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Patient scenario: a 53-year-old woman with hypoactive sexual desire disorder

Palacios S. Graziottin A.
Patient scenario: a 53-year-old woman with hypoactive sexual desire disorder
Maturitas 63, 2, 2009, Special issue on "Female sexual dysfunctions in the office: tools to meet the challenge", p. 164-168

Objective: To provide a practical review of the clinical management of hypoactive sexual desire disorder.
Method: The importance of diagnosing and providing therapeutic management for hypoactive sexual desire disorder will be explained via a case study and a literature review.
Results: Hypoactive Sexual Desire Disorder (HSDD) is highly prevalent and has a strong impact on the quality of life of both women and their partners. Medical and sexual history, physical and laboratory examinations as well as validated questionnaires on sex life will help us make an accurate diagnosis. Treatment should begin by focusing on lifestyle and psychosexual therapy. Different therapeutic options which have proven to be effective are available. Hormonal treatment with oestrogen and testosterone or with testosterone alone should be personalised, as should follow-up.
Conclusions: Guidelines for the medical management of hypoactive sexual desire disorder are now available and this starts by understanding the importance of this disorder and knowing that accurate diagnosis and treatment options exist.


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