WEEK 1 - SEXUAL DYSFUNCTIONS
DELAYED EJACULATION
A. Either of the following symptoms must be experienced on almost all or all
occasions (approximately 75%–100%) of partnered sexual activity, and without
the individual desiring delay (≥ 1 required):
● Marked delay in ejaculation.
● Marked infrequency or absence of ejaculation.
B. The symptoms in Criterion A have persisted for a minimum duration of
approximately 6 months.
C. The symptoms in Criterion A cause clinically significant distress in the individual.
D. Not better explained by a nonsexual mental disorder or as a consequence of
severe relationship distress or other significant stressors and is not attributable
to the effects of a substance / medication or another medical condition.
Specify whether:
● Lifelong:
The disturbance has been present since the individual became sexually
active.
● Acquired:
The disturbance began after a period of relatively normal sexual function.
Specify whether:
● Generalized:
Not limited to certain types of stimulation, situations, or partners.
● Situational:
Only occurs with certain types of stimulation, situations, or partners.
Specify current severity:
● Mild:
Evidence of mild distress over the symptoms in Criterion A.
● Moderate:
Evidence of moderate distress over the symptoms in Criterion A.
● Severe:
Evidence of severe or extreme distress over the symptoms in Criterion A.
,ERECTILE DISORDER
A. At least one of the three following symptoms must be experienced on almost all
or all (approximately 75%–100%) occasions of sexual activity (≥ 1 required):
● Marked difficulty in obtaining an erection during sexual activity.
● Marked difficulty in maintaining an erection until the completion of
sexual activity.
● Marked decrease in erectile rigidity.
B. The symptoms in Criterion A have persisted for a minimum duration of
approximately 6 months.
C. The symptoms in Criterion A cause clinically significant distress in the individual.
D. Not better explained by a nonsexual mental disorder or as a consequence of
severe relationship distress or other significant stressors and is not attributable
to the effects of a substance / medication or another medical condition.
Specify whether:
● Lifelong
● Acquired
Specify whether:
● Generalized
● Situational
Specify current severity:
● Mild
● Moderate
● Severe
FEMALE ORGASMIC DISORDER
A. Presence of either of the following symptoms and experienced on almost all or
all (approximately 75%–100%) occasions of sexual activity (≥ 1 required):
● Marked delay in, marked infrequency of, or absence of orgasm.
● Markedly reduced intensity of orgasmic sensations.
, B. The symptoms in Criterion A have persisted for a minimum duration of
approximately 6 months.
C. The symptoms in Criterion A cause clinically significant distress in the
individual.
D. Not better explained by a nonsexual mental disorder or as a consequence of
severe relationship distress or other significant stressors and is not attributable
to the effects of a substance / medication or another medical condition.
Specify whether:
● Lifelong
● Acquired
Specify whether:
● Generalized
● Situational
Specify if:
● Never experienced an orgasm under any situation.
Specify current severity:
● Mild
● Moderate
● Severe
FEMALE SEXUAL INTEREST / AROUSAL DISORDER
A. Lack of, or significantly reduced, sexual interest/arousal, as manifested by at least
three of the following (≥ 3 required):
● Absent / reduced interest in sexual activity.
● Absent / reduced sexual/erotic thoughts or fantasies.
● No / reduced initiation of sexual activity, and typically unreceptive to a
partner’s attempts to initiate.
● Absent / reduced sexual excitement / pleasure during sexual activity in
almost all or all sexual encounters.
● Absent / reduced sexual interest / arousal in response to any internal or
external sexual/erotic cues.
, ● Absent / reduced genital or nongenital sensations during sexual activity
in almost all or all sexual encounters.
B. The symptoms in Criterion A have persisted for a minimum duration of
approximately 6 months.
C. The symptoms in Criterion A cause clinically significant distress in the individual.
D. Not better explained by a nonsexual mental disorder or as a consequence of
severe relationship distress or other significant stressors and is not attributable
to the effects of a substance / medication or another medical condition.
Specify whether:
● Lifelong
● Acquired
Specify whether:
● Generalized
● Situational
Specify current severity:
● Mild
● Moderate
● Severe
GENITO-PELVIC PAIN / PENETRATION DISORDER (GPPPD)
● Persistent or recurrent difficulties with one (or more) of the following
(≥ 1 required):
● Vaginal penetration during intercourse.
● Marked vulvovaginal or pelvic pain during vaginal intercourse or
penetration attempts.
● Marked fear or anxiety about vulvovaginal or pelvic pain in anticipation of,
during, or as a result of vaginal penetration.
● Marked tensing or tightening of the pelvic floor muscles during
attempted vaginal penetration.
● The symptoms in Criterion A have persisted for a minimum duration of
approximately 6 months.
● The symptoms in Criterion A cause clinically significant distress in the individual.
