Male Hypoactive Sexual Desire Disorder

Male hypoactive sexual desire disorder is characterized by a persistent deficiency or absence of sexual desire, causing personal distress or interpersonal difficulty. Etiologies include hormonal imbalances (e.g., low testosterone), psychological factors, medication effects, and chronic medical illnesses. Clinically, patients report diminished sexual thoughts, fantasies, and desire for sexual activity. Diagnosis is clinical, based on DSM-5 criteria, with assessment of hormonal, psychiatric, and relational factors. Management involves psychotherapy, hormonal therapy if indicated, and addressing psychosocial contributors.