Abstract
Desire is an essential element in health and vital sexuality; however, many of the professions focus on female desire problems. The male hypoactive sexual disorder has become a common problem whereby conceptual and empirical work is scarce for these stigmatizing disorder. These clinic oriented paper discuss overview prevalence causes assessment and treatment for acquired hypoactive sexual desire disorder. And from the study, it observed that the lowest level of sexual desires is caused by anxiety and depression disorders. Also, form the study is evidence that those Men with neurological disorders and medical conditions can be linked to having low sexual desires.
Male Hypoactive sexual desire disorder (MHSDD) known as DSM-5is identified as sexual dysfunction and is featured with low sexual desires and for sexual activity fantasies. Here I Male Hypoactive Desires Disorder is considered as a disorder since it linked to distress and is caused by another mental disorder
The signs of (MHSDD) Male Hypoactive Sexual Desire Disorder; firstly, the person experiences low sexual desires from 75% to 100 % of the time six months and longer. Secondly, their person experiences low sexual desire thirdly on many occasions, the patients report infrequency or does not experience orgasm during sex in six months period. Fourthly, the tendency of ejaculation within one minute during sexual activity and lastly causes distress or interpersonal problems. The MHSDD is characterized by the level of severity and subtyped into lifelong versus developed, generalized versus situational. The DSM-5 species can is identified for the last six months that the symptoms are present before analysis. Clinical sexual compliant are usually commonly presented with less sexual dysfunction for men who most likely have erectile dysfunction. Whereby men believe in having more sexual desires, therefore, making it challenging for men to complain about low sexual desires to their psychologists. A study carried out to study the occurrence of distressing low sexual desires in men over the last two months period. In Portugal, Croatia and Norway reported they reported 14.4% a worrying lack of sexual desire for men between the ages of 30 to 39 indicated low sexual interest. In the United States, 4.8% of men have problems in MHSSD and the UK 17% also as a person increases in age, the sex desires problem increases. For example, in Sweden, men between the age of 66 and 74 were 74.4%. Men in clinical desires are unlikely to report desires problem less compared to men in community trials. Trials in the community reported desire exceeds problems of erectile dysfunctions. At the same time, settings in clinical felt more pleased to speak problems in erectile than problems of urges, primarily biological than psychological.
The DSM-5 evaluates the person’s mental health and physical health whereby mental illness depression symptoms which lead to loss of sexual desires. Beyond psychological factors, sexual desires are also affected by physical factors. Some of the psychological factors associated with DSM-5 includes problems in a relationship fearing concerning about person’s sexual performance and conditions in mental like anxiety and depressions. From the studies, male patients who search for a treatment for sexual dysfunction, and psychological signs were more analytical of low sexual desires than hormonal other biological factors. Men with relationship problems and interpersonal factors are linked to the male’s sexual drive. Here men with spouses with low sexual desires are highly likely to have issues related to sexual attraction. Individual factors especially such as the complications with mental health have been linked to complications of sexual desires in men whereby male patients who look for treatment for sexual dysfunctions are 43% associated with psychiatric signs described to severe damage of sexual desires. Many studies have linked low sexual desire with depression.
Biological factors
Harman factors are linked to low sexual desires whereby man low androgens levels decreased, and the testosterone levels are very low linking to low sexual desires. Hypogonadism here the factional activity of the gonads involved with men between the age of 30 to 69 whereby there has been a connection between growing old and low sexual desires. When the Hyperprolactinema levels are high increasing the levels of prolactin and hypothyroidism linking to low sexual desires in men
Also, conditions that have been associated with low sexual interests to men like SSRIs and SNRIs also conditions like atypical antidepressants can cause a man to have low sexual desires.
Men with neurological disorders and medical conditions can be linked to having low sexual desires. For example, men with multiple sclerosis and inflammatory bowel disease (IBD) and ulcerative colitis have been described to have low sexual desires. Some other biological conditions that may cause low sexual desires to include coronary illness, heart problems, renal failure and HIV in men.
Patient’s prostate removal is Some of the other factors that may cause a man to have low sexual desires as medical procedures. In addition, pelvic radiation also some of the medical procedures that will affect the spinal cord will influence causing issues with sexual desires.
