SEXUAL DYSFUNCTIONS

DISORDER CRITERIA SPECIFIER PREVALENCE CULTURE-RELATED GENDER-RELEATED DIFFERENTIAL COMORBIDITY

DIAGNOSIS
Delayed A. Either of the following symptoms Lifelong: 1% - 5% in the Delayed ejaculation Another medical Severe forms of major
Ejaculation must be experienced on almost all or United States is a term exclusively condition or injury depressive disorder.
(F52.32) all occasions of partnered sexual Acquired: used to diagnose and/or its treatment.
activity, and without the individual 11% in males. If women
desiring delay: Generalized: international experience Substance/medicatio
1. Marked delay in ejaculation. studies distressing issues n use.
2. Marked infrequency or absence of Situational: with reaching
ejaculation. orgasm, it falls under Dysfunction with
Mild: the classification of orgasm.
B. The symptoms in Criterion A have female orgasmic
persisted for a minimum duration of Moderate: disorder.
approximately 6 months.
Severe:
C. The symptoms in Criterion A cause
clinically significant distress in the
individual.

D. The sexual dysfunction is not better

explained by a nonsexual mental
disorder or because of severe
relationship distress or other significant
stressors and is not attributable to the
effects of a substance/medication or
another medical condition.
Erectile A. At least one of the three following Lifelong: Internationally, Differential endorsement The diagnosis of Nonsexual mental Premature (early)
Disorder symptoms must be experienced on around 13% to 21% could be due to cultural erectile dysfunction disorders. Ejaculation
(F52.21) almost all Acquired: of men aged 40 to concerns about appearing specifically applies to
or all occasions of sexual activity: 80 experience weak or less masculine, or males, while Normal erectile Male Hypoactive Sexual
1. Marked difficulty in obtaining an Generalized: erectile disorder to varying cultural troubling issues with function. Desire Disorder
erection during sexual activity. within the general standards regarding sexual arousal in
2. Marked difficulty in maintaining an Situational: population. changes in erectile function females fall under Substance/medicatio Anxiety
erection until the completion of sexual during healthy aging. the classification of n use.
activity. Mild: Lower than 10% in Cultural expectations about female sexual Depressive Disorders
3. Marked decrease in erectile rigidity. males younger than marital relationships, interest/arousal Another medical
Moderate: 40 years sexual performance, disorder. condition. Posttraumatic Stress
B. The symptoms in Criterion A have fertility, and gender roles Disorder
persisted for a minimum duration of Severe: 20%–40% in males can all influence anxiety,
approximately 6 months. in their 60s which can contribute to Prostatic Hypertrophy
50%–75% in males erectile dysfunction.
older than 70 years According to replies to an Dyslipidemia
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C. The symptoms in Criterion A cause online study, erectile

