Decreased Sexual Desire Screener (DSDS)
1. In the past, was your level of sexual desire or interest good and satisfying to you?
2. Has there been a decrease in your level of sexual desire or interest?
3. Are you bothered by your decreased level of sexual desire or interest?
4. Would you like your level of sexual desire or interest to increase?
❍ Yes ❍ No
❍ Yes ❍ No
❍ Yes ❍ No
❍ Yes ❍ No
5. Please check all the factors that you feel may be contributing to your current decrease in sexual desire or interest:
A: An operation, depression, injuries, or other medical condition
❍ Yes ❍ No
B: Medications, drugs, or alcohol you are currently taking
❍ Yes ❍ No
C: Pregnancy, recent childbirth, menopausal symptoms
❍ Yes ❍ No
D: Other sexual issues you may be having (pain, decreased arousal, or orgasm)
❍ Yes ❍ No
E: Your partner's sexual problems
❍ Yes ❍ No
F: Dissatisfaction with your relationship or partner
❍ Yes ❍ No
G: Stress or fatigue
❍ Yes ❍ No
Analyzing DSDS Answers
• If the patient answers“NO”to any of the questions 1-4, then she does not qualify for the diagnosis of generalized
acquired HSDD.
• If the patient answers“YES”to all of the questions 1-4, and your review confirms“NO”answers to all of the factors
in question 5, then she does qualify for the diagnosis of generalized acquired HSDD.
• If the patient answers“YES”to all of the questions 1-4 and“YES”to any of the factors in question 5, then decide
if the answers to question 5 indicate a primary diagnosis other than generalized acquired HSDD. Comorbid
conditions such as arousal or orgasmic disorder do not rule out a concurrent diagnosis of HSDD.
Clayton A, et al. J Sex Med. 2009;6(3):730–738. • Used with Permission
Resources
Sex Therapists/Counselors
• American Association of Sex Educators, Counselors, and Therapists (www.aasect.org)
Support Groups & Organizations • International Society for the Study of Women's Sexual Health (www.isswsh.org)
• The Society for Sex Therapy and Research (www.sstarnet.org)
• International Society for Sexual Medicine (www.issm.info)
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The P L I S S I T Model
• Permission to discuss the topic of sexuality
• Limited Information to provide basic information on anatomy, physiology, and biological
and relationship changes over the lifespan
• Specific Suggestions to address sexual concerns
• Intensive Therapy by referral to an appropriate sex therapist or sexual medicine
healthcare provider
Annon JS. J Sex Ed & Ther. 1976;2(2):1-15.
Normalizing Conversations
about Sexual Issues
Because your sexual health is as important as any other topic we might discuss today,
I have a few questions I would like to ask you.
Because sexual concerns are common for my patients, I would like to ask you a
few questions.
Many of my patients (with X condition, or taking X drug) have questions or concerns
about sexual issues. I am here to answer those questions/concerns as well as your
other health needs.
I am here for any questions you might have about sexual issues as well.
Sexual issues are quite common.
You are not alone with that question/concern.
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