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The F. But the biggest problem with the drug — and with the F.

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Flibanserin purportedly treats a condition called hypoactive sexual desire disorder in women. But H. Why the change?

Researchers have begun to understand that sexual response is not the linear mechanism they once thought it was. Desire first, then arousal.

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But it turns out many people perhaps especially women often experience desire as responsive, emerging in response to, rather than in anticipation of, erotic stimulation. Arousal first, then desire.

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Both desire styles are normal and healthy. Neither is associated with pain or any disorder of arousal or orgasm.

The new diagnosis is intended for women who lack both spontaneous and responsive desire, and are distressed by this. For these women, research has found that nonpharmaceutical treatments like sex therapy can be effective.

What these women need is not medical treatment, but a thoughtful exploration of what creates desire between them and their partners. This is likely to include confidence in their bodies, feeling accepted, and not least explicitly erotic stimulation. In one extreme example, medical professionals once took seriously the idea that homosexuality was a disease in need of a cure. The patient had explorstion Hungry erotic exploration desired in his cortex, which was then thought to control pleasure.

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Researchers showed him stag films read: Heath said the treatment was effective. A year later, homosexuality was voted out of the Diagnostic and Statistical Manual.

Now, of course, only a fringe minority of the medical community would suggest that sexual orientation is anything other than a normal aspect of human sexuality. Hungry erotic exploration desired analogy between desire style and sexual orientation is imperfect: There is no reason to suspect that responsive or spontaneous desire is innate.


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In fact all desire is somewhat responsive, even when it feels spontaneous. But Dr.

When a woman experiencing responsive desire comes to understand how to make the most of her desire, she opens Hungry erotic exploration desired the opportunity for greater satisfaction.

But embracing our differences — working with our rxploration, rather than against it — will. A version of this article appears in print onon Page A25 of the New York edition with the headline: