F52.0
Hypoactive sexual desire disorder
Clinical Classification Guidelines
Inclusion Terms
- Lack or loss of sexual desire
- Male hypoactive sexual desire disorder
- Sexual anhedonia
Excludes Type 1
- decreased libido (R68.82)
Medical Intelligence & Overview
Hypoactive Sexual Desire Disorder (HSDD), classified under ICD-10 code F52.0, is a condition characterized by a persistent or recurrent lack of sexual desire or interest that causes distress or interpersonal difficulties. Although fluctuations in sexual desire are normal, individuals with HSDD experience a significant decrease that is not attributable to other medical conditions, medications, or relationship issues. This disorder can affect both men and women, with specific considerations for each group.
Causes & Symptoms
Clinical Causes: Hormonal imbalances, such as low testosterone or estrogen levels Psychological factors including depression, anxiety, or past trauma Relationship problems or emotional conflicts with a partner Certain medications, like antidepressants or antihypertensives Chronic medical conditions, such as diabetes, cardiovascular disease, or neurological disorders Lifestyle factors, including high stress levels, fatigue, or substance abuse Age-related changes affecting sexual hormones and interest History of sexual abuse or trauma
Key Symptoms: Lack of sexual desire or interest that persists for an extended period Reduced or absent sexual thoughts or fantasies Disinterest in initiating sexual activity Lack of sexual pleasure or satisfaction during intimacy Feelings of distress or dissatisfaction related to low sexual desire Avoidance of sexual activity due to decreased interest
Diagnostic & Treatment
Diagnosis Path: Diagnosis of HSDD typically involves a comprehensive evaluation by a healthcare provider, which includes discussing sexual history, psychological factors, physical health, and medication use. Healthcare professionals may use structured questionnaires and assessments to rule out other medical or psychological conditions. The diagnosis is appropriate when the lack of desire causes significant personal distress or interpersonal problems, persists for at least six months, and cannot be explained by other biological or psychological factors.
Treatment Protocols: Psychotherapy or counseling, such as sex therapy or cognitive-behavioral therapy, to explore emotional or relational factors Hormonal therapy in cases with documented hormonal imbalances Adjustments to medications that may be contributing to decreased libido Lifestyle modifications, including stress management, regular exercise, and improving sleep quality Medications specifically approved for hypoactive sexual desire disorder, such as flibanserin or bremelanotide, in certain cases (primarily for women) Educating about healthy sexual practices and enhancing intimacy with a partner
Clinical Advice & FAQs
Billing Guidance
Is F52.0 a billable ICD-10 code?
Yes, F52.0 is a specific, billable code that can be used to indicate a diagnosis for reimbursement purposes.
Documentation
How do I report F52.0?
Clinical documentation must specify the nature of Hypoactive sexual desire disorder and any associated comorbidities for accurate reporting.
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