clinically significant distress in the In Australia, 80% of dysfunction may be linked Cardiovascular Disease
individual. males age 70 and to concerns about genital
older size exist in the United Hypogonadism
D. The sexual dysfunction is not better States and the Middle East,
explained by a nonsexual mental as are anxieties about male Multiple Sclerosis
disorder or because of severe infertility, which is more
relationship distress or other significant common in the Middle Diabetes Mellitus,
stressors and is not attributable to the East.
effects of a substance/medication or
another medical condition.
Female A. Presence of either of the following Generalized: 8% to 72% in Cultures that prioritize The diagnosis of Nonsexual mental Major Depressive
Orgasmic symptoms and experienced on almost premenopausal women's sexual female orgasmic disorders. Disorder
Disorder all or all occasions of sexual activity: Situational: women satisfaction and view disorder is
(F52.31) 1. Marked delay in, marked marital sex as a source of exclusively Substance/medicatio
infrequency of, or absence of orgasm. Never pleasure tend to have designated for n-induced sexual
2. Markedly reduced intensity of experienced an higher rates of help- women, while dysfunction.
orgasmic sensations. orgasm under seeking behavior. troubling challenges
any situation. Additionally, women have with orgasm in men Another medical
B. The symptoms in Criterion A have differing perspectives on are categorized as condition.
persisted for a minimum duration of Mild: the importance of orgasm delayed ejaculation.
approximately 6 months. for their sexual fulfillment. Interpersonal factors.
C. The symptoms in Criterion A cause Moderate: Sociocultural and
clinically significant distress in the generational disparities Other sexual
individual. Severe: exist in women's ability to dysfunctions.
D. The sexual dysfunction is not better achieve orgasm, with
explained by a nonsexual mental reports of prevalence
disorder or because of severe differing by up to twice as
relationship distress or other significant much across various
stressors and is not attributable to the regions globally.
effects of a substance/medication or
another medical condition.
Female A. Lack of, or significantly reduced, Lifelong: 30% of women The prevalence rates of low Female sexual Nonsexual mental Depression
Sexual sexual interest/arousal, as manifested sexual desire vary interest/arousal disorders.
Interest/Aro by at least three of the following: Acquired: significantly across disorder is only Thyroid Problems
usal 1. Absent/reduced interest in sexual different regions of the diagnosed in women, Substance/medicatio
Disorder activity. Generalized: world, ranging from 26% to whereas men who n use. Anxiety
(F52.22) 2. Absent/reduced sexual/erotic 43%. Certain ethnocracies struggle with sexual
thoughts or fantasies. Situational: and migrant groups have desire are classified Another medical Urinary Incontinence
3. No/reduced initiation of sexual reported lower levels of as having male condition. and other medical
activity, and typically unreceptive to a Mild: sexual desire. However, hypoactive sexual factors
partner’s attempts to initiate. disparities in reported desire disorder. Interpersonal factors.
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4. Absent/reduced sexual Moderate: desire levels may not solely There is no evidence Arthritis and
excitement/pleasure during sexual reflect actual differences in that heterosexual Other sexual inflammatory or
activity in almost all or all sexual Severe: interest but could also and lesbian women dysfunctions. irritable bowel disease
encounters. stem from the methods exhibit different
5. Absent/reduced sexual used to measure desire and rates or Inadequate or absent
interest/arousal in response to any cultural influences on manifestations of sexual stimuli.
internal or external sexual/erotic cues. reporting. Factors such as female sexual
6. Absent/reduced genital or societal attitudes toward interest/arousal
nongenital sensations during sexual sexual activity among disorder.
activity in almost all or all sexual unmarried, menopausal, or
encounters. widowed women can
impact responses.
B. The symptoms in Criterion A have Therefore, when evaluating
persisted for a minimum duration of whether low sexual desire
approximately 6 months. reported by a woman from
a specific ethnocultural
C. The symptoms in Criterion A cause background aligns with
clinically significant distress in the criteria for female sexual
individual. interest/arousal disorder,
it's crucial to consider that
D. The sexual dysfunction is not better cultural norms and
explained by a nonsexual mental expectations regarding
disorder or because of severe sexual behavior may differ
relationship distress or other significant among various cultural
stressors and is not attributable to the groups.
effects of a substance/medication or
another medical condition.
Genito- A. Persistent or recurrent difficulties Lifelong: 10%–28% of Studies indicate higher Diagnosis of genito- Another medical Interstitial Cystitis
Pelvic with one (or more) of the following: females of rates of genito-pelvic pain pelvic condition.
Pain/Penetr 1. Vaginal penetration during Acquired: reproductive age in among Hispanic women in pain/penetration Constipation
ation intercourse. the United States the United States, disorder is only given Somatic symptom and
Disorder ( 2. Marked vulvovaginal or pelvic pain Mild: report recurrent particularly during first to females related disorders. Vaginal Infection
F52.6) during vaginal intercourse or pain during intercourse. However,
penetration attempts. Moderate: intercourse despite experiencing pain, Inadequate sexual Endometriosis
3. Marked fear or anxiety about many affected women, stimuli.
vulvovaginal or pelvic pain in Severe: 8% to 28% among especially from Irritable Bowel
anticipation of, during, or because of females of underserved communities Syndrome
vaginal penetration. reproductive age and sexual minorities, may
4. Marked tensing or tightening of the and varies by not seek treatment due to Fibromyalgia
pelvic floor muscles during attempted country stigma. This issue is
vaginal penetration. compounded by evidence Chronic
of disparities in pain headaches
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B. The symptoms in Criterion A have management, particularly

persisted for a minimum duration of among females and African
approximately 6 months. Americans.

C. The symptoms in Criterion A cause

clinically significant distress in the
individual.

