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SIGNS AND SYMPTOMS OF ISD: TYPES OF ISD
Primary ISD, which is sometimes called hypoactive sexual desire, is less common than other types and is defined as a lifelong absence of sexual desire similar to what Bobby described in Chapter One. It may be caused by conflicts about sex, hormone deficiencies, or other physical conditions that interfere with the brain's ability to receive and transmit sexual messages. Primary ISD may not be considered a problem by those who have it. However, it is frequently a cause of concern to their partners.
Low sexual desire is also considered to be primary when someone appears to have a naturally, constitutionally low (although not entirely absent) sex drive. For instance, although not as asexual as Bobby, Timwho took several months to consummate his marriage to Janet and completely stopped making love two years agohas always had a limited response to sexual stimuli and only sporadic interest in sex.
Unlike Bobby, Tim has masturbated perhaps two or three times a month since he was thirteen and he does have sexual fantasies, although they tend to be more romantic than erotic. "There will be a lot of kissing and touching," he explains. "But nothing really explicit. In fact, sometimes I'll skip over the really sexual stuff and go right to images of cuddling and feeling close afterward."
While other boys were ogling centerfolds and bragging about their sexual exploits, Tim, a self-proclaimed bookworm, was immersed in Bible stories and Greek mythology, sometimes spending days at a time alone in his room drawing the pictures he visualized in his mind. None of them had sexual themes. His early sexual experiences were prompted by his interest in proving he could "do it" and were, for the most part, disastrous reinforcing his doubts and proving that sex "really wasn't all it was cracked up to be."
With his naturally low sex drive, Tim made the perfect partner for Janetwhose lifelong anxiety about sex had blossomed into a full-fledged phobia. Their sexual desire difficulties ended up being less of a problem than they might have been for another couple.
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Men's Health-Erectile Dysfunction