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Do You Have Hypoactive Sexual Desire Disorder(HSDD)? Self Diagnose HSDD Using Clinically Validated Elements of Desire Questionnaire (EDQ)

Hypoactive Sexual Desire Disorder Free Online Test and Self Assesssment Self Diagnosis Screening Monitoring Mental Health Test with Clinically Validated Gold Standard EDQ Monthly Recall Instrument

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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 a gender-neutral diagnostic criterion 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.1Parish SJ, Hahn SR. Hypoactive Sexual Desire Disorder: A Review of Epidemiology, Biopsychology, Diagnosis, and Treatment. Sexual Medicine Reviews. Published online April 2016:103-120. doi:10.1016/j.sxmr.2015.11.009  
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%.Sathyanarayana Rao T, Darshan M, Tandon A. An epidemiological study of sexual disorders in south Indian rural population. Indian J Psychiatry. Published online 2015:150. doi:10.4103/0019-5545.158143 
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.
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2Nousen EK, Franco JG, Sullivan EL. Unraveling the Mechanisms Responsible for the Comorbidity between Metabolic Syndrome and Mental Health Disorders. Neuroendocrinology. Published online 2013:254-266. doi:10.1159/000355632
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. Further, it is observed that Obesity prevalence in Mental health disorders is around 45%, which is one of the primary hallmarks of metabolic syndrome3Nousen EK, Franco JG, Sullivan EL. Unraveling the Mechanisms Responsible for the Comorbidity between Metabolic Syndrome and Mental Health Disorders. Neuroendocrinology. Published online 2013:254-266. doi:10.1159/000355632. Many other studies like one by Swardfager4Swardfager W, Hennebelle M, Yu D, et al. Metabolic/inflammatory/vascular comorbidity in psychiatric disorders; soluble epoxide hydrolase (sEH) as a possible new target. Neuroscience & Biobehavioral Reviews. Published online April 2018:56-66. doi:10.1016/j.neubiorev.2018.01.010 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.
 

About Elements of Desire Questionnaire(EDQ Questionnaire)

EDQ5Revicki, Dennis A., et al. “Reliability and validity of the elements of desire questionnaire in premenopausal women with hypoactive sexual desire disorder.” Journal of Patient-Reported Outcomes 4.1 (2020): 1-11. is a patient-reported outcome (PRO) measure developed to evaluate sexual desire and was included in two identically designed phase 3 clinical trials (RECONNECT) as an exploratory endpoint. The instrument has 9 questions(called items), where we have both Intensity Likert scale answers, as well as frequency Likert scale answers. Think deeply before answering. We have also included questions relevant to gender and age, to help your clinician correlate your clinical conditions based on your demographic overview. A heart rate question is added for using the scale in a more common clinical setup, in order to correlate cardiovascular, and metabolic conditions with HSDD.

Reliability and Validity of EDQ-Based HSDD Test

EDQ demonstrated high (α> 0.9) internal consistency throughout baselineto6 months(α> 0.7 is considered to be a consistent instrument). Based on prespecified expectations, 6 of 7 (86%) correlations at baseline and 7 of 7 (100%) correlations at month 3 were confirmed. Hence EDQ is a consistent, valid, and reliable mental health instrument for the Hypoactive Sexual Desire Disorder instrument.

How to Use the Instrument Clinically?

As per DSM-4 and DSM-5, you need to have a persistent sexual desire deficiency for at least six consecutive months. This means that to be able to diagnose HDSS, you need to ask your patient to fill out this questionnaire twice a month for at least six months if his initial test result reveals a moderate risk of positive HSDD.  Normal results do not need any further monitoring. If, over six months, the results remain HSDD positive, then you must perform proper clinical correlation in the physical setup, or any other ways as suggested by ICD-10 or DSM-IV(note this instrument is applicable for both Men’s HSDD, as well as general HSDD). In case a patient comes in a moderate HSDD scale for three months, then you must have proper counseling and intervention to help the patient to avert the subclinical condition from becoming clinical.

