Causes and Treatment of Hypoactive Sexual Desire Disorder

Hypoactive Sexual Desire Disorder (HSDD) is by far the most frequent problem occurring in female sexual dysfunctions. It is generally characterized by persistent or recurrent absence of sexual fantasies or desires. In other words, the woman is rarely in the mood for any form of sexual activity; she neither initiates sex nor seek sexual stimulation. This condition is also referred to as inhibited sexual desire, low sexual desire, impaired sexual interest, and low libido, among others.

Causes of Hypoactive Sexual Desire Disorder

Hypoactive sexual desire disorder may occur in a woman at any age. It may be present in adolescence and can persist throughout a woman’s life. However, HSDD often occurs during a woman’s adulthood, often times following a period of stress. The source of hypoactive sexual desire disorder may be multi-factorial illness, medications, and psychological issues.

Menopause

HSDD in women is more common as a result of menopause. Reduced estrogen to post-menopausal levels can lead to dryness of the vagina making sex painful which reduces motivation. The gradual decline of the hormones estrogen, progesterone and testosterone together serve to decrease drive.

Physical Problems

Physical ailments such as diabetes, heart diseases, vaginal yeast and urinary tract infections, neurological disorders, pelvic surgery, chronic liver disease and kidney diseases can all lead decreased or low sexual desire.

Psychological Problems

Psychological causes such as stress from work and family, relationship communication problems, anxiety, depression, and previous traumatic sexual experiences can also contribute to the development of this disorder.

Physical abuse

A lifelong or primary HSDD where a woman has never felt any sexual desire not exhibited interest in sex could be as a possible result of incest, sexual abuse or rape.

Repressive Cultures/Belief Systems

Certain repressive family attitudes towards sex which are often enhanced by rigid religious trainings can force individuals to think of sex as an immoral activity.

Unpleasant Initial Sexual Experience

Initial failed attempts at sexual intercourse or pains from first sexual experiences could also lead to HSDD.

Insufficient Sexual Hormone Levels

Low levels of testosterone may cause HSDD in males and females. However, while some argue that increasing testosterone levels even in those without low levels may also serve to increase sex drive; others are of the opinion that HSDD in males and females rarely results from insufficient levels of the male sex hormone, testosterone.

Relationship Boredom

A woman experiencing stagnation or boredom in a relationship can develop an acquired HSDD.

Medication Side Effects

The usage of antidepressants for depression, antihypertensive medication, and oral birth control pills may interfere with sex drive, arousal, and orgasm leading to the development of HSDD.

Sexual Function Impairment

Impairment of sexual functions such as vaginismus (an involuntary contraction or spasm of the pelvic floor muscles and outer third of the vagina resulting from an unconscious desire to prevent vaginal penetration thus making it impossible or very painful) can develop into HSDD. This may be due to incompatibility in sexual interest between the sexual partners. This can also occur in the presence of a sexually demanding partner.

Dyspareunia

Dyspareunia or painful intercourse due to surgery, injury or infection may also cause HSDD. Also inadequate lubrication at the time of penetration from insufficient foreplay can also cause painful intercourse.

General symptoms of HSDD in patients include infrequent and eventual absence of sexual activity; less enjoyment of sexual activities than she used to; avoidance of sex; and have fewer or no erotic dreams and sexual fantasies. In a selective and focused HSDD, there might be zero interest in having sex with their partners but have normal or increased real/fantasized sexual desires toward other men.

Treatment options for Hypoactive Sexual Desire Disorder

Treat of HSDD is typically directed at removing or alleviating the underlying cause e.g. relationship misunderstanding, depression, and other sexual dysfunction (especially arousal or orgasm difficulties). When the problems causing HSDD arise from issues with sexual arousal or performance, then these dysfunctions will need to be directly addressed. It is acknowledged that majority of HSDD cases are situational in nature arising from dissatisfaction and loss of interest in the sexual partner. Thus there will be need for treatment to be within the context of the relationship itself and as such, it is common for both partners to be involved in therapy.

