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Sexual Dysfunctions

DOI: 10.1176/appi.books.9780890425596.125889

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Sexual dysfunctions include delayed ejaculation, erectile disorder, female orgasmic disorder, female sexual interest/arousal disorder, genito-pelvic pain/penetration disorder, male hypoactive sexual desire disorder, premature (early) ejaculation, substance/medication-induced sexual dysfunction, other specified sexual dysfunction, and unspecified sexual dysfunction. Sexual dysfunctions are a 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. An individual may have several sexual dysfunctions at the same time. In such cases, all of the dysfunctions should be diagnosed.

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References

Clayton A, Keller A, McGarvey E: Burden of phase-specific sexual dysfunction with SSRIs. J Affect Disord 91(1):27–32, 2006
[PubMed]
 
Dunn J, Arakawa R, Greist JH, Clayton AH: Assessing the onset of antidepressant-induced sexual dysfunction using interactive voice response technology. J Clin Psychiatry 68(4):525–532, 2007
[PubMed]
 
Fujii A, Yasui-Furukori N, Sugawara N, et al: Sexual dysfunction in Japanese patients with schizophrenia treated with antipsychotics. Prog Neuropsychopharmacol Biol Psychiatry 34(2):288–293, 2010
[PubMed]
 
Graham CA, Ramos R, Bancroft J, et al: The effects of steroidal contraceptives on the well-being and sexuality of women: a double-blind, placebo-controlled, two-centre study of combined and progestogen-only methods. Contraception 52(6):363–369, 1995 
[PubMed]
 
Haberfellner E, Rittmannsberger H: Spontaneous remission of SSRI-induced orgasm delay. Pharmacopsychiatry 37(3):127–130, 2004
[PubMed]
 
Kennedy SH, Eisfeld BS, Dickens SE, et al: Antidepressant-induced sexual dysfunction during treatment with moclobemide, paroxetine, sertraline and venlafaxine. J Clin Psychiatry 61(4):276–281