Diagnostic Classifications

In 2000, a new classification of FSD was developed by a consensus panel of experts in the field of sexual medicine5 (Table 5-1.1). The categories include sexual desire disorders, sexual arousal disorders, orgasmic disorders, and sexual pain disorders.

The definitions of the new classification system took into account that there should be some degree of "personal distress" caused by the disorder for it to be a problem. Additionally, the presence of sexual dysfunction in the male partner or any impact of the FSD on the partner was not part of the classification or definition. This system can be used whether FSD results from medical or psychosocial

Table 5-1.1. Classification of female sexual dysfunction*

I - Sexual desire disorders

II - Sexual arousal disorders

III - Orgasmic disorders

IV - Sexual pain disorders

*Overlap between symptoms is often seen.

factors. In addition, each of these categories was independent of the other, and overlap between symptoms could often be seen. For example, women may complain of both poor arousal and pain with intercourse. Additionally, a woman with FSD may experience loss of libido, but arousal and lubrication can be normal.

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