The use of antidepressants like Prozac and Paxil of which women are major consumers, has been known to be a major cause of decrease in libido in as much as 60 percent of patients. Where possible, it is advisable to switch to a lower dosage or to one that has less of a sexual side effect, like Celexa, Effexor, or Wellbutrin.

On the pharmaceutical side, testosterone supplementation in individuals with testosterone levels below the normal range (20 nanograms per deciliter) seems to be the treatment of choice. Although testosterone has not been approved for the treatment of HSDD by the FDA, studies have shown that several women who have used the testosterone patch have reported significant increase in the frequency of sexual activity and satisfying desire.

How to Practice Sexual Fitness Everyday for Women Using Mind and Body

Like men, sexual health is an important aspect of your life. Although you may not think about sex or connect sexuality to your ego as men do, it remains a very important facet to quality of life. As a consultant to a dietary supplement company writing educational articles and practicing many years as a clinical psychologist, I have personally counseled and advised women on their sexual issues and endeavors for optimal sexual health. After years of experience in the field of psychology, I have come up with some practical recommendations for you to practice in order to optimize your sexual potential. Although written for a woman, men should read this article and support their female partner at all costs. Like many healthcare professionals, I believe in taking a holistic approach to sexual health and fitness.

The first step is to make your sexual fitness a daily goal. Just as frequent exercise is necessary for physical health, regular exercise and attention paid to your sexual being is vital. This is not to say you need to fixate on your sexual health and welfare as men do, but knowing yourself, your partner, and psychological well-being directly links to optimal sexual health. Just as you have a physical fitness regimen, so too should you devise a sexual fitness regimen. I do not mean you need to think and engage in sex as frequently as you exercise, but thinking daily about sexuality is not only healthy, I highly recommend it.

Physical well-being is paramount to your sexual health. This is why it is important to have an excellent open relationship with your doctor and/or gynecologist. There are many medical conditions that can impact a woman’s sexual well-being only she and her doctor can explore. From painful intercourse to a lack of sexual appetite, these problems can sometimes be rooted in a medical cause that can be treated with medication or doctor recommended steps. The key is feeling comfortable to discussing sexual issues with your doctor. There are millions of women who suffer from hormonal and medically based conditions. These same conditions though can be treated and sometimes cured with the help of a doctor.

Psychological well-being is crucial to your sexual health. Stress, anxiety, depression, and past traumatic experiences can all negatively influence sexual functioning. Just as a woman seeks medical advice from her doctor, a visit to a psychologist specializing in women’s issues may also be necessary to reduce mental health issues and past traumatic experiences from being problematic. A psychologist is a doctoral level clinician who is trained to diagnose and treat psychological issues which may impact a woman’s capacity to engage in sex in a comfortable manner. Although psychological conditions exist and require counsel, many women have emotional issues that can be addressed on their own or with a loved ones help. Unlike men, women seem impacted more by their environment than does their male counterparts. This is not to suggest men insulate themselves from their life stressors, but women tend to internalize these stressors more often and allow these life stressors to detract from their want, need, and desire for sexual engagement. Learning what life stressors are impeding their ability to practice regular sexual fitness can alleviate some of the obstacles causing sexual appetite and desire issues

As mentioned above, your sexual well-being is connected to the way you feel about yourself and the environment. Women are born, bred, and socialized to fixate on the way they appear to others. If you have a poor self-image or low self-esteem, it is almost impossible to engage in a healthy sexual lifestyle. It is truly unfortunate our society still places massive pressure on women to be thin, svelte, and seductive in appearance. Because of these societal expectations, women become far too involved in perceiving and feeling “less than” or unattractive to others. This is not to say you should not exercise or practice self-image improvement, but the negative self-image a woman often feels when she’s not to the level she thinks she should be will always directly impact her ability to feel sensual, sexual, and provocative.

Whereas men tend to fixate on their sexual prowess, women seem to fixate on their image as it appears to the outside world. The goal is to reduce this fixation of being your most attractive at all times and then working towards self- acceptance. When you feel reasonably secure about your image, you become vastly more comfortable feeling as a sexual creature that not only deserves attention, but also expects sensual interactions. Speaking to a psychologist, friend, or loved one can help you meet the goal of a healthy self-image.

