Sexology (18/19)

HC 4 Sexual Dysfunction in female 

What do women mean when they say that they are 'sexually aroused'?

  • Are they saying that they want to have sex?
  • Are they saying that their present situation is sexually appealing to them?
  • Are they describing what is happening in their body's?

Sexual response cycle (DSM IV): Desire --> arousal --> plateau --> orgasm --> recovery

Sexual disorders in women according to DSM IV 

  • Sexual Desire Disorders 
    • Hypoactive sexual desire
    • Sexual aversion
  • Sexual arousal disorders
    • Lubrication problem
    • (PGAD)
  • Orgasmic disorders
    • Anorgasmia
  • Sexual pain disorders
    • Dyspareunia (pain during intercourse)
    • Vaginismus (not being able to have intercourse at all)

Sexual disorders in women according to DSM V 

  • Sexual Interest/Arousal Disorder
  • Orgasmic Disorder
  • Genito-Pelvic Pain/Penetration Disorder
    • Dyspareunia
    • Vaginismus 
  • Unspecified Sexual Dysfunction
    • Sexual Aversion

All these problems should cause significant suffering/distress or relational problems/ should not better be explained by other mental disorders or only consequence of a somatic illness.

All these problems can be..

  • Lifelong: it has been present since the person became sexually active
  • Acquired: it began after a period of relatively normal sexual function
  • Generalized: in all types of stimulation, partners, situations 
  • Situational: only with certain stimulation, partners and situations

Hyposexuality: persistent or recurrent deficiency or absence of sexual fantasies and desire for sexual activity. 

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