmitters, or chemicals, in the brain that are related to sexual excitement. When these chemicals in the brain are out of balance, the result can be a diminished level of sexual interest and desire. Flibansarin, taken as a once-daily pill helps to keep these chemicals in balance.