Women are socialized to be incredible communicators and adept at expressing their feelings. You learn early in development the benefits of discussing your concerns to others as being both healthy and necessary to optimal psychological well-being. Unfortunately, men are not socialized this way and tend to lack the confidence or motivation to communicate to their loved ones about their sexuality. Although men suffer this proverbial disability to discuss their sexual issues to others, women can also be hesitant to discuss sexual matters with others. The key for you is to feel comfortable expressing your sexual thoughts and concerns with the ones you are engaging in sexual practices with. Your male counterpart may not appear to be listening or concerned with your sexual needs. The secret reality is your male counterpart will usually welcome whatever advice you give him since his ego is connected to your sexual perception of him. There are men who truly are clueless about women’s needs and expectations, but if you believe in practicing sexual fitness, you will quickly educate him.

Self-awareness is essentially, “Know Thy Self”. Despite religious and societal interpretations of masturbation and self-stimulation, it is highly recommended for you to know what arouses you sexually and helps puts you in a sensual mood. Self stimulation and masturbation is like exercise for the sexual senses. The more you know what arouses you, the better you will be at communicating to others what heightens your sexual prowess. The only way to communicate what your sexual trigger points are is to know what places on your body arouses you. Men have communicated to me in counseling on numerous times confusion about the female anatomy. They also confess they do not know how to touch and talk to their partner hoping to heighten her arousal. Women too often do not recognize what their sexual triggers are. Self-stimulation and masturbation helps you to recognize what arouses you and teaches how to identify the areas of your body that are sensitive to sensual touch. Masturbation not only educates a woman, but also has suggested in clinical studies to be a healthy behavior contributing to an increased sense of physical well-being. The more a woman is educated about her anatomy, and areas of sexual sensitivity can only positively contribute to her sexual life. The key is regularly practice self-stimulation as often as possible in order to achieve sexual fitness.

There are women who do not practice self stimulation or masturbation due to religious, philosophical, or for moral reasons. There are also women who do not practice masturbation because they simply don’t have the time due to work, children, or household responsibilities. When these reasons for not taking the time to practice self stimulation are apparent, then the next best thing is practicing sexual fantasy. There have been studies that have suggested men think about sex from every 10-15 seconds to every several minutes. There are no known studies that I have come across that have determined how often women think about sex. Although there may be these studies, I have not had the opportunity to review them. If there are such studies, I can almost guarantee women’s frequency of sexual thoughts are not nearly as frequent as men. Not to say that you should fantasize about sex as often as men, but I do recommend spending a little time each day engaged in sexual fantasy. To fantasize about sex is not only healthy for the mind and body, but it is great for stress management as well. Sexual thoughts and periods of sexual fantasy can also help you better understand your own thoughts and needs and teach you to be comfortable with sexuality in general. Fantasy is fantasy. There are no boundaries when it comes to an arousing sexual fantasy. The act of thinking about sex contributes to your positive feelings of well-being and potential increased urges of sexual desire.

In conclusion, volumes of books and videos have been produced to assist women in increasing their sexual prowess and appetite. I alone could spend hours writing about what I’ve heard from women seeking healthy sexual functioning. The goal for you is to understand how important it is to spend time thinking about your sexual self and how much better life becomes when you regularly engage in sexual exploration. A woman, like a man, is a sexual creature. The key for you is to endeavor upon using a holistic approach to obtain your optimal sexual functioning. The mind, body, and spirit all work synergistically to help you feel as a sexual creature with urges and needs. Sexuality may be a taboo subject for some, but it is clearly a mandatory part of our species survival. In its finite form, sexuality and the goal of sex is for the purpose of procreation. All animals procreate for survival of their species. Although procreation is the evolutionary goal of sex, that does not mean you have to relinquish your right to healthy sexual functioning and enjoyment. Men need to emphasize less the importance of sex, and women need to emphasize more their capacity for sexual enjoyment and deep yearning for sensual intimacy. Sexual fitness is an activity that requires you to think about and practice each day.

