Sex is essential for happy marriage life. For a healthy physical and mental wellness, sex is an important aspect, which not only makes us active but also maintains the balance of our emotions. Sex have various positive effect on us, it oozes out the stress and binds two people close to each other. The level of bonding and trust is even grown stronger. Sexual desire is the feeling, fantasy that ignites one’s feeling for love and intimacy.
Hypoactive sexual desire is a chronic loss of interest in having sex and leading to a stressed personal life. It is a state that persists depending on situations for a shorter while to longer period.
But, the over and less or null level of sexual desire is a matter of disturb. When one doesn’t have a control on the desires will end up having issues in personal lives. According to dsm-5 the sexual desire disorder is widely divided into 2 types

• Female sexual interest/arousal disorder
• Men hypoactive sexual desire disorder

In these conditions, men and women lack interest or fantasy of having sex and landing up into dissatisfied/distressed personal life. It is reported that 20% of men are experiencing the disorder, whereas 30-39% of women are struggling against getting sexual desire.
Causes:-

1. Hormonal imbalance – it is seen that the woman with poly cystic ovarian syndrome, low estrogen, menopause and menstruation are suffering from low libido.
2. Testosterone imbalance
3. Emotional distress or sudden loss of loved ones
4. Embarrassment and myths
5. Association with other medical conditions
6. Bad previous intercourse experience(dyspareunia)
7. Psychological and social aspects
8. Undergone through any radiations or surgeries

Symptoms:-

1. Disinterested in having sex even at the normal situation
2. Hatred and dislike the concept of sex
3. Fearful and overprotective of self
4. Physical symptoms are

• Pain
• Malaise
• Dryness of genitalia
• Nausea and severe headache
• Restlessness and anger

5. Accepting to fall for an open relationship
6. Sexual dissatisfaction
7. Feeling of harm and stops in between the sex

Treatment:-

1. Self-actualization is the first step
2. Seek for a peer advice
3. Share feeling with a psychologist and psychiatrist
4. Identification of the main cause
5. Psychotherapy and cognitive behavioural therapy
6. Sex therapy and counselling
7. Camps and anxiety reduction therapy
8. Psycho education and communication
9. Promoting sexual intimacy
10. Medications