MHSDD is categorized into subtypes depending on the way that symptoms manifest. The subtypes include:

Lifelong/generalized. In this type, the man has never been interested in sexual activity, either with a partner or alone. Acquired/generalized. In this type, the man has had sexual desire for his partner in the past but no longer has an interest in sex with any partner or alone.

Acquired/situational. In this type, the man has previously had a sexual interest in his partner but no longer does. However, he is interested in sex with a different partner or alone.

What Causes Male Hypoactive Sexual Desire Disorder?

The cause of MHSDD is unknown, but different factors likely trigger it in varying cases. Scientists believe that physical, medical, and psychological factors may all play a role in producing the disorder’s decreased sex drive. Possible risk factors include:

• Low levels of the hormones testosterone or estrogen
• High levels of the hormone prolactin
• Reaction to SSRI antidepressant medications or blood pressure medicines
• Neurological disorders such as multiple sclerosis
• Mental health-related issues such as depression or anxiety
• Inflammatory bowel disease
• Heart disease
• Kidney disease
• Smoking
• Alcohol use
• History of abuse, sexual assault, or other trauma
• Relationship difficulties
• Low self-esteem or body-image issues
• Stress

How Is Male Hypoactive Sexual Desire Disorder Diagnosed?

Diagnosis of MHSDD begins by ruling out medical problems that may be causing symptoms. After these exams, if the doctor suspects that MHSDD is the cause of the symptoms, they may recommend a psychological or psychiatric assessment.

Diagnostic steps may include:

A physical exam. This exam aims at ruling out physical conditions that could be causing the symptoms.

After medical causes are ruled out, medical professionals can consider whether the patient meets the diagnostic criteria for MHSDD. These criteria include:

• The patient has little or no desire for sexual activity, sexual thoughts, or sexual fantasies.
• The symptoms have been present 75%-100% of the time for at least six months.
• The symptoms cause significant distress or interpersonal difficulties.

Symptoms aren’t caused by substance use or a medical condition. Other mental conditions do not better explain the symptoms. It is important to note that low sex drive alone is insufficient to diagnose MHSDD. Doctors will consider the diagnosis only if the symptoms cause distress.

Treatment of MHSDD:

Treatment varies depending on the underlying condition that seems to be causing it. Potential treatment options include:

• 1. Medicine: Modern medicine couldn't give promising results in HSDD. So at Dr Erande's clinic, we give Ayurvedic treatment with no side effects.
• 2. Hormone replacement therapy
• 3. Changes in dosage of antidepressants or other medications that may be causing symptoms
• 4. Lifestyle changes (exercise, diet, etc.)
• 5. Cognitive-behavioral therapy (CBT)
• 6. Relationship skills and communication training
• 7. Mindfulness techniques