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Extra info for HSDD: Having the Sexual Dysfunction Discussion

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A large number of psychotropic medications unfortunately carry sexual dysfunction as one of their side effects, and these can vary from lack of libido to decreased vaginal lubrication. In some cases stopping these medications can help resolve the sexual problem, however, this should not be done at the expense of the primary mental health disorder. Discussion about how to circumvent the sexual issue while at the same time treating the underlying disorder needs to be done between the patient and the physician and should probably involve the treating psychiatrist as well.

Sexual activity includes sexual touching, foreplay, masturbation, and intercourse; and sexual activities can be done with or without a partner. The figure shows the number of questions that cover each specific category of the interview. Scoring of the interview allows to numerically assess whether a patient may be diagnosed with hypoactive sexual desire disorder, with the subtype being an acquired desire disorder versus a lifelong desire disorder, or a situational desire disorder versus a generalized desire disorder.

A large number of psychotropic medications unfortunately carry sexual dysfunction as one of their side effects, and these can vary from lack of libido to decreased vaginal lubrication. In some cases stopping these medications can help resolve the sexual problem, however, this should not be done at the expense of the primary mental health disorder. Discussion about how to circumvent the sexual issue while at the same time treating the underlying disorder needs to be done between the patient and the physician and should probably involve the treating psychiatrist as well.

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