Dr. Michael Nuccitelli is a New York State licensed psychologist and a clinical and educational consultant for Herberex Inc. and Goliath Labs Inc. Dr. Nuccitelli areas of expertise include dietary supplement compliance guidelines, sports nutrition, human sexuality, forensic psychology, health/fitness, and psychiatric/psychological issues.

Adult Halloween Games Are a Great Way to Help Create Fun at Any Party

This fall, many individuals will be in the market for ideas on creative adult Halloween games. When we think about Halloween, we mostly think about all the little kids in their cute little costumes, going door to door with their precious little pumpkins gathering candy. However, as time progresses, many adults are starting to engage in the festivities and activities of this ever-popular holiday.

I mean, we adults like to play too, right? Here, I will share with you some creative adult Halloween game ideas that adults can participate in this Halloween. As always, when seeking out creative adult games for this particular holiday, it is important to keep safety as a first consideration. As long as you keep safety as a strong consideration, you are sure to have a lot of fun this Halloween!

One of the first adult Halloween games that are growing in popularity is “Halloween Idol”. This game works much like the ever-popular talent show, “American Idol”. Contestants simply choose a talent – singing, dancing, etc. Then, they can be judged on a number of things – like song choice, costume, dance, originality, etc….Once the winner is picked, various types of awards can be issued.

You may choose to give gift cards to local stores, pumpkins full of candy, and a wide assortment of other gifts. The next adult Halloween game that you may elect to play on Halloween may be a homemade version of Ghost Hunters. This can be a relatively exciting game – especially for those who are big on the television show.

You can set this up in a makeshift haunted house, or simply get your city to give you permission to use a local graveyard. If there is an area that is reputed to be “haunted” in your area, check with the owner of that area to see if you can “ghost hunt” in it.

When choosing games for adults this Halloween, it is important to consider the individuals that will be coming to your party. You should consider how many guests that you have, as well as how many kids will be at the party as well.

Sexual and Gender Identity Disorders

Gender identity disorder is generally called transexuallism. Transvestism refers to the practice of obtaining sexual pleasure by dressing in the clothes of the opposite sex. Today the term cross-dressing is more commonly used because it does not allow for a mistake of transsexualism, which is a complete gender change from the original sex. Transvestism is a paraphilia for which the essential feature is intense sexual urges and sexually arousing fantasies involving dressing in clothing of those of the opposite sex. It is extremely important to note that just because an individual is classified as a transvestite does not mean that they are necessarily homosexual. Extensive studies have been conducted to show that transvestites are not homosexual in many documented cases. Many psychiatric concepts have been used to try and explain why transvestism is prominent in certain individuals, such as the constitutional predisposition of unknown origin known as degeneration. Degeneration referred to an innate neurologic weakness that is transmitted with increased severity to future generations and produced deviations from the norm. Despite there being many theories on transvestism, there are no commonly accepted ideas because human sexual disorders can be extremely difficult to understand. In some cases, transvestism can become so prominent in an individual that they become transsexual. An individual who is transsexual usually begins with taking hormone injections and undergoes plastic surgeries in order to change their sex organs to the opposite sex. While transvestism is not widely accepted as a norm today, society has generally learned to accept the idea that some individuals are born with this sexual disorder.

Sexual sadism could as well be identified as paraphilia. Someone who delivers sexual sadism is called a sadist. The administered humiliation, pain and suffering could either be psychological or physical. The pain, humiliation and suffering may also cause injuries or death to the person receiving them. During a sadistic behavior, the person who is receiving the pain or humiliation may not be a willing partner. Though, sadists usually live their daily lives in agony and impairment because of the aggressive behaviors or cruel fantasies.

