Because of this, some members of the asexual community lobbied the mental health community working on the DSM-5 to regard asexuality as a legitimate sexual orientation rather than a mental disorder.Other criticisms focus more on scientific and clinical issues. HSDD is such a diverse group of conditions with many causes that it functions as little more than a starting place for clinicians to assess people. The requirement that low sexual desire causes distress or interpersonal difficulty has been criticized. It has been claimed that it is not clinically useful because if it is not causing any problems, the person will not seek out a clinician. One could claim that this criterion (for all of the sexual dysfunctions, including HSDD) decreases the scientific validity of the diagnoses or is a cover-up for a lack of data on what constitutes normal sexual function. The distress requirement is also criticized because the term "distress" lacks a clear definition. NICE (UK) assessment
Hypoactive sexual desire disorder is not recognized as a disorder by the National Institute for Health and Care Excellence for the British National Health Service, with the judgement based on an article in the Journal of Medical Ethics that "Hypoactive sexual desire disorder is a typical example of a condition that was sponsored by industry to prepare the market for a specific treatment". DSM-IV criteria
Prior to the publication of the DSM-5, the DSM-IV criteria were criticized on several grounds.
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