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Chapter V

Sexual dysfunction, not caused by organic disorder or disease - F52


Sexual dysfunction covers the various ways in which an individual is unable to participate in a sexual relationship as he or she would wish. Sexual response is a psychosomatic process and both psychological and somatic processes are usually involved in the causation of sexual dysfunction.
    Excludes:
  • Dhat syndrome ( F48.8 )
F52.0 Lack or loss of sexual desire
Loss of sexual desire is the principal problem and is not secondary to other sexual difficulties, such as erectile failure or dyspareunia.
Frigidity
Hypoactive sexual desire disorder
F52.1 Sexual aversion and lack of sexual enjoyment
Either the prospect of sexual interaction produces sufficient fear or anxiety that sexual activity is avoided (sexual aversion) or sexual responses occur normally and orgasm is experienced but there is a lack of appropriate pleasure (lack of sexual enjoyment).
Anhedonia (sexual)
F52.2 Failure of genital response
The principal problem in men is erectile dysfunction (difficulty in developing or maintaining an erection suitable for satisfactory intercourse). In women, the principal problem is vaginal dryness or failure of lubrication.
Female sexual arousal disorder
Male erectile disorder
Psychogenic impotence
    Excludes:
  • impotence of organic origin ( N48.4 )
F52.3 Orgasmic dysfunction
Orgasm either does not occur or is markedly delayed.
Inhibited orgasm (male)(female)
Psychogenic anorgasmy
F52.4 Premature ejaculation
The inability to control ejaculation sufficiently for both partners to enjoy sexual interaction.
F52.5 Nonorganic vaginismus
Spasm of the pelvic floor muscles that surround the vagina, causing occlusion of the vaginal opening. Penile entry is either impossible or painful.
Psychogenic vaginismus
    Excludes:
  • vaginismus (organic) ( N94.2 )
F52.6 Nonorganic dyspareunia
Dyspareunia (or pain during sexual intercourse) occurs in both women and men. It can often be attributed to local pathology and should then properly be categorized under the pathological condition. This category is to be used only if there is no primary nonorganic sexual dysfunction (e.g. vaginismus or vaginal dryness).
Psychogenic dyspareunia
    Excludes:
  • dyspareunia (organic) ( N94.1 )
F52.7 Excessive sexual drive
Nymphomania
Satyriasis
F52.8 Other sexual dysfunction, not caused by organic disorder or disease
F52.9 Unspecified sexual dysfunction, not caused by organic disorder or disease


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