How to Use HSDD for Self-Diagnosis?

The protocol for home diagnosis and self-diagnosis remains the same as that of the protocol by clinicians. If your results show moderate HSDD, or HSDD positive, then you must take this test every 15 days. After three months also, if your results come moderate or HSDD positive, then you must seek assistance from a mental health professional. Alternatively, you can fill up the bottom form to reach the Lyfas team, which offers you the best HSDD online cure with a 100% money-back guarantee. We will treat you with minimum medicine and heal you with a holistic approach.

Disclaimer

This test is provided as-is. Acculi Labs Pvt. Ltd. and Lyfas take no responsibility for the harm arising from taking the test, including Hypochondriasis, mental trauma, and others. Furthermore, we take no responsibility for the validity and accuracy of the test. This is adapted from the original EDQ. This is an anonymous test, and we do not capture your sensitive data that reveals your identity, including your name, GPS, mobile number, etc. However, we log your IP address along with the final test result(not individual answers). No medicine can be prescribed based on the results of this test. By taking the test, you agree to not hold Acculi Labs Pvt. Ltd. Bangalore and Lyfas are not responsible and liable for any damage.

Additional Resources

You can observe our detailed explanation video on the fundamentals of Sexuality on Youtube. This will also help you to understand the difference between female and male sexuality and would help you understand the core reasons for hyposexual desires.   We value you and your determination to learn the fundamentals and take control of your life. Get the book from our store(shipped worldwide). Use the coupon code EZCE584E to get an instant 20% discount on the purchase. This discount is to acknowledge your efforts in your life.

Take HSDD Self Assessment Home Assessment Mental Health Test With Validated Gold Standard Free Online Questionnaire-Based Psychology Instrument EDQ.

1.Over the past 4 weeks, how often did you feel sexual desire or interest?
2.Over the past 4 weeks, what was the intensity of your sexual desire or interest?
3.Over the past 4 weeks, how often did you have thoughts or fantasies about sexual activities?
4.Over the past 4 weeks, how would you rate your interest in engaging in sexual activity?
5.Over the past 4 weeks, how often did you want to have sexual activity?
6.Over the past 4 weeks, how would you rate your receptivity to your partner’s sexual requests?
7.Over the past 4 weeks, how often did you initiate a sexual activity?
8.Over the past 4 weeks, how would you rate your interest in initiating sexual activity?
9.Over the past 4 weeks, how would you rate your satisfaction with your level of desire or interest in sexual activity?
10.What is Your Gender?
11.What is your age group?
12.What is your resting heart rate range?

References

  • 1
    Parish SJ, Hahn SR. Hypoactive Sexual Desire Disorder: A Review of Epidemiology, Biopsychology, Diagnosis, and Treatment. Sexual Medicine Reviews. Published online April 2016:103-120. doi:10.1016/j.sxmr.2015.11.009
  • 2
    Nousen EK, Franco JG, Sullivan EL. Unraveling the Mechanisms Responsible for the Comorbidity between Metabolic Syndrome and Mental Health Disorders. Neuroendocrinology. Published online 2013:254-266. doi:10.1159/000355632
  • 3
    Nousen EK, Franco JG, Sullivan EL. Unraveling the Mechanisms Responsible for the Comorbidity between Metabolic Syndrome and Mental Health Disorders. Neuroendocrinology. Published online 2013:254-266. doi:10.1159/000355632
  • 4
    Swardfager W, Hennebelle M, Yu D, et al. Metabolic/inflammatory/vascular comorbidity in psychiatric disorders; soluble epoxide hydrolase (sEH) as a possible new target. Neuroscience & Biobehavioral Reviews. Published online April 2018:56-66. doi:10.1016/j.neubiorev.2018.01.010
  • 5
    Revicki, Dennis A., et al. “Reliability and validity of the elements of desire questionnaire in premenopausal women with hypoactive sexual desire disorder.” Journal of Patient-Reported Outcomes 4.1 (2020): 1-11.

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