Encyclopedia of Couple and Family Therapy

2019 Edition
| Editors: Jay L. Lebow, Anthony L. Chambers, Douglas C. Breunlin

Male Hypoactive Sexual Desire Disorder in Couple and Family Therapy

  • Stephanie BuehlerEmail author
Reference work entry
DOI: https://doi.org/10.1007/978-3-319-49425-8_461


Low appetite; Low desire; Low drive; Low interest; Low libido


Male hypoactive sexual desire disorder (MHSDD) is characterized by the persistent deficiency or absence of sexual fantasies and desire for sexual activity (American Psychiatric Association 2013) for a period of at least 6 months. The symptoms must cause significant distress to the individual. The Diagnostic and Statistical Manual, Fifth Edition (DSM-5 2013) provides exclusionary criteria that male hypoactive sexual desire disorder (MHSDD) cannot be diagnosed if low desire* is better explained by nonsexual mental pathology, as a consequence of relationship distress, or attributable to effects of a substance or medication or another medical condition.

Theoretical Context for the Concept

In practice, when MHSDD occurs, it often puzzles both partners, especially if (assuming a heterosexual relationship) the male partner professes to love his female partner. Because of the variety of physical, mental, and...

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.The Buehler InstituteNewport BeachUSA

Section editors and affiliations

  • Farrah Hughes
    • 1
  • Allen Sabey
    • 2
  1. 1.Employee Assistance ProgramMcLeod HealthFlorenceUSA
  2. 2.The Family Institute at Northwestern UniversityEvanstonUSA