DELAYED EJACULATION
A. Either of the following symptoms must be experienced on almost all or all
occasions (approximately 75%–100%) of partnered sexual activity, and without
the individual desiring delay (≥ 1 required):
● Marked delay in ejaculation.
● Marked infrequency or absence of ejaculation.
B. The symptoms in Criterion A have persisted for a minimum duration of
approximately 6 months.
C. The symptoms in Criterion A cause clinically significant distress in the individual.
D. Not better explained by a nonsexual mental disorder or as a consequence of
severe relationship distress or other significant stressors and is not attributable
to the effects of a substance / medication or another medical condition.
Specify whether:
● Lifelong:
The disturbance has been present since the individual became sexually
active.
● Acquired:
The disturbance began after a period of relatively normal sexual function.
Specify whether:
● Generalized:
Not limited to certain types of stimulation, situations, or partners.
● Situational:
Only occurs with certain types of stimulation, situations, or partners.
Specify current severity:
● Mild:
Evidence of mild distress over the symptoms in Criterion A.
● Moderate:
Evidence of moderate distress over the symptoms in Criterion A.
● Severe:
Evidence of severe or extreme distress over the symptoms in Criterion A.
,ERECTILE DISORDER
A. At least one of the three following symptoms must be experienced on almost all
or all (approximately 75%–100%) occasions of sexual activity (≥ 1 required):
● Marked difficulty in obtaining an erection during sexual activity.
● Marked difficulty in maintaining an erection until the completion of
sexual activity.
● Marked decrease in erectile rigidity.
B. The symptoms in Criterion A have persisted for a minimum duration of
approximately 6 months.
C. The symptoms in Criterion A cause clinically significant distress in the individual.
D. Not better explained by a nonsexual mental disorder or as a consequence of
severe relationship distress or other significant stressors and is not attributable
to the effects of a substance / medication or another medical condition.
Specify whether:
● Lifelong
● Acquired
Specify whether:
● Generalized
● Situational
Specify current severity:
● Mild
● Moderate
● Severe
FEMALE ORGASMIC DISORDER
A. Presence of either of the following symptoms and experienced on almost all or
all (approximately 75%–100%) occasions of sexual activity (≥ 1 required):
● Marked delay in, marked infrequency of, or absence of orgasm.
● Markedly reduced intensity of orgasmic sensations.
, B. The symptoms in Criterion A have persisted for a minimum duration of
approximately 6 months.
C. The symptoms in Criterion A cause clinically significant distress in the
individual.
D. Not better explained by a nonsexual mental disorder or as a consequence of
severe relationship distress or other significant stressors and is not attributable
to the effects of a substance / medication or another medical condition.
Specify whether:
● Lifelong
● Acquired
Specify whether:
● Generalized
● Situational
Specify if:
● Never experienced an orgasm under any situation.
Specify current severity:
● Mild
● Moderate
● Severe
FEMALE SEXUAL INTEREST / AROUSAL DISORDER
A. Lack of, or significantly reduced, sexual interest/arousal, as manifested by at least
three of the following (≥ 3 required):
● Absent / reduced interest in sexual activity.
● Absent / reduced sexual/erotic thoughts or fantasies.
● No / reduced initiation of sexual activity, and typically unreceptive to a
partner’s attempts to initiate.
● Absent / reduced sexual excitement / pleasure during sexual activity in
almost all or all sexual encounters.
● Absent / reduced sexual interest / arousal in response to any internal or
external sexual/erotic cues.
, ● Absent / reduced genital or nongenital sensations during sexual activity
in almost all or all sexual encounters.
B. The symptoms in Criterion A have persisted for a minimum duration of
approximately 6 months.
C. The symptoms in Criterion A cause clinically significant distress in the individual.
D. Not better explained by a nonsexual mental disorder or as a consequence of
severe relationship distress or other significant stressors and is not attributable
to the effects of a substance / medication or another medical condition.
Specify whether:
● Lifelong
● Acquired
Specify whether:
● Generalized
● Situational
Specify current severity:
● Mild
● Moderate
● Severe
GENITO-PELVIC PAIN / PENETRATION DISORDER (GPPPD)
● Persistent or recurrent difficulties with one (or more) of the following
(≥ 1 required):
● Vaginal penetration during intercourse.
● Marked vulvovaginal or pelvic pain during vaginal intercourse or
penetration attempts.
● Marked fear or anxiety about vulvovaginal or pelvic pain in anticipation of,
during, or as a result of vaginal penetration.
● Marked tensing or tightening of the pelvic floor muscles during
attempted vaginal penetration.
● The symptoms in Criterion A have persisted for a minimum duration of
approximately 6 months.
● The symptoms in Criterion A cause clinically significant distress in the individual.
