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Disorders of sexual desire are frequently encountered in psychiatric practice. These disorders may be part of the presentation of common psychiatric disorders such as depression and anxiety disorders, a drug side effect, secondary to relationship discord or idiopathic. Understanding the etiology of problems of low sexual desire is also complicated because of the interplay of biological, psychological and interpersonal influences. Because these disorders can have a multitude of etiologies, diagnosis is often complicated and most often imprecise. Because sexuality is such an important part of one’s self-identity and plays a significant role in intimate relationships, low sexual desire can have a multitude of unfortunate consequences and obviously should be a focus of psychiatric interventions.

The goal of this chapter is to review current evidence concerning the diagnosis, epidemiology, etiology and treatment of hypoactive sexual desire disorders. Masters and Johnson and the DSM-IV-TR  regard male and female sexual disorders as symmetrical.

However, there appear to be sex differences in the strength of sexual desire, its covariates, its sequencing in the sexual response cycle, and its response to relationship discord. In this chapter, female disorders of desire will be considered separately from male disorders of desire as they may represent different diagnostic entities.

Almost ninety percent of Indiana adults between the ages of 21 and 59 have engaged in some kind of gambling for money in their lifetime. In the past year, over sixty-five percent of this age group has gambled for money, and in the past month, much less thhalf (42.3%) reported some sort of gaming or betting. Our respondents reported having tried, on average, about three different types of gambling in their lifetime.

Males are more likely to gamble for money than females. Over ninety percent of men reported participating in gambling in their lifetime, and almost half of our male respondents reported having gambled in the past month (47.8%). Nearly eighty-five percent of women had gambled in their lifetime and over a third of women had gambled in the past month (36.8%). The largest difference between male and female gamblinparticipation was found when asked if they had gambled in the past year. Nearly fiftepercent more males (74.2%) reported gambling than women (60.3%) in the past year. Men also conveyed that they have tried more types of gambling for money than have women between the ages of 21 and 59.