There are many assumptions to the cause of sexual sadism; some are branching from the psychoanalytic group. For example, the psychoanalysis method implied that childhood trauma such as sexual abuse or major childhood incidents can reveal itself in nonsensical behavior. Because of the test results finding by neuropsychological and neurological from sex offenders, some psychologists tend to believe that sexual sadism might be genetic or due to biological factors. Even though the desire for sexual sadism could begin during one’s infancy, the commencement of active sexual sadism normally take place throughout early adulthood. However, the real cause of sexual sadism is still unknown. Also, sadists are not easily diagnosed. Some are forced by family members, friends or court order to seek therapy, which often helps with the treatment of sexual sadism.

In addition, sexual masochism is the opposite of sexual sadism. The masochist feels excited when receiving humiliation, pain and suffering. The physical actions of a masochistic could involve several different activities such as: cutting, piercing, beating, blindfolding, electrical shock, being urinated or defecated on, forced to bark, verbally abused, and forced to cross-dress. One could be identified as a masochist after receiving these symptoms for at least six months; however, it is known that men are found to be more sexual masochists than women. The cause for sexual masochism is also unknown. Based on learning theory, sexual masochists were initiated because of suppression from unsuitable sexual fantasies. In today’s society, most of the sexual fantasies are derived from the conscious and unconscious state of mind. Some psychologists believe that masochists enjoy receiving the pain and humiliation in order to feel empowered.

Very few sadomasochism search for help with a therapist or a social worker. Sadomasochism that tends not to seek help often gets into trouble due to sexual variations. The level of tensions by society increases toward people with bizarre sexual preferences. Although, the cause of sadomasochism is unknown, the disorder can be treated. Similar to other types of paraphilia, treatment is mainly dependent on the person’s desire and willingness to change. Numerous forms of therapy such as: psychotherapy, cognitive behavioral therapy, aversion and positive behavioral therapy approaches, reality therapy, medications, hormonal treatment, reconditioning and restructuring techniques have been found effective in treating sadomasochism. An additional method that can be used to treat sadomasochism is social skills training. Social skills training is one of a kind that needs to develop within healthy family relations; however, it could be that some people who developed sadistic and masochistic behavior may perhaps in part, because they do not know how to form healthy relationships, whether sexual or nonsexual, with other people. Even though, social skill training is not a substitute for medications or psychotherapy for sadistic and masochistic, but it sure can be useful as an adjunctive treatment.

In comparison, a sadist is one who enjoys giving pain during sexual intercourse while a masochist enjoys receiving the pain giving by the sadist also known as sadomasochism. According to several psychologists, including Sigmund Freud, most sadomasochism is upper or middle class men and women who are highly educated and hold professional jobs. The necessary element is not the pain or repression itself, instead it is the facts that the sadist most of the time has more power or controlled over the masochist.

Another known sexual disorder is forced sexual behavior, which is generally broken down into three different areas: rape, sexual abuse of children, and sexual harassment. Rape is generally defined as the act of forcing sexual activity on an unwilling person. Over the past few decades rape has become increasingly prominent in the United States, so much so that a reported one in six women have been raped. Rapists generally do not have a distinct profile, but several theories exist as to some of the reasons why men choose to rape women. Others believe in a cycle of abuse in which men that were abused as children are more likely to engage in acts of sexual misconduct such as rape. This theory is especially prevalent when talking about the sexual abuse of children, which includes incest, child molestation, and pedophilia. Incest refers to sexual relations between relatives. Incest is prevalent in many cases where there has been a cycle of abuse and a parent sexually abuses their own child. Child molestation refers to the sexual behavior with a child without force or direct threat of force. This form of forced sexual behavior is still considered forced because a child can’t legally consent to the act. This form of forced sexual behavior can be equally as damaging to a child simply from the mental distress it puts the child through. Pedophilia refers to the persistent sexual interest in children who have not reached puberty. Most pedophiles are men while the victims are young females, but there are still plenty of reported cases where the victim is a male and the pedophile is a female. Many pedophiles also commit the other acts of forced sexual abuse and continue the acts throughout their lifetime. Sexual harassment is the final act of forced sexual behavior that is included in this discussion. Sexual harassment refers to the unwanted sexual advances, comments, or any other form of coercive sexual behavior by others. Sexual harassment is so prevalent in the United States today, especially in the workplace, that most jobs promote sexual harassment awareness within the first week of being hired. Just because an individual has not committed the actual act of touching another person does not mean that it can’t be equally as damaging.

