Low or No Sex Drive: Disambiguation Guide
Channel: Prof. Sam Vaknin
Date: 2021-02-22

There is an almighty confusion regarding people with low or no sex drive. Here is a helpful disambiguation guide.

Asexual: someone who is devoid of an other-directed sex drive. Some asexuals do not crave intimacy, companionship, or romance either.

Hyposexual: a person whose sex drive is either infrequent or intermittent and is distressed by this self-perceived deficiency.

Schizoid personality: he finds sex unappealing, repetitive, and tedious and so avoids seeking it. Most schizoids also abstain from having any relationships.

Schizoid style: unlike the schizoid personality, the style enjoys sex but will not go out of his way to find it. He can go years or decades without sex, but when the opportunity throws herself at his feet, he thoroughly enjoys the proceedings.

Cerebral narcissist: he derives narcissistic supply from his intellectual pyrotechnics and converts his celibacy into a proud ideology, feeling superior to common folks who lust and bang bestially.

Histrionic: oddly, flirtatious and seductive as they are, most histrionics are sex-averse (“frigid”). They regulate their moods and self-esteem via the chase and the conquest, not the act itself.

In the DSM-5, male hypoactive sexual desire disorder is characterized by "persistently or recurrently deficient (or absent) sexual/erotic thoughts or fantasies and desire for sexual activity", as judged by a clinician with consideration for the patient's age and cultural context.

Female sexual interest/arousal disorder is defined as a "lack of, or significantly reduced, sexual interest/arousal", manifesting as at least three of the following symptoms: no or little interest in sexual activity, no or few sexual thoughts, no or few attempts to initiate sexual activity or respond to partner's initiation, no or little sexual pleasure/excitement in 75–100% of sexual experiences, no or little sexual interest in internal or external erotic stimuli, and no or few genital/nongenital sensations in 75–100% of sexual experiences.

For both diagnoses, symptoms must persist for at least six months, cause clinically significant distress, and not be better explained by another condition. Simply having lower desire than one's partner is not sufficient for a diagnosis. Self-identification of a lifelong lack of sexual desire as asexuality precludes diagnosis.

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