“…Some studies report positive outcomes of SDD on the (sexual) relationship, 35,50 whereas others show negative effects. 11,13,27,51 Most often, the outcome variables are broadly defined in terms of relationship and sexual satisfaction, 11e13,29,32,48,51,50 leaving unexplored how SDD may affect other parts of individual functioning (eg, mood, coping), relationship functioning (eg, communication, support, partner responsiveness), and well-being. In addition, we currently lack a clear understanding of what it means for partners to experience different levels of sexual desire and why some couples handle differences in sexual desire better than the other.…”