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ICD Hub / Conditions related to sexual health (Z30–Z39) / HA00.Z - Hypoactive sexual desire dysfunction, unspecified
ICD-11

ICD-11 Codes
for HA00.Z - Hypoactive sexual desire dysfunction, unspecified
Teodor Jurukovski January 1, 1970
Fact checked by: Teodor Jurukovski
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Understanding Hypoactive Sexual Desire Dysfunction, Unspecified (HA00.Z)

Hypoactive Sexual Desire Dysfunction, Unspecified, identified by the ICD-11 code HA00.Z, refers to a condition characterised by a significant reduction or absence of sexual desire or motivation. This sexual dysfunction is part of the broader category of Conditions Related to Sexual Health within the ICD-11 classification. It is defined by a persistent or episodic pattern, lasting at least several months, where an individual experiences a marked decrease in sexual thoughts, fantasies, or the drive to engage in sexual activity. Crucially, this reduction in desire is associated with clinically significant distress for the individual. The "unspecified" designation indicates that specific details regarding the onset (lifelong or acquired) or context (generalised or situational) of the dysfunction are not documented in the diagnostic record.

Diagnosing Hypoactive Sexual Desire Dysfunction, Unspecified (HA00.Z)

The diagnosis of Hypoactive Sexual Desire Dysfunction, Unspecified (ICD-11 code HA00.Z) is established when an individual presents with a persistent or recurrent pattern of diminished or absent sexual desire or motivation. This pattern must have been present for a minimum of several months and must cause significant personal distress. The ICD-11 framework allows for the diagnosis to be made even when specific etiological factors are not fully detailed, hence the use of the "unspecified" code. Clinicians assess for reduced spontaneous desire (e.g., fewer sexual thoughts) and/or reduced responsive desire (e.g., lack of interest when stimulated). The presence of clinically significant distress is a mandatory criterion for diagnosis, distinguishing it from variations in normal sexual interest.

Recognising the Symptoms of Hypoactive Sexual Desire Dysfunction

Individuals experiencing Hypoactive Sexual Desire Dysfunction, Unspecified (HA00.Z) may exhibit several key symptoms. These commonly include a noticeable absence or marked reduction in sexual thoughts or fantasies, and a decreased motivation or drive to engage in sexual activity. Some may also experience a reduced responsiveness to erotic cues or stimulation from a partner. The inability to sustain interest or desire once sexual activity has commenced can also be a presenting feature. These symptoms are not fleeting; they typically occur over a period of at least several months, either consistently or intermittently, and are accompanied by a significant level of emotional distress or dissatisfaction related to their sexual life.

Potential Factors Contributing to Low Sexual Desire

While the ICD-11 code HA00.Z denotes an unspecified diagnosis, Hypoactive Sexual Desire Dysfunction can arise from a complex interplay of factors. These may include medical conditions, the effects of surgery or radiation treatment, or the use of certain medications and psychoactive substances. Psychological and behavioural factors, such as stress, anxiety, depression, or past adverse sexual experiences, also play a significant role. Relationship dynamics, including conflict or lack of emotional intimacy, can contribute to diminished desire. Furthermore, cultural factors and a lack of knowledge or experience regarding sexuality can influence an individual's sexual motivation. The "unspecified" nature of HA00.Z means these specific contributing factors are not detailed in the primary diagnosis.

Managing Hypoactive Sexual Desire Dysfunction

Addressing Hypoactive Sexual Desire Dysfunction, Unspecified (HA00.Z) often requires a comprehensive approach. Psychotherapy, particularly cognitive-behavioural therapy (CBT), is a primary treatment modality. CBT techniques focus on identifying and challenging negative thought patterns, restructuring dysfunctional beliefs about sexuality, and employing behavioural strategies to improve sexual functioning and satisfaction. Mindfulness-based therapies are also increasingly integrated into treatment plans. Management may also involve addressing underlying medical conditions, adjusting medications, or improving relationship communication. The goal of treatment is to alleviate the clinically significant distress associated with low sexual desire, rather than conforming to normative sexual activity standards.

ICD-11 Coding for Hypoactive Sexual Desire Dysfunction, Unspecified

The ICD-11 code HA00.Z is specifically used for Hypoactive Sexual Desire Dysfunction, Unspecified. This code is appropriate when a diagnosis of low sexual desire is made, but the specific details regarding its onset (lifelong vs. acquired) or context (generalised vs. situational) are not documented. When coding HA00.Z, it is essential to ensure that the patient's presentation includes a persistent pattern of reduced desire and clinically significant distress. For enhanced specificity, postcoordination codes can be appended to HA00.Z to indicate associated aetiological factors, such as medical conditions (e.g., HA40.0) or psychological factors (e.g., HA40.1). This condition falls under the ICD-11 chapter 'Conditions Related to Sexual Health' and is reportable when distress is present.

Frequently asked questions

What is the ICD-11 classification meaning of Hypoactive sexual desire dysfunction, unspecified (HA00.Z)?
HA00.Z is the ICD-11 code for Hypoactive sexual desire dysfunction when the specific temporal (lifelong or acquired) or situational (generalized or situational) characteristics are not specified in the documentation.
What are the defining characteristics of Hypoactive sexual desire dysfunction according to ICD-11?
Hypoactive sexual desire dysfunction is defined by an absence or marked reduction in desire or motivation for sexual activity. This can manifest as reduced or absent spontaneous desire, reduced or absent responsive desire to erotic cues, or an inability to sustain desire or interest once initiated. The pattern must occur over at least several months and be associated with clinically significant distress.
When is the ICD-11 code HA00.Z used for Hypoactive sexual desire dysfunction?
The ICD-11 code HA00.Z is used when a diagnosis of Hypoactive sexual desire dysfunction is made, but the specific temporal (lifelong or acquired) or situational (generalized or situational) qualifiers are not documented or determined.
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