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Hypoactive sexual desire dysfunction, acquired, situational, identified by the ICD-11 code HA00.3, describes a condition where an individual experiences a diminished or absent desire for sexual activity that has developed after a period of normal sexual functioning. This lack of desire is specific to certain circumstances, partners, or stimuli, rather than being a general, persistent absence of sexual interest. The onset of this condition follows a time when the individual did not experience these issues, and the reduced desire is not constant but occurs in particular situations. This diagnosis is crucial for accurate medical coding and patient care.
Individuals diagnosed with ICD-11 code HA00.3 may present with a noticeable decrease or complete absence of sexual thoughts, fantasies, or motivation to engage in sexual activity. This reduction in desire is not universal; it typically manifests in specific contexts, such as with a particular partner, during certain life stages, or in response to specific types of erotic cues. While the person may still experience sexual desire in other situations or with other partners, the distress caused by this acquired, situational lack of desire is a key diagnostic component. This can lead to interpersonal difficulties and personal distress, prompting a visit to a healthcare provider.
The development of acquired situational hypoactive sexual desire dysfunction (ICD-11 code HA00.3) can be influenced by a variety of factors. These may include relationship issues such as poor communication, intimacy difficulties, or unresolved conflicts with a specific partner. Psychological factors like stress, anxiety, or depression, particularly when context-specific, can also contribute. Medical conditions, certain medications, hormonal changes, or significant life events that occur within a specific relationship or situation can also play a role. Unlike generalized acquired HSDD, the acquired situational nature suggests that external or situational triggers are often involved.
Diagnosing Hypoactive sexual desire dysfunction, acquired, situational (ICD-11 code HA00.3) involves a comprehensive clinical assessment. Healthcare providers will typically take a detailed sexual history, focusing on the onset of symptoms, their situational nature, and the associated distress. This assessment aims to differentiate acquired situational HSDD from generalized or lifelong forms, as well as other sexual dysfunctions or medical conditions. A biopsychosocial approach is often employed, considering biological, psychological, and interpersonal factors relevant to the specific context in which the desire is diminished.
Management for Hypoactive sexual desire dysfunction, acquired, situational (ICD-11 code HA00.3) is tailored to the identified causes and the specific situational triggers. Treatment strategies may include couples therapy or sex therapy to address relationship dynamics and improve communication. Psychological interventions like cognitive behavioural therapy (CBT) or mindfulness can help manage stress and anxiety related to sexual encounters. In some cases, addressing underlying medical conditions or adjusting medications may be necessary. The focus is on resolving the specific situational factors contributing to the diminished desire.
Common clinical synonyms and alternative terms for Hypoactive sexual desire dysfunction, acquired, situational (ICD-11 code HA00.3) include acquired situational low sexual desire, situational inhibited sexual desire, and acquired situational HSDD. Patient-friendly descriptions might refer to it as a specific type of low sex drive that developed later in life and is linked to particular circumstances or partners. These alternative terms are important for comprehensive patient understanding and clinical communication.
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