|May 2006 · Vol. 18, No. 5
EXAMINING THE EVIDENCE
CLINICAL IMPLICATIONS OF KEY TRIALS
Q How common is hypoactive sexual desire disorder?
Diminished health, both physical and mental, was linked to hypoactive sexual desire disorder
Testosterone, by any route, positively affects sexual function after spontaneous or surgical menopause
Professor of Obstetrics and Gynecology, Director of Women’s Midlife Health, University of Virginia, Charlottesville. Dr. Pinkerton is a member of the OBG Management Board of Editors.
A This disorder is prevalent in women at all reproductive stages. Younger, surgically postmenopausal women were at greatest risk among 4 demographic groups analyzed (TABLE). Prevalence ranged from 26% in surgically postmenopausal women aged 20 to 49, to 9% in naturally postmenopausal women.
Hypoactive sexual desire disorder (HSDD) should be recognized as an important quality-of-life issue, particularly for those at increased risk, this report concluded. WISHeS is the first study to report the prevalence of HSDD in US women using well-validated questionnaires, and to assess sexual, relationship, and quality-of-life correlates. Psychosocial distress and significant decrements in general health status, including aspects of mental and physical health, were linked to HSDD.