(I) Male Hypoactive Sexual Desire Disorder:
Male hypoactive sexual desire disorder is a deficiency or absence of sexual fantasies & desire for sexual activity for a minimum duration of 6 months.
Prevalence is highest at Older age (40% at age 66 to 70yrs).
Prevalence at age 18 to 24yrs = 6%.
Factors on which Sexual Desire depends:
- Biological Drive.
- Adequate self esteem.
- Ability to accept oneself as a sexual person.
- Availability of appropriate partner.
- Good non-sexual relationship with the partner.
Absence of any of the above factors can diminish sexual desire.
Abstinence from sex for a prolonged period can result in suppression of sexual desire.
Diagnosis of male hypoactive sexual desire disorder can not be made unless lack of desire is a source of distress to the patient.
(II) Female sexual interest/ Arousal Disorder:
It is characterized by:
- Decrease or paucity of erotic feelings, thoughts or fantasies.
- Decreased impulse to initiate sex.
- Decreased or absent receptivity to partner overtures.
- Inability to respond to partner stimulation.
***symptoms of lack of pleasure are sufficient to make the diagnosis even when vaginal lubrication & congestion are present. A women may lubricate vaginally but may experience loss of excitement or sexual pleasure.
(III) Male Erectile Disorder:
Male erectile disorder was previously called ‘impotence‘. But the term has been dropped.
- Erectile disorder is the chief complaint of more than 50% of all men attending sexual health clinics.
- It affects 2-8% of young adults & incidence increases with age.
- 20% of men fear erectile disorder before their first coitus. Reported incidence of actual erectile disorder during 1st coitus is 8%.
It has been classified into 3 categories:
1. Life long Male Erectile Dysfunction:
They have never been able to obtain an erection sufficient for insertion.
This condition is rare. It occurs in 1% of men younger than age 35.
2. Acquired Male Erectile Disorder:
They have successfully achieved penetration at some time in their lives but are later unable to do so.
It occurs in 10 to 20% of all men.
3. Situational Male Erectile Dysfunction:
They have normal erection in certain circumstances but not in others.
For example, some persons can have normal sexual life with a sex worker but are unable to have an erection in front of his wife/ partner.
- Combination of both
***The organic cause of erectile dysfunction may be ruled out if spontaneous erections occur :
- when the person doesn’t plan to have intercourse.
- at morning time.
- while masturbating.