In today’s lifecycle, people have different ways of expressing their desires as a voyeur or exhibitionist. In most cases, they are harmless. Voyeurism and exhibitionism are two sexual activities, but the two are both engaged with different meanings. Both voyeurism and exhibitionism are considered paraphilia. Voyeurism is when one individual watches the other individual undress his or her clothes during a sexual activity, such as taking a shower or getting undressed for bed. The term voyeur comes from the French, and means “one who looks”. Men are the main the suspects to be called a voyeur. A person is considered a voyeur when he or she is caught sneaking to watch a person undress, and he or she gets aroused by watching the person take his or her clothes off. Most victims are complete strangers to the voyeur. When a person is listening to a sexual conversation over the telephone, he or she is performing a type of voyeurism also. A stranger may never know that he or she is being watched by a voyeur. Women can be caught being a voyeur throughout life too. Voyeurs are in the dark people. They rather stay hidden, and never be seen because of the embarrassment, but they love to watch a stranger take off his or her clothes. Most men who struggle to fulfill their own sex life, are the main ones diagnosed as a voyeur. A voyeur must want to better his or her behavior in order to let go of the bad habit.

A person could have multiple types of fetishism going in his or her life. Amputee, breast, sexual, foot, etc. are all different types of fetishism. When a person has a sexual fetishism, this act can be very dangerous and scary to the innocent bystander. Fetishism is a disorder that is characterized when there is a pathological assignment of sexual fixation. Fetishism can be looked at as harassment by many different people. Harassments can happen at any time, place and by any person. Fetishism is found primarily in heterosexual men. The male gender outnumbers the female gender when it comes to voyeurism, exhibitionism, and fetishism. The male gender is always trying to find a quick way to get aroused. Anyone can be a victim when it comes to voyeurism and exhibitionism. People still do not understand the actions of either behavior. Although voyeurs and exhibitionist know that they are risking their life with their actions; however, they still feel like they cannot control their behavior. They rather get in trouble for their actions, rather than seek help.

In almost every sexual and gender identity disorder case, the exact causes of these disorders are not entirely known. Some researchers believe it is biological and genetic causes, while other researchers believe people start developing sexual and gender identity disorders throughout their adulthood. While people would like to believe that these disorders are made up in a person’s unconscious mind, it is truly hard to believe; especially when people go to extremes of having sex changes or setting up dungeon rooms to play out their fantasies. Most societies are not accepting of people who prefer abnormal sexual practices, but hopefully researchers will have a breakthrough to help determine the causes of these disorders and help people better understand the abnormal.

Learn How to Have Fun With Adult Board Games

Adult board games are one of the best diversions you have to do have a good time and mingle. Adult Monopoly, Battle of the Sexes, Dirty Minds, Pictionary — board games that will definitely leave you hanging by your seat since this is an adult version. The best part about playing adult board games is that it’s wicked fun, not to mention that there’s a great opportunity to flirt with the opposite sex. Things can get rowdy and wild, and that’s okay. You deserve some time off. Loosen those nerves. Try these cool tips on keeping up and enjoying adult board games.

Be game. Participate. Be up for anything. Nobody wants to hang out with somebody who’s uptight and can’t appreciate an adult game or two. Be cool and always keep this in your head: have fun. Nothing else will matter. Well, you might also want to flirt and keep eye contact with someone you’re interested in in the group.
Follow the rules. And break some. Try to add some little tweak on the rules and go ahead and be goofy. Not to the point of ruining the mood though. Engage them into some playful banter and make sure that everybody is having as much fun as you are. Go easy on the liquor and be focused on the game more instead. The ladies will love you for it.
Have a great time. Don’t be too engrossed in winning. Although that’s a good spirit, learn how to be a good sport and accept defeat with a smile. Hey, it’s just a game. Shake the stress away and bear in mind that you’re in it because you want to meet people and have a great time.