Gender Delusion and Lost Love in Hypoactive Sexual Desire Disorder

Hypoactive Sexual Desire Disorder (HSDD)

• ICD-10-CM Code for Hypoactive sexual desire disorder F52.0
• Male Hypoactive Sexual Desire Disorder DSM-5 625.89 (F52.0)

HSDD or Hypoactive Sexual Desire Disorder was earlier considered gender-neutral diagnostic criteria in DSM. However, this diagnostic criterion is applied only to males. In this article though, we shall stick to the DSM-IV definition of HSDD, which is applicable for both genders.

HSDD is defined as persistent loss of desire for sexual activities, and fantasies, for at least six months. This is also now called Male Hypoactive Sexual Desire Disorder.

Epidemology and Prevalence of Hypoactive Sexual Desire Disorder

HSDD is present in 8.9% of women ages 18 to 44, 12.3% ages 45 to 64, and 7.4% over 65. Although low sexual desire increases with age, distress decreases; so prevalence of HSDD remains relatively constant across age.

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In an small Indian population study amongst 1000 subjects, male hypoactive sexual desire disorder (HSDD) was found to be 2.56%, whereas female HSDD was 8.87%.

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In general HSDD is more prevalent and non-specific to age amongst the females than in male population.

Why HSDD is important for Mental and Metabolic Health?

Sexual desire is one of the three primary constructs of any biological being:-

1. Survive
2. Thrive
3. Reproduce

As desire is completely associated with mental health and psychology, HSDD is a mental health disorder. HSDD is associated with lower health-related quality of life; lower general happiness and satisfaction with partners; and more frequent negative emotional states^​1​.

It is a long-proven fact that many mental health conditions have metabolic disorder comorbidity and vice versa, due to the common controlling axis of Hypothalamus Pituitary Adrenaline Axis involvement​3​. Further, it is observed that Obesity prevalence in Mental health disorders is around 45%, which is one of the primary hallmarks of metabolic syndrome^​3​. Many other studies like one by Swardfager^​4​ have already proven and established this fact.

Due to the discomfort of the patients to talk about their sexuality, HSDD has been one of the least diagnosed and treated conditions.

Reasons Behind Hypoactive Sexual Desire Disorder

1. Environmental Factors:-Real threat like Job loss has a negative impact on HSDD.
2. Endocrine Factors:- Low Sexual Hormones in Men and Women.
3. Emotional Distress:- Emotional dysregulates Neurochemistry and which in turn dysregulates sexual desire.
4. Stress:- Stress is probably “the number 1” factor for Sexual Desire Disorder. Due to over-secretion of Cortisol, Epinephrine, brain inhibits the sexual desires.
5. Neuroticism:- Neurotic disorders such as Anxiety and Depression has a non-linear but strong correlation with HSDD.
6. Psychosis:- Psychotic disorders such as Schizophrenia alters the brain structure and functionality and inhibits sexual desires.
7. Physical Factors:- Loss of physical fitness, and injury may cause HSDD.
8. Social Factors:- Social factors such as narration, behavioral alteration, and mass gaslighting may lead one to have thinking and intellectual impairment, leading to HSDD.

Gender Delusion As Major Reason For HSDD

Even though there are mental health tools now(one of which is offered along with this article), on HSDD, the core reasons are yet not investigated in detail. Other factors are still investigated in few studies, but the effect of social narration and increasing interchangeable gender roles.

In this article we are coining and introducing the term “Gender Delusion”.

A delusion is a fixed false belief based on an inaccurate interpretation of an external reality despite evidence to the contrary. The belief is not congruent with one’s culture or subculture, and almost everyone else knows it to be false^​5​.

We define gender delusion as one mental health condition, when a man thinks and feels more like a woman and vice versa.

The following sections of the post would try to answer the question from Evolutionary, Physiological, Psychological, Pathological, and Historical perspectives.

