gynecology and obstetrics
Sexual Interest Arousal Disorder
Diagnosis of Sexual Interest Arousal Disorder
Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) criteria Diagnosis of sexual interest/arousal disorder is clinical, based on DSM-5-TR criteria. Criteria require an absence of or a significant decrease in ≥ 3 of the following: Interest in sexual activity Sexual or erotic fantasies or thoughts Initiation of sexual activity and responsiveness to a partner's initiation Excitement or pleasure during ≥ 75% of sexual activity Interest or arousal in response to sexual internal or external erotic stimuli (eg, written, verbal, visual) Genital or nongenital sensations during ≥ 75% of sexual activity These symptoms must have been present for ≥ 6 months and cause significant distress for the woman. The diagnosis is not made if a physical or another psychological cause (including relationship distress) could account for the symptoms. A pelvic examination is done if penetration during sexual activity causes pain. 