Frigidity or Hypoactive Sexual Desire Disorder (HSDD) means reduced or absent fantasies or desire to engage in intimacy and should be associated with significant distress in self or the partner OR cause interpersonal difficulties.

It can be of lifelong (if present since beginning as due to some genetic factor, the desire centre in brain is working less) or acquired where the desire goes down after being normal for some time. It can be generalized where the lack of desire is for general or situational where it can be for the current partner only.

THERE CAN BE MANY CAUSES:

Depressive Disorder (most common)
Drug induced – Some drugs of abuse like alcohol, tobacco.
Hormonal – Raised prolactin level like in tumors of brain esp. Prolactinoma during lactation, reduced testosterone levels.
Dysperiunia – If intercourse involves pain and discomfort to either partner eg. due to reduced lubrication, or inflammation of female private part.
Dislike for partner – Due to foul smell from mouth or genitals, poor hygiene, poor technique, demand for something not acceptable to one. excessive violence in love making, the female stops taking care of herself smelling of baby urine or potty or kitchen, she is untidy etc.
Interpersonal Difficulties – There is a suspicion of extra marital relationship, poor communication, one partner is too dominant, intercourse is only to perform as marital duty or not to disappoint the other partner, this can be a serious marital concern and may lead to marital discord or divorce.

CAUSES

Psychological Conditioning – Believed to have learnt to ejaculate fast while having intercourse.
Anxiety due to any reason, especially fear of not satisfying partner, fear of losing hardness, suffering from anxiety disorder.
Infection of urinary tract especially prostate.

TREATMENT

Learning control of ejaculation under guidance of a qualified sexologist.