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Definitions and diagnostic criteria for various sexual dysfunctions, including delayed ejaculation, erectile disorder, female orgasmic disorder, female sexual interest/arousal disorder, genito-pelvic pain/penetration disorder, male hypoactive sexual desire disorder, premature ejaculation, and substance/medication-induced sexual dysfunction. These conditions are characterized by symptoms such as difficulty achieving or maintaining erections, delayed or absent ejaculation, and reduced sexual desire or arousal, among others. The diagnostic criteria for each condition include the presence of specific symptoms, their persistence for a minimum duration, and their impact on the individual's distress and overall functioning.
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The distinguishing feature of delayed ejaculation is marked delay in or inability to
achieve ejaculation. Diagnostic Criteria: 1. Either of the following symptoms
must be experienced on almost all or all occasions (75% to 100%) of partnered
sexual activity (in identified situational contexts or, if generalized, in all contexts),
and without the individual desiring delay: -Marked delay in ejaculation. -Marked
infrequency or absence or ejaculation.2. The symptoms in Criterion A have
persisted for a minimum duration of approximately 6 months. 3.
Thesymptoms in Criterion A cause clinically significant distress in the individual.4.
The sexual dysfunction is not better explained by a nonsexual mental disorder or
as a consequence of severe relationship distress or other significant stressors and
is not attributable to the effects of a substance/medication or another medical
condition.
The essential feature of erectile disorder is the repeated failure to obtain or
maintain erections during partnered sexual activities. Diagnostic Criteria: 1. At
least one of the three following symptoms must be experienced on almost all or
all (75% to 100%) occasions of sexual activity (in identified situational context or,
if generalized in all contexts): -Marked difficulty in obtaining an erection during
sexual activity -Marked difficulty in maintaining an erection until the completion
of sexual activity. -Marked decrease in erectile rigidity.2. The symptoms in
criterion A have persisted for a minimum duration of approximately 6
months. 3. The symptoms in Criterion A causes clinically significant distress in
the individual.4. The sexual dysfunction is not better
Female orgasmic disorder is characterized by difficulty experiencing orgasm and
or markedly reduced intensity of orgasmic sensations. Diagnostic Criteria: 1.
Presence of either of the following symptoms and experienced on all most all or
all (75% to 100%) occasions of sexual activity: -Marked delay in, marked
infrequency of, or absence of orgasm. -Markedly reduced intensity of orgasmic
sensations.2. The symptoms in Criterion A have persisted for a minimum
duration of approximately 6 months. 3. The symptoms in Criterion A cause
clinically significant distress in the individual.4. The sexual dysfunction is not
better explained by a nonsexual mental disorder or as a consequence of severe
relationship distress (e.g., partner violence) or other significant stressors and is
not attributable to the effect of a substance/medication or another medical
condition.
In assessing female sexual interest/arousal disorder, interpersonal context must
be taken into account. A women who has a lower desire for sexual activity than
her partner is not sufficient to diagnose. Diagnostic Criteria: 1. Lack of, or
significantly reduced, sexual interest/arousal, as manifested by at lest three of
the following: -Absent/reduced interest in sexual activity. -Absent.reduced
sexual/erotic thoughts or fantasies. -No/reduced initiation of sexual activity, and
typically unreceptive to partners attempts to initiate. -Absent/reduced sexual
excitement/pleasure during sexual activity in almost all or all (75% to 100%)
sexual encounters. -Absent/reduced sexual interest/arousal in response to any
internal or external sexual/ erotic cues. -Absent/reduced gentile or non-gential
sensation during sexual activity in almost or all the in sexual encounters.2. The
symptoms in criterion A have persisted for a minimumduration of
approximately 6 months. 3. The symptoms inCriterionA cause clinically
significant distress in the individual.4. The sexual dysfunction is not better
explained by an nonsexual mental disorder or as a consequence of severe
relationship distress (e.g., partner violence) or other significant stressors and isn
to attributable to the effects of a substance/ medication or another medical
condition. TERM 5
Genito-Pelvic pain.penetration disorder refers to four commonly comorbid
symptom: difficulty having intercourse, genito-pelvic pain, fear of pain or vaginal
penetration, and tension of the pelvic floor. Diagnostic Criteria: 1. Persistent or
recurrent difficulties with on or more of the following -Vaginal penetration during
intercourse. -Marked vulvovaginal or pelvic pain during vaginal intercourse or
penetration attempts. -Marked fear or anxiety about vulvovaginal or pelvic pain in
anticipation of, during, or as a result of basinal penetration. -Marked tensing or
tightening of the pelvic floor muscles during attempted vaginal penetration.2.
The symptoms in Criterion A have persisted for a minimum duration of
approximately 6 months. 3. The symptoms in criterion A cause clinically
significant distress in the individual.4. The sexual dysfunction is not better
explained by a nonsexual mental disorder or as a consequence of a severe
relationship distress (partner violence), or other significant stressors and is not
attributable to the effects of a substance/medical condition.
When an assessment for male hypoactive sexual desire disorder is being made,
interpersonal context must be taken into account.. Diagnostic Criteria: 1.
Persistently or recurrently deficient or absent sexual/erotic thoughts or fantasies
and desire for sexual activity. The judgment of deficiency is made by the
clinician, taking into account factors that affect sexual functioning, such as age
and general and sociaocultural contexts of the individuals life.2. The symptoms
in Criterion A have persisted for a minimum duration of approximately 6
months. 3.Thesymptomsin Criterion A causeclinically significant distress in the
individual.4. The sexual dysfunction is not better explained by a nonsexual
mental disorder or as a consequence of a severe relationship distress (partner
violence), or other significant stressors and is not attributable to the effects of a
substance/medical condition.
Premature (early) ejaculation is manifested by ejaculation that occurs prior to or
shortly after vaginal penetration, operationalized by an individuals estimate of
ejaculatory latency after vaginal penetration. Diagnostic Criteria: 1. A
persistent or recurrent pattern of ejaculation occurring during partnered sexual
activity within approximately 1 minute following vaginal penetration and before
the individual wishes it.2. The symptom in Criterion A must have been present for
at least 6 months and must be experienced on almost all or all (75% to
100%) occasions of sexual activity. 3. The symptom in Criterion A causes
clinically significant distress in the individual.4. The sexual dysfunction is not
better explained by a nonsexual mental disorder or as a consequence of severe
relationship distress or other significant stressors and is not attributable to the
effects of a substance/medication or another medical condition.
The major feature of disturbance in sexual function that has a temporal
relationship with substance/medication initiation, dose increase, or
substance/medication discontinuation. Diagnostic Criteria: 1. A clinically
significant disturbance is sexual functions is predominant in the clinical picture.2.
There is evidence from the history physical examination, or laboratory findings of
both (1) and (2): -The symptoms in Criterion A developed during or soon after
substance intoxication or withdrawal or after exposure to a medication. -The
involved substance/medication is capable of production the symptoms in criterion
A.3. The disturbance is not better explained by a sexual dysfunction that is not
substance/medication induced. Such evidence of an independent sexual
dysfunction could include the following: -The symptoms precede the onset of the
substance use; the symptoms persist for a substantial period of time (1 month).4.
The disturbance does not occur exclusively during the course of a delirium.5. The
disturbance sauces clinically significant distress in the individual.