PMID- 28641524 OWN - NLM STAT- MEDLINE DCOM- 20200331 LR - 20200331 IS - 1873-5592 (Electronic) IS - 1389-4501 (Linking) VI - 20 IP - 2 DP - 2019 TI - The Bio-Psycho-Social Dimension in Women's Sexual Desire: 'Argumentum ad novitatem'. PG - 146-157 LID - 10.2174/1389450118666170622090337 [doi] AB - Sexual desire includes complex motivation and drive. In the context of biological and cognitive- emotive state art of science, it is often a neglected field in medicine. In regard to the treatment, study on women's sexual function received less attention compared to the men's sexuality. In the past, this endeavor was relatively not well disseminated in the scientific community. Recently, there was a revolutionized surge of drug targets available to treat women with low sexual desire. It is timely to review the relevant biological approach, especially in the context of pharmacotherapy to understand this interesting clinical entity which was modulated by numerous interactive psychosocial inter-play and factors. The complex inter-play between numerous dimensional factors lends insights to understand the neural mechanism, i.e. the rewards centre pathway and its interaction with external psychosocialstimulus, e.g. relationship or other meaningful life events. The function of hormones, e.g. oxytocin or testosterone regulation was described. The role of neurotransmitters as reflected by the introduction of a molecule of flibenserin, a full agonist of the 5-HT1A and partial agonist of the D4 to treat premenopausal women with low sexual desire was deliberated. Based on this fundamental scientific core knowledge, we suggest an outline on know-how of introduction for sex therapy (i.e. "inner-self" and "outer-self") where the role of partner is narrated. Then, we also highlighted on the use of pharmacological agent as an adjunct scope of therapy, i.e. phosphodiasterase-5 (PDE-5) inhibitors and hormonal treatment in helping the patient with low sexual desire. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Roslan, Nur Syazwani AU - Roslan NS AD - Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia. FAU - Jaafar, Nik Ruzyanei Nik AU - Jaafar NRN AD - Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia. FAU - Sidi, Hatta AU - Sidi H AD - Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia. FAU - Baharudin, Najwa AU - Baharudin N AD - Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia. FAU - Kumar, Jaya AU - Kumar J AD - Department of Physiology, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia. FAU - Das, Srijit AU - Das S AD - Department of Anatomy, Universiti Kebangsaan Malaysia Medical Centre, 56000 Cheras, Kuala Lumpur, Malaysia. FAU - Hussain, Nik Hazlina Nik AU - Hussain NHN AD - Women's Health Development Unit, School of Medical Sciences, Universiti Sains Malaysia, 16150 Kubang Kerian, Kelantan, Malaysia. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PL - United Arab Emirates TA - Curr Drug Targets JT - Current drug targets JID - 100960531 RN - 0 (Hormones) RN - 0 (Neurotransmitter Agents) SB - IM MH - Female MH - Hormones/*metabolism MH - Humans MH - Libido MH - Neurotransmitter Agents/pharmacology/therapeutic use MH - Psychotherapy MH - Sexual Behavior/drug effects/*psychology MH - Sexual Dysfunctions, Psychological/metabolism/*therapy MH - Women's Health OTO - NOTNLM OT - Female sexual desire OT - PDE-5 inhibitor OT - flibanserin OT - low sexual desire OT - neural basis OT - psychosocial dimension. EDAT- 2017/06/24 06:00 MHDA- 2020/04/01 06:00 CRDT- 2017/06/24 06:00 PHST- 2017/02/23 00:00 [received] PHST- 2017/06/08 00:00 [revised] PHST- 2017/06/12 00:00 [accepted] PHST- 2017/06/24 06:00 [pubmed] PHST- 2020/04/01 06:00 [medline] PHST- 2017/06/24 06:00 [entrez] AID - CDT-EPUB-84323 [pii] AID - 10.2174/1389450118666170622090337 [doi] PST - ppublish SO - Curr Drug Targets. 2019;20(2):146-157. doi: 10.2174/1389450118666170622090337.