Clinical Management of Hypoactive Sexual Desire Disorder

Sheryl Kingsberg, PhD, IF; Stephanie Faubion, MD, FACP, NCMP, IF


Menopause. 2019;26(2):217-219. 

In This Article

A Case in Point

At her annual gynecologic exam, a 57-year-old woman reluctantly discloses her concern about a loss of sexual desire. She experienced spontaneous menopause at age 52 and has been in a happy marriage to a man for 25 years. She used to initiate sex regularly and was responsive to her husband's advances. However, over the past 10 years, her desire has markedly decreased to where she now reports having almost no desire at all. There is no clear medical, situational, or psychological explanation for her lack of desire. She still engages in "duty sex" two to three times per month out of a sense of sympathy for her husband's needs but avoids it when she can. She is distressed by her loss of sexual desire and wants to want sex again.