Few treatments options are associated with DSM-5, whereby it targets the removal of underlying issues effectively. For example, is the disorder is as a result of relationship problems; therefore, counselling will be the best option and will prove to be the most effective method. However, MHSDD has no valuation methods or treatment basing in the analytical conditions; therefore, various reports are focusing independently on the assessing and treatment of low sexual desires in men. Aetiology of the MSDD can lead to different treatment of the male disorder but increasing the testosterone hormone is a conventional biological treatment. Psychosocial treatment of the DSM-5 includes the components of behaviours, cognitive and creating a strong cohesion and communication between partners.
Private meetings between partners whereby each member of the couple is assessed for MHSDD; for example, male partner individual meetings may reveal their current partner cannot meet various diagnostic factors, about arousal patterns. Therefore decreasing the attraction to his current partner or sexual need outside the ongoing relationship. During these meetings, it’s a requirement for the clinicians to assess the health status, causing stress and factors in a relationship during when the man has begun to feel a lack of sexual desires. Also, clinicians are required to consider that the male partners offering complaints of low sexual desires might truly be conquering their cravings..
Treatment
Treatment of sexual desires should consider the aetiology of that person whereby if the person has low levels testosterone which most likely the MHSDD; therefore, the biological treatment should focus on increasing the levels of testosterone. Also, from the cause of hypogonadism in males causing low levels of testosterone lowering the sexual desires and causing problems in sustaining the erection. Therapy in replacing testosterone is delivered via the skin counter gel or through injections and slow Testopel inserted under the skin. Increase in levels of testosterone has shown benefits effects on sexual motivations and sexual thoughts.
Issues have risen about misuses of testosterone gels by men who have normal levels of testosterone especially in Europe and the United States due to misguided prescriptions of testosterone promoting the use of a drug for in reaction to age function androgen deficiency. Older men are likely to be prescribed to use daily testosterone gel and apply placebo gel also men with a high frequency of cardiovascular, respiratory disease.
Sexual desires problems caused by endocrinology disorder, depression and anxiety have a different treatment approach. Here clinicians recommend treatment of endocrinologic disorders like hypothyroidism and hyperthyroidism, therefore, increasing levels of sexual desires in men since these conditions impact the sexual functions. Anxiety and depression treatment recommend the patient to use antidepressants which influences the sexual functions in men.
Also, men with metabolic syndromes who reportedly have low sexual desires, and if their sexual dysfunction appears to be a secondary metabolic syndrome, they recommend to change their lifestyle like exercise eat healthy and testosterone therapy.
The MHSDD Psychosocial treatment, whereby the therapist encourages their patients with low sexual desires to concentrate on their sexual stimuli during the activity of sex. Regulation of the emotional aspect is significant since it helps men to lower or control their emotions reactivity accepting the techniques like mindfulness. Here the patient uses acceptance techniques if he cannot archive the sexual function or the level of desire; therefore, this will help the patient to accept certain realities, and the changes will have a positive impact. Also, other psychosocial treatment which is useful to persons with sexual dysfunction involves sensate focus and enhancing sexual interactions timing helping the couple prioritizing their sexual activity.
The relationship building and training in communication, whereby it involves men who have concerns talking about their sexual preferences with their partners are related to Cognitive behavioural therapy for MHSDD. Communication is essential to connecting partners based on sexual desires, therefore, highlighting connection as a critical factor. Also, conflict resolution is vital training communication whereby the therapist assists the male patients with fears of desire training them procedures to reduce blame and encourage self-soothing. Good enough sex is another approach to treat sexual desires. Here an individual is asked to accept the dissimilarities meaning of sexual desires within their setting of the relationship as partners.
Conclusion
The concept of MHSDD these term covers all forms of low sexual desires in men presenting as a way to identify the cause of the condition and the treatment. The male hypoactive disorder is under-recognized, under-treated causing unhealthy relationships and to determine the contributing agent of the disease thorough history and physical examination are essential to diagnose the disorder accurately. Here Characterization of male hypoactive desires disorder is by among the biological psychological and sexual relations. From the study, we understand how male hypoactive desire disorder treatment functions and how these low sexual desires can be improved