A number of authors do not acknowledge such a pathology,[12] and instead assert that the condition merely reflects a cultural dislike of exceptional sexual behavior.
[33] Psychological needs also complicate the biological explanation, which identifies the temporal/frontal lobe of the brain as the area for regulating libido.
[36] A lack of physical closeness and forgetfulness of the recent past were proposed as other potential factors (specifically in the context of hypersexual behavior exhibited by people suffering from dementia).
Some people with borderline personality disorder (sometimes referred to as BPD) can be markedly impulsive, seductive, and extremely sexual.
"Borderline" patients, due in the opinion of some to the use of splitting, experience love and sexuality in unstable ways.
[46] People with bipolar disorder may often display tremendous swings in sex drive depending on their mood.
Sexually inappropriate behavior has been shown to occur in 7–8% of Alzheimer's patients living at home, at a care facility or in a hospital setting.
[60] Other possible causes of dementia-related hypersexuality include an inappropriately expressed psychological need for intimacy and forgetfulness of the recent past.
[61] The resulting hypersexuality may have an impact in the person's social and occupational domains if the underlying symptoms have a large enough systemic influence.
[62][63] In 2010, a proposal to add Sexual Addiction to the Diagnostic and Statistical Manual of Mental Disorders (DSM) system has failed to get support of the American Psychiatric Association (APA).
[71][72] Individuals with hypersexuality are at a higher risk for various negative consequences, such as contracting STIs, committing sexual abuse, damaging relationships, and developing other addictions.
[73][74] Additionally, an overwhelming 89% affected individuals admit to engaging in sexual activities outside of their primary relationship.
The presence of ongoing treatment for any coexisting conditions in the individual can also have an impact on their symptoms and subsequent therapeutic interventions.
Some hypersexual men may treat their condition with the usage of medication (such as Cyproterone acetate) or consuming foods considered to be anaphrodisiacs.
[90] Sexologists have been using the term hypersexuality since the late 1800s, when Krafft-Ebing described several cases of extreme sexual behaviours in his seminal 1886 book, Psychopathia Sexualis.
Terms to describe males with the condition include donjuanist,[92] satyromaniac,[93] satyriac[94] and satyriasist,[95] for women clitoromaniac,[96] nympho and nymphomaniac,[97] for teleiophilic (attracted to adults) heterosexual women andromaniac,[98] while hypersexualist, sexaholic,[99] onanist, hyperphiliac and erotomaniac[100] are gender neutral terms.