gynecology and obstetrics
Female Orgasmic Disorder
Diagnosis of Female Orgasmic Disorder
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria ( Diagnosis reference ) Clinicians interview the woman and, sometimes, her partner; the woman is asked to describe the problem in her own words and should include specific elements (see table). Diagnosis of orgasmic disorder is clinical, based on criteria in the DSM-5-TR: Delayed, infrequent, or absent orgasm or markedly decreased intensity of orgasm after a normal sexual arousal phase on all or almost all occasions of sexual activity Distress or interpersonal problems due to orgasmic dysfunction No other disorder or substance that exclusively accounts for the orgasmic dysfunction Symptoms must have been present for ≥ 6 months. Because the type of stimulation that triggers orgasm varies widely, clinicians must use clinical judgment to determine whether the woman's response is deficient, based on her age, sexual experience, and adequacy of the sexual stimulation she receives. 1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, 5th ed. Text Revision (DSM-5-TR). Washington, DC, American Psychiatric Association, 2022. 