Male and Female Gender Differences

1. In ancient Sumerian texts, marriage is defined as a social association where a man and a female exchange Physical and Emotional energies respectively, to give birth to and raise children.
   A similar line is mentioned in the Roman literature of Senet on various marriage bills and laws. It is the same line that is maintained in the Modern marriage law passed by Britishers in the 18th Century.
2. The keywords are quite steady because, Pathologically, both men and women have both Testosterone and Estrogen. Estrogen xxx time higher than testosterone in females and the reverse in men.
3. Testosterone is a conflict hormone. It helps one fight, gives the stability of mind, and several other such physiological qualities. Estrogen helps better social connections, observations, multitasking, etc.
4. There is a clear anatomical difference between the skeleton of a man and a woman. The hip section is broader in females to help them carry a baby. The shoulder and the pelvic section are stronger in the male skeleton giving them physical strength.
5. This distinction is also significant in the eyesight. A man has weak near vision and strong far vision. A female has about 135′ near vision and limited far vision. It means that, by design, a female can observe social settings with great detail, whereas a man can see objects from a far distance.
6. As vision is directly proportional to the information processing in the brain, a man by design can think 10-20 years down the line and can see those visions, whereas a female can resolve current situations.
7. This difference is quite detrimental even in the structure of the brain. A man’s limbic brain is underdeveloped in comparison to a female. Thus for a man, a story is input, challenges, solution output, whereas the same for a female is very detailed. From the color of the curtain to the lipstick of others, she remembers everything about an event.
8. So, a man and a woman are different Biologically, Pathologically, Physiologically, Anatomically, and Emotionally.

Sexuality

9. Because primarily a sexual act involves physicality and emotions both, and because emotions are a function of the limbic brain, and because emotions are the placeholders for memory, and because feelings are cognitive processing of memory, sensory, emotions, and arousal is directly correlated to feelings, and because physicality is a function of testosterone, a man high on testosterone, and a female high on Estrogen pairbonds well and creates a shared memory.
10. Shared memory is a copy stored in the mind of both individuals, which is evoked every time they participate in the act. There are two energy exchanges and thus the relationship becomes intimate. It is a state where a man and a woman create shared memory during the sexual act.
11. Monogamy is an outcome of intimacy, purely because changing the partner disturbs the shared memory. The mind refuses to accept any changes here.

Gender Lapse Resulting in Gender Delusion

12. Despite the clear distinction of section A, consciousness is a function of the mind. The mind doesn’t want you to waste energy. So, whatever organ you use less gets weaker. Hormonal changes occur to support such changes.

Because Testosterone is a function of physical work and that is reduced a lot in the modern time, it is lowered in men. On the other hand, career, success, to be better for men is a pressure that females carry, which results in higher testosterone.

Higher Estrogen in men results in frequent changes in the testosterone cycle which is called the “Men’s Period”(Known as irritable Male Syndrome). High testosterone in females results in underdeveloped eggs and PCOS. Because of the increase in PCOS and IMS, hormonal change is proven.

13. In classical parenting, a father sets the boundaries, and a mother provides the emotions. In a single-parent setup, the mother has to play both roles. So there is a switch. Because of this, neither the boundary becomes stronger, nor the emotions.

This is one of the primary social reasons for gender Lapse(no boundaries).

Lapse of Gender Boundaries is One of The Prime Root-Cause of Gender Delusion

Result of Gender Lapse in Sexuality

14. Point 9 shows how memory plays an important role in intimacy. Across the animal kingdom, smell is one of the primary components of partner identification and memory. Smell or body odor is maximum in sweating. Because in the modern-day, both men and women are more indoors, there is no sweat, hence no smell, and hence no memory.
15. Due to a lack of boundaries in gender, they can’t exchange emotional and physical energies in a natural way. They can’t create a shared memory due to a lack of distinct body odor. There is an instability of emotions due to mood swings in both.
16. SO, THEY CANT CREATE AN INTIMATE SHARED MEMORY, RATHER THEY CREATE A SHARED FANTASY.

The Shared-Fantasy is a secondary complimentary psychological tool to compensate for shared memory.

There is a small problem with that. In shared fantasy, the partner’s snapshot(internal object of the partner) is projected onto the fantasy( made-up story) rather than the external object. As fantasy can change, so the partner. Hence Polygamy/Hypergamy whatever you want to call it.

17. Because of reduced Testosterone and Estrogen boundaries, the energy flow is minimum. But for the sexual acts, you need energy flow. Energy always flows from high to low, not on a similar plane. So, there is a need for flow. Therefore kinky BDSM sex becomes a choice, where one submits psychologically and the other dominates. This is a control structure flow, not a hormonal or emotional flow. Because it is psychological, it is part of shared fantasy and not intimacy(shared memory).
18. Hence those boys and girls who feel gender-neutral, can’t by science have intimacy. And because they can’t have intimacy, they can’t be monogamous.
19. Because shared fantasy can’t evoke true emotions(these are projections), once
    the fantasy is off, reality comes haunting. And because shared fantasy is psychotic, the more one enters into this, the more psychotic one becomes.
20. Psychosis is maintained by Dopamine. So one has a happy hormone Secretion depletion. Result? Anger/Anxiety or Silence/Depression.

Nature punishes those, who deny nature’s laws.

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Cite this Article

Rupam Das

Passionate, Accountable Student for Life