Low Libido

Patient presents with complaints of low libido, decreased sexual desire, or hypoactive sexual desire disorder (HSDD).  Onset of symptoms is reported as [Date/Duration].  Patient reports [Frequency] of sexual activity currently, compared to [Frequency] prior to onset of symptoms.  Contributing factors explored include relationship issues, stress, fatigue, hormonal changes, medical comorbidities such as diabetes, hypertension, cardiovascular disease, and current medications including antidepressants, antipsychotics, and hormonal contraceptives.  Patient deniescurrent use of recreational drugs or excessive alcohol consumption.  Mental health history was reviewed, including symptoms of depression, anxiety, or other mood disorders.  Physical examination was unremarkable.  Differential diagnosis includes HSDD, male hypogonadism (if applicable), female sexual interestarousal disorder (FSIAD) (if applicable), and medication-induced sexual dysfunction.  Assessment includes consideration of biological, psychological, and interpersonal factors contributing to the low libido.  Plan includes [Further investigations such as hormone levels, if indicated], patient education regarding lifestyle modifications including stress management, sleep hygiene, and communication with partner.  Potential treatment options discussed include relationship counseling, sex therapy, andor pharmacotherapy if deemed appropriate and medically necessary, such as testosterone replacement therapy (TRT) for men if indicated, or flibanserin for premenopausal women if indicated, after a thorough discussion of risks and benefits.  Follow-up scheduled for [Date/Interval] to reassess symptoms and treatment efficacy.  ICD-10 code F52.2 (Lack or loss of sexual libido) is assigned.