1
sexual dysfunctions- list
- delayed ejaculation
- erectile dx
- female orgasmic dx
- female sexual interest/arousal dx
- genito-pelvic pain/penetration dx
- male hypoactive sexual desire disorder
- premature ejaculation
- substance medication induced sexual dysfunction
- other specified sexual dysfunction
- unspecified sexual dysfunction
2
delayed ejaculation
- either symptom experienced 75%+ of partnered sexual activity
- delay in ejaculation
- infrequency or absence of ejaculation
- lasting 6+ months
- causes significant distress
- not better explained by nonsexual mental dx or consequence of relationship distress
- specify
whether:
- lifelong
- acquired
- specify whether
- generalized
- situational
- specify current severity
- mild= mild distress over symptoms
- moderate= moderate distress
- severe= severe/extreme distress
3
erectile dx
- one of more of symptoms experienced 75%+ of partnered sexual
activity
- difficulty obtaining an erection during activity
- difficulty maintaining erection
- decrease in erectile rigidity
- lasting 6+ months
- causes distress
- not better explained by nonsexual mental dx or consequence of relationship distress
- specify whether:
- lifelong
- acquired
- specify whether
- generalized
- situational
- specify current severity
- mild= mild distress over symptoms
- moderate= moderate distress
- severe= severe/extreme distress
4
female orgasmic dx
- one of more of symptoms experienced 75%+ of partnered sexual
activity
- delay or absence in orgasm
- reduced intensity of orgasmic sensations
- lasting 6+ months
- causes distress
- not better explained by nonsexual mental dx or consequence of relationship distress
- specify whether:
- lifelong
- acquired
- specify whether
- generalized
- situational
- specify if: never experienced an orgasm under any situation
- specify current severity
- mild= mild distress over symptoms
- moderate= moderate distress
- severe= severe/extreme distress
5
female sexual interest/arousal dx
- lack of or reduced sexual interest or arousal, evidenced by 3+
of following:
- absent/reduced interest in sexual activity
- absent/ reduced erotic thoughts or fantasies
- no/reduced initiation of sexual activity
- absent/reduced sexual excitement in 75%+ of encounters
- absent/reduced response to erotic cues
- absent/reduced genital or nongenital sensations in 75% + encounters
- lasting 6+ months
- causes distress
- not better explained by nonsexual mental dx or consequence of relationship distress
- specify whether:
- lifelong
- acquired
- specify
whether
- generalized
- situational
- specify current severity
- mild= mild distress over symptoms
- moderate= moderate distress
- severe= severe/extreme distress
6
genito-pelvic pain/penetration dx
- persistent or recurrent difficulties with one or more of the
following:
- vaginal penetration during intercourse
- vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts
- fear or anxiety about pain in anticipation of penetration
- tensing or tightening of the pelvic floor muscles during attempted penetration
- symptoms lasting 6+ months
- cause distress
- not better explained by nonsexual mental dx or consequence of relationship distress
- specify whether
- lifelong
- acquired
- specify current
severity
- mild= mild distress
- moderate= moderate distress
- severe= severe or extreme distress
7
male hypoactive sexual desire disorder
- recurrent deficiency in sexual/erotic thoughts or fantasies and desire for sexual activity. Judgement is made by the clinician
- symptoms lasting 6+ months
- causes distress
- not better explained by nonsexual mental dx or consequence of relationship distress
- specify whether:
- lifelong
- acquired
- specify whether
- generalized
- situational
- specify current severity
- mild= causes mild distress
- moderate= causes moderate distress
- severe= causes severe distress
8
premature ejaculation
- recurrent pattern of ejaculation with 1 minute following penetration during partnered sexual activity
- present for 6 months + and 75%+ of encounters
- cause distress
- not better explained by nonsexual mental dx or consequence of relationship distress
- specify whether:
- lifelong
- acquired
- specify whether
- generalized
- situational
- specify current severity
- mild= nutting 30sec-1min
- moderate= nutting 15-30 sec
- severe= nutting w/in 30 sec