Hypoactive Sexual Desire Disorder - entity and therapeutic approaches: An overview

Introduction: Sexuality is a very important part of the human life and nature. Hypoactive sexual desire disorder (HSDD) is the most common form of female sexual dysfunction, especially among pre-menopausal women. The purpose of this review is to outline an overview of female sexual dysfunctions, pa...

Full description

Bibliographic Details
Main Authors: C. da Costa Campos, J. Mesquita
Format: Article
Language:English
Published: Instituto Psiquiatría Psicodex SL 2021-09-01
Series:Psicosomática y Psiquiatría
Subjects:
Online Access:https://raco.cat/index.php/PsicosomPsiquiatr/article/view/392558
_version_ 1797793200502472704
author C. da Costa Campos
J. Mesquita
author_facet C. da Costa Campos
J. Mesquita
author_sort C. da Costa Campos
collection DOAJ
description Introduction: Sexuality is a very important part of the human life and nature. Hypoactive sexual desire disorder (HSDD) is the most common form of female sexual dysfunction, especially among pre-menopausal women. The purpose of this review is to outline an overview of female sexual dysfunctions, particularly regarding HSDD, its pathophysiological mechanisms and the existing treatment approaches for this disorder, with special focus on the only drug approved by the US Food and Drug Administration (FDA) for the treatment of this disease. Methods: Non-systematic review of literature through PubMed search, using the key words “Hypoactive Sexual Desire Disorder” and “Flibanserin”. Inclusion of some articles selected from the references of the previously chosen literature. Search of other relevant information from FDA website, press releases, prescribing information from the manufacturer and published books on the subject. Results: Sexual desire seems to be controlled by an equilibrium of inhibitory and excitatory factors of hormonal, neurobiological and psychological nature, and an imbalance between these factors seems to be at the origin of the development of pathological states. HSDD is currently the unique female sexual disorder to have a drug approved by FDA for its treatment in premenopausal women: flibanserin. The journey of flibanserin until the moment of its approval by FDA was very long and complex. In the absence of more therapeutic approaches approved by FDA, many drugs are being used “off label” to treat sexual dysfunctions, sometimes dangerously since its use is not regulated for these purposes. Discussion and Conclusion: There is a long path to be covered in what concerns not only our knowledge on the great complexity of female sexual dysfunctions but also therapeutic weapons to treat them.
first_indexed 2024-03-13T02:44:50Z
format Article
id doaj.art-db65a5f2ed70409fbfbfe25d99bc7b13
institution Directory Open Access Journal
issn 2565-0564
language English
last_indexed 2024-03-13T02:44:50Z
publishDate 2021-09-01
publisher Instituto Psiquiatría Psicodex SL
record_format Article
series Psicosomática y Psiquiatría
spelling doaj.art-db65a5f2ed70409fbfbfe25d99bc7b132023-06-28T19:59:43ZengInstituto Psiquiatría Psicodex SLPsicosomática y Psiquiatría2565-05642021-09-01710.34810/PsicosomPsiquiatrnum0705Hypoactive Sexual Desire Disorder - entity and therapeutic approaches: An overviewC. da Costa CamposJ. Mesquita Introduction: Sexuality is a very important part of the human life and nature. Hypoactive sexual desire disorder (HSDD) is the most common form of female sexual dysfunction, especially among pre-menopausal women. The purpose of this review is to outline an overview of female sexual dysfunctions, particularly regarding HSDD, its pathophysiological mechanisms and the existing treatment approaches for this disorder, with special focus on the only drug approved by the US Food and Drug Administration (FDA) for the treatment of this disease. Methods: Non-systematic review of literature through PubMed search, using the key words “Hypoactive Sexual Desire Disorder” and “Flibanserin”. Inclusion of some articles selected from the references of the previously chosen literature. Search of other relevant information from FDA website, press releases, prescribing information from the manufacturer and published books on the subject. Results: Sexual desire seems to be controlled by an equilibrium of inhibitory and excitatory factors of hormonal, neurobiological and psychological nature, and an imbalance between these factors seems to be at the origin of the development of pathological states. HSDD is currently the unique female sexual disorder to have a drug approved by FDA for its treatment in premenopausal women: flibanserin. The journey of flibanserin until the moment of its approval by FDA was very long and complex. In the absence of more therapeutic approaches approved by FDA, many drugs are being used “off label” to treat sexual dysfunctions, sometimes dangerously since its use is not regulated for these purposes. Discussion and Conclusion: There is a long path to be covered in what concerns not only our knowledge on the great complexity of female sexual dysfunctions but also therapeutic weapons to treat them. https://raco.cat/index.php/PsicosomPsiquiatr/article/view/392558Female sexual dysfunctionHypoactive sexual desire disorderFlibanserinTreatment
spellingShingle C. da Costa Campos
J. Mesquita
Hypoactive Sexual Desire Disorder - entity and therapeutic approaches: An overview
Psicosomática y Psiquiatría
Female sexual dysfunction
Hypoactive sexual desire disorder
Flibanserin
Treatment
title Hypoactive Sexual Desire Disorder - entity and therapeutic approaches: An overview
title_full Hypoactive Sexual Desire Disorder - entity and therapeutic approaches: An overview
title_fullStr Hypoactive Sexual Desire Disorder - entity and therapeutic approaches: An overview
title_full_unstemmed Hypoactive Sexual Desire Disorder - entity and therapeutic approaches: An overview
title_short Hypoactive Sexual Desire Disorder - entity and therapeutic approaches: An overview
title_sort hypoactive sexual desire disorder entity and therapeutic approaches an overview
topic Female sexual dysfunction
Hypoactive sexual desire disorder
Flibanserin
Treatment
url https://raco.cat/index.php/PsicosomPsiquiatr/article/view/392558
work_keys_str_mv AT cdacostacampos hypoactivesexualdesiredisorderentityandtherapeuticapproachesanoverview
AT jmesquita hypoactivesexualdesiredisorderentityandtherapeuticapproachesanoverview