Diagnostic features
Sexual dysfunction can cause marked distress and interpersonal difficulty. Common sexual disorders presenting in women are:
- lack or loss of sexual desire, sexual aversion
- sexual arousal disorder (inability to attain/maintain an adequate physiological response to sexual excitement)
- sexual pain disorders:
- vaginismus (involuntary spasm of vaginal muscles on attempted penetration accompanied by a fear or phobia - the phobia can rarely occur without the spasm)
- dyspareunia (recurrent genital pain associated with sexual intercourse - superficial vulval, vaginal or deep pelvic)
- orgasmic disorder (delay in, or absence of, orgasm or climax).
Distinguish between lifelong versus acquired, generalized versus situational, psychological versus combined factors.
Last edited: 4/2/2004
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