Sexual Dysfunctions Flashcards


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1

sexual dysfunctions- list

  1. delayed ejaculation
  2. erectile dx
  3. female orgasmic dx
  4. female sexual interest/arousal dx
  5. genito-pelvic pain/penetration dx
  6. male hypoactive sexual desire disorder
  7. premature ejaculation
  8. substance medication induced sexual dysfunction
  9. other specified sexual dysfunction
  10. 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