General criteria for sexual dysfunction within ICD10 and DSMIV

Although ICD-10 and DSM-IV share the basic nomenclature and model for sexual dysfunction, ICD-10 differs from DSM-IV in the specificity of diagnoses. This can be seen in Table.!, I.a.b.l.e.,2, I.a.b!e..,3> Table.,!, I§b.le.5, Iable.,6, Table,7, Ia.b.le.,8 and I.a.b.le,,9. For example, ICD-10 requires that the subject be unable to participate in a sexual relationship as he or she would wish, that the dysfunction occurs frequently although it may be absent on some occasions, and that the dysfunction has been present for at least 6 months. Both ICD-10 and DSM-IV require that the dysfunction not be entirely attributable to any other mental or physical disorder.

Table 1 DSM-IV and ICD-10 diagnostic criteria for desire disorder

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Table 2 DSM-IV and ICD-10 diagnostic criteria for sexual aversion disorder

Table 3 DSM-IV and ICD-10 diagnostic criteria for erectile dysfunction

Table 4 DSM-IV and ICD-10 diagnostic criteria for female sexual arousal disorder

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Table 5 DSM-IV and ICD-10 diagnostic criteria for anorgasmia

Table 6 DSM-IV and ICD-10 diagnostic criteria for male orgasmic disorder

Table 7 DSM-IV and ICD-10 diagnostic criteria for rapid ejaculation

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Table 8 DSM-IV and ICD-10 diagnostic criteria for dyspareunia

Table 9 DSM-IV and ICD-10 diagnostic criteria for vaginismus

Unlike ICD-10, DSM-IV requires that the dysfunction cause marked distress or interpersonal difficulty. Additionally, for each DSM-IV sexual disorder, the clinician is required to make three judgements: whether the dysfunction is lifelong or acquired, whether it is of a generalized or specific type, and whether it is due to psychological or combined biological and psychological factors.

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