Hi ladies, it's Dr. Casperson, coming to you from my office in Washington State.

I'm a board-certified urologist specializing in female urology and eurogynacology

with a special interest in female sexual dysfunction.

So welcome to my podcast and thanks for listening.

If you want to follow me at Facebook, I'm at You Are Not Broken as far as Facebook goes.

And you can leave questions there or you can shoot me a, shoot me an audio message on Anchor.

And that'll be fun to listen to because I haven't gotten any of those yet as I'm new at this podcasting thing.

So today I'm going to talk about low sexual desire or the official

term of hypoactive sexual desire disorder. So this is becoming more and more prevalent as there are now

two FDA approved medications for low sexual desire in women. So hopefully the conversation

about this is just starting. So what is low libido or hypoactive sexual desire disorder?

The abbreviation for that's HSDD.

So technically it has any of the following characteristics for a minimum period of at least six months.

So it has to be kind of a chronic long-term thing, not a short-acting phenomenon. So for at least the last

six months, characterized by lack of motivation for sexual activity characterized by decrease or

absent spontaneous desire, sexual thoughts or fantasies, or decreased or absent responsive

desire to erotic cues or stimulation or inability to maintain desire or interest through sexual activity.

Also a loss of desire to initiate or participate in sexual activity, including behavioral responses,

such as avoiding situations that could lead to sexual activity that is not secondary to sexual pain disorders.

So that's a really important caveat.

For example, I saw somebody in clinic and she's bothered by her low desire for sex.

But when we started having a conversation, it turns out that she has some pelvic pain issues,

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