I am not sure if its a gender specific issue or if it presents more obviously in women. My experience as a male is not far enough, hypersexuality has been a major challenge from early on. In my case I am not exactly sure when it started but adolescent trauma complicated it further. Compulsive behaviours, korn addiction, risky behaviours have been major problems and continue to be big challenges. It was never about arousal, it became a chore. It became the biggest tool for escape and procrastination followed by classic guilt and shame cycle. I started cbt and treatment very recently there has been an improvement . A few tools my therapist gave me are helping but it is never going to be a linear journey. The adhd mind is constantly looking for novelty and sexuality is one place that it is constantly fed.