The clinician judges this on the basis of the patient's age and other life circumstances that may affect sexual functioning. This behavior causes marked distress or interpersonal problems. Except for another Sexual Dysfunction. Physical illnesses when they produce fatigue, pain Hormone deficiencies may occasionally be implicated. Stress Insomnia or inadequate amounts of sleep, resulting in fatigue.
Some disorders have similar or even the same symptoms.
Many times, however, the lowered sexual desire occurs during adulthood, often times following a period of stress. Treatment of HSDD will depend in some part on the duration of the problem and its causes. If it is the result of attitudes and experiences of a long-standing nature, changing how patients think and feel about the problem and their sexuality is critical. Some couples just aren't sexually attracted to each other, leading to HSDD in one or both. They find it difficult to tell each other about the lack of attraction.