(DSM) Module 10- Sexual Dysfunctions

Question 1

Heterogeneous group of disorders that are typically characterized by a clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure.

Answer 1

Sexual dysfunctions

Question 2

Subtyoes of Sexual Dysfunctions

Answer 2

Lifelong, Acquired, Generalized, Situational

Question 3

Refers to a sexual problem that has been present from first sexual experience.

Answer 3

Lifelong sexual dysfunction

Question 4

Applies to sexual disorders that develop after a period of relatively normal sexual function.

Answer 4

Acquired sexual dysfunction

Question 5

Refers to sexual difficulties that are not limited to certain types of stimulation, or partners.

Answer 5

Generalized sexual dysfunction

Question 6

Refers to sexual difficulties that only occur with certain types of stimulation, situations, or partners.

Answer 6

Situational sexual dysfunction

Question 7

Factors that may contribute to the development of sexual difficulties:

Answer 7

Partner factors
Relationship factors
Individual vulnerability factors (psychiatric comorbidity, stressors)
Cultural or religious factors
Medical factors

Question 8

Requires ruling out problems that are better explained by a nonsexual mental disorder, by the effects of a substance, by a medical condition, or by severe relationship distress, partner violence, or other stressors.

Answer 8

Diagnosis to sexual dysfunctions

Question 9

A. Either of the symptoms must be experienced on almost all or all occasions (approximately 75%-100%) of partnered sexual activity (in identified situational contexts or, if generalized, in all contexts), and without the individual desiring delay:
1. Marked delay in ejaculation.
2. Marked infrequency or absence of ejaculation.

Answer 9

Delayed Ejaculation

Question 10

At least one of the three of the following symptoms must be experienced on almost all or all (approximately 75%-100%) occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts):
1. Marked difficulty in obtaining an erection during sexual activity.
2. Marked difficulty in maintaining an erection until the completion of sexual activity.
3. Marked decrease in erectile rigidity.

Answer 10

Erectile Disorder

Question 11

Presence of either of the following symptoms and experienced on almost all or all (approximately 75%-100%) occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts):
1. Marked delay in, marked infrequency of, or absence of orgasm.
2. Marked reduced intensity of orgasmic sensations.

Answer 11

Female Orgasmic Disorder

Question 12

Lack of, or significantly reduced, sexual interest/arousal, as manifested by at least three of the following:
1. Absent/reduced interest in sexual activity.
2. Absent/reduced sexual/erotic thoughts or fantasies.
3. No/reduced initiation of sexual activity, and typically unreceptive to a partner’s attempts to initiate.
4. Absent/reduced sexual excitement/pleasure during sexual activity in almost all or all (approximately 75%-100%) occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts).
5. Absent/reduced sexual interest/arousal in response to any internal or external sexual/erotic cues (written, verbal, visual).
6. Absent/reduced genital or nongenital sensations during sexual activity in almost all or all (approximately 75%-100%) occasions of sexual activity (in identified situational contexts or, if generalized, in all contexts).

Answer 12

Female Sexual Interest/Arousal Disorder

Question 13

A. Persistent or recurrent difficulties with one or more of the following:
1. Vaginal penetration during intercourse.
2. Marked vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts.
3. Marked fear or anxiety about vulvovaginal or pelvic pain in anticipation of, during, or as a result of vaginal penetration.
4. Marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration.

Answer 13

Genito-Pelvic Pain/Penetration Disorder

Question 14

A. Persistently or recurrently deficient (or absent) sexual/erotic thoughts or fantasies and desire for sexual activity. The judgment of deficiency is made by the clinician, taking into account factors that affect sexual functioning, such as age and general and sociocultural contexts of the individual’s life.

Answer 14

Male Hypoactive Sexual Desire Disorder

Question 15

A. A persistent or recurrent pattern of ejaculation occurring during partnered sexual activity within approximately 1 minute following vaginal penetration and before the individual wishes it.
Note: Although the diagnosis may be applied to individuals engaged in nonvaginal sexual activities, specific duration criteria have not been established for these activities.

Answer 15

Premature (Early) Ejaculation

Question 16

A. A clinically significant disturbance in sexual function is predominant in the clinical picture.
B. There is evidence form the history, physical examination, or laboratory findings of both (1) and (2):
1. The symptoms in Criterion A developed during or soon after substance intoxication or withdrawal or after exposure to a medication.
2. The involved substance/medication is capable of producing the symptoms in Criterion A.

C. The disturbance is not better explained by a sexual dysfunction that is not substance/medication-induced. Such evidence of an independent sexual dysfunction could include the following:
The symptoms precede the onset of the substance/medication use; the symptoms persist for a substantial period of time (e.g. 1 month) after the cessation of acute withdrawal or severe intoxication; or there is other evidence suggesting the existence of an independent non-substance/medication-induced sexual dysfunction (e.g. history of recurrent non-substance/medication-related episodes).

Answer 16

Substance/Medication-Induced Sexual Dysfunction

Question 17

Symptoms of every sexual dysfunctions persists for a minimum duration of approximately _________.

Answer 17

6 months