title: [Sexual desire disorders in women].
abstract: OBJECTIVE
  To evaluate the clinical presentation of women's sexual desire disorders (SDD) and therapeutic options, suggested in the literature.
  
  
  METHODS
  Review of articles published on this subject in the Medline database, selected according to their scientific relevance, of consensus conferences and published guidelines.
  
  
  RESULTS
  Female sexual desire is eminently multifactorial. The clinician should take into account the distress of the woman presenting with a SDD by relating this to the sexual history and the general context (pathological, biological…) together with the relationship with the partner. Other sexual disorders should be considered particularly arousal disorders which are frequently associated with SDD in women. SDD is one of the most difficult symptoms of female sexual dysfunction to treat since it is difficult to delimit the normal and the pathological. Without desire, the lack of sexual activity cannot be perceived as suffering. However, the consequences of this situation mean that she will consult the specialist fearing either that she could lose her partner, or that she is different in a normative society.
  
  
  CONCLUSIONS
  A woman who is fulfilled will not have a problem with desire. The therapeutic objective can be to re-establish reactive desire in the affective context of the couple. The complexity and the multifactorial nature of TDS in women means that no unique solution is satisfactory; the initial assessment and a precise aim for therapeutic management are essential.
authors.affiliation: Service d'urologie, hôpital Foch, université de Versailles Saint-Quentin-en-Yvelines, 40, rue Worth, 92150 Suresnes, France. f.cour@hopital-foch.org
authors.forename: F
authors.initials: F
authors.lastname: Cour
authors.forename: M
authors.initials: M
authors.lastname: Bonierbale
mesh_terms: D005260:Female; D006801:Humans; D007989:Libido; D020018:Sexual Dysfunctions, Psychological / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D019529:Sexuality
keywords: Couple; Distress; Désir sexuel hypoactif; Femme; Hypoactive sexual desire; Sexual desire disorders; Souffrance; Trouble du désir sexuel; Women