How often have you heard yourself saying “I’m just not in the mood”?

It may have absolutely nothing to do with the quality of your relationship with your partner, but it can affect it. HSDD (low libido) is a common diagnosis for women, especially during menopause.

What is HSDD?

Hypoactive Sexual Desire Disorder (HSDD) is characterized by the absence of sexual thoughts, fantasies, and lack of interest in sexual activity. When these features cause personal distress for at least 6 months and are not attributable to medications, then a woman meets the criteria for a diagnosis of HSDD.

How many women experience HSDD?

HSDD is common. An estimated 1 in 10 women suffer from HSDD.

What are the symptoms of HSDD?

Women may experience symptoms of HSDD for years without receiving proper information on the condition or their treatment options.

Some of the most common symptoms of HSDD include:

  • A decrease or absence of sexual thoughts or fantasies
  • Lack of interest in sexual activity
  • Feelings of shame, sadness, worry, or fear

Treatment Options

Several treatment options exist for women with HSDD. With treatment, women can expect the return of sexual thoughts and intimacy. It may take time for treatment to take effect, and some women may need to pursue more than one course of therapy to see improvement. 

Treatment options can include:

  • Medications, like Addyi and Vyleesi, to improve libido
  • Medications to alleviate feelings of sadness, worry, or fear
  • Testosterone therapy
  • Counseling and physical therapy

What to expect on your visit

During your visit, you can expect your care team to listen to and address all of your concerns in a safe and trusted space. 

A consultation for HSDD may include:

  • A history and physical examination
  • Labs
  • Vulvoscopy
Are there treatment options?

Yes, there are 2 FDA-approved treatment options. Addyi is a daily, oral, non-hormonal option for HSDD. Vyleesi is an on-demand injectable also available for treatment. Your provider can also discuss the possibility of using Testosterone as a treatment option, as there is data to support testosterone supplementation to help with low libido.

Non-medical treatment options include counseling, which is an effective tool and required by many people, and also data to support using written erotica (sexy stories) to help increase desire.

What causes HSDD?

Sexuality is driven by a biopsychosocial model, meaning it is driven by biology, lifestyle components, and emotional factors. To name just a few of these causative, biopsychosocial factors: hormonal issues, illness, stress, a side effect of medications, or problems in a relationship. An assessment of these factors will help to identify modifiable components that may help with approaches to treatment.

The HerMD Difference

TYPICAL OB GYN OFFICE HerMD
  • 10 minute appointments
  •  20 – 40 minute appointments
  • Fragmented
  • In-person only
  • Hybrid: in-person and telehealth appointments for existing patients
  • Sterile environment
  • Patient-centric, beautiful and warm
  • Focus on obstetrics, annuals, and STI care
  • Gynecology, sexual health, and menopause-focused care with clinicians following ISSWSH, NAMS, and ACOG guidelines

We’re Revolutionizing Women’s Health Care

But don’t just take our word for it…

  • Elizabeth McFarlane


    First time visit – excellent! The staff was wonderful and Dr. Ramaswamy made the whole annual experience as easy and comfortable as it can be! I’m thrilled that HerMD is in Carmel, IN and part of my healthcare regimen from here on out!

  • Kristina Kohler


    I had a Hydro facial with Brianna. And it was wonderful. My skin is glowing and radiant.

  • Kyra Mohundro


    The best people and environment! Very informative and helpful, definitely recommend!! Love it here

  • Rhonda Franks


    Char is an absolute gem! She takes time to establish a relationship with you. She is thorough and makes sure all of your concerns are addressed. The entire team is amazing! 5 stars!

  • julie logue


    Wonderful place for women.

  • Janice Walker

    Cincinnati, OH

    Michelle was so very helpful abd provided me with several options. When I return I only want to see her!!!

  • Jill Arvanitis


    Amy is amazing! Do not hesitate to make an appointment with her.

  • Taylor Macchiarelli


    I’ve loved my experience at HerMD. I’ve been seeing Brianna for years for Botox treatments as well as lip filler. She always makes me feel comfortable and makes sure to give me the perfect amount to look natural. She is someone you can trust and always makes me leave feeling amazing. I would recommend Brianna to any and every person!

  • Suzanne Frye


    Amy Kinnett is the BEST! She is knowledgeable, professional, and has fun energy. Amy listens to my concerns and provides options to help me make the best decisions. Highly recommend!!

  • Beth B


    I’m so happy to have found HerMD and Char. She took her time with me and answered all my questions and concerns. The information she gave me was invaluable and I look forward to continuing with her and HerMD. The facility is so very nice and the care and professionalism is very impressive.

Questions

Get in touch with our Patient Advocate Team

Your Body,
Your Health,
HerMD.

SCHEDULE NOW

Communication Portal

Connect with your care provider. Ask questions and send messages.

Get Your Results

View test results, documentation, notes and charts.

Make Payments

HEALTH CARE

Select your location to make a payment for Health Care procedures.