D. The sexual dysfunction is not better

explained by a nonsexual mental
disorder or because of a severe
relationship distress or other significant
stressors and is not attributable to the
effects of a substance/medication or
another medical condition.
Male A. Persistently or recurrently deficient Lifelong: Sexual desire issues The prevalence rates of low Men have a Nonsexual mental Erectile
Hypoactive (or absent) sexual/erotic thoughts or are less frequent sexual desire vary significantly higher disorders. Dysfunction
Sexual fantasies and desire for sexual activity. Acquired: among younger significantly across intensity and
Desire The judgment of deficiency is made by males aged 16 to different global regions, frequency of sexual Substance/medicatio Delayed Ejaculation
Disorder ( the clinician, considering factors that Generalized: 24, with prevalence with rates ranging from desire. n use.
F52.0) affect sexual functioning, such as age rates ranging from 12.5% in Northern Premature (early)
and general and sociocultural contexts Situational: 3% to 14%, in European men to 28% in Another medical Ejaculation
of the individual’s life. contrast to older Southeast Asian men aged condition.
B. The symptoms in Criterion A have Mild: males aged 60 to 40 to 80 years. Distress Depression and other
persisted for a minimum duration of 74, where regarding the absence of mental disorders
approximately 6 months. Moderate: prevalence rates sexual desire was notably Interpersonal factors.
range between 16% linked to sociocultural
C. The symptoms in Criterion A cause Severe: and 28%. factors, such as Other sexual
clinically significant distress in the occupational stress, as dysfunctions.
individual. evidenced by a web-based
survey conducted in three
D. The sexual dysfunction is not better European countries
explained by a nonsexual mental (Portugal, Croatia, and
disorder or because of severe Norway).
relationship distress or other significant
stressors and is not attributable to the
effects of a substance/medication or
another medical condition.
Premature A. A persistent or recurrent pattern of Acquired: 8% - 30% Perceptions on what Premature (early) Substance/medicatio Erectile Problems
(Early) ejaculation occurring during partnered internationally constitutes a usual period ejaculation is a n-induced sexual
Ejaculation ( sexual activity within approximately 1 Generalized: of ejaculatory latency differ sexual dysfunction in dysfunction. Anxiety Disorders
F52.4) among cultures and may be men.
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minute following vaginal penetration Situational: males ages 18–30 impacted by factors such as Ejaculatory concerns Prostatitis
and before the individual wishes it. in Switzerland and awareness of sexual that do not meet
B. The symptoms in Criterion A must Mild: Turkey is about dysfunctions, worry over Women might be diagnostic criteria. Thyroid Disease
have been present for at least 6 9%–11% sexual performance, and growing more
months and must be experienced on Moderate: attitudes regarding the anxious about Drug Withdrawal
almost all or all. 55% in males ages importance of sex. premature
C. The symptom in Criterion A causes Severe: 50–59 in the United Complaints of premature ejaculation in their
clinically significant distress in the States ejaculation were more sexual partners,
individual. common in arranged potentially indicating
D. The sexual dysfunction is not better marriages, probably due to shifts in societal
explained by a nonsexual mental anxieties about family perspectives on
disorder or because of severe expectations and a lack of women's sexual
relationship distress or other significant prior sexual experience. engagement.
stressors and is not attributable to the This demonstrates how
effects of a substance/medication or cultural and religious
another medical condition. variables influence
perceptions and
experiences linked to
sexual functioning.
Substance/ A. A clinically significant disturbance in sexual With onset Unclear Non-
Medication- function is predominant in the clinical picture. during substance/medication
Induced B. There is evidence from the history, physical intoxication: -induced sexual
Sexual examination, or laboratory findings of both (1) and dysfunctions.
Dysfunction (2): With onset
1. The symptoms in Criterion A developed during during
or soon after substance intoxication or withdrawal withdrawal:
or after exposure to or withdrawal from a
medication. With onset
2. The involved substance/medication can have during
the symptoms in Criterion A. medication
C. The disturbance is not better explained by a use:
sexual dysfunction that is not
substance/medication induced. Such evidence of Mild:
an independent sexual dysfunction could include
the following: Moderate:
The symptoms precede the onset of the
substance/medication use; the Severe:
symptoms persist for a substantial period after the
cessation of acute withdrawal or severe
intoxication; or there is other evidence suggesting
the existence of an independent
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nonsubstance/medication-induced sexual
dysfunction.
D. The disturbance does not occur exclusively
during a delirium.
E. The disturbance causes clinically significant
distress in the individual.
Other used in situations in which the clinician chooses to
Specified communicate the specific reason that the
Sexual presentation does not meet the criteria for any
Dysfunction specific sexual dysfunction. This is done by
(F52.8) recording “other specified sexual dysfunction”
followed by the specific reason
Unspecified used in situations in which the clinician chooses
Sexual not to specify the reason that the criteria are not
Dysfunction met for a specific sexual dysfunction and includes
(F52.9) presentations for which there is insufficient
information to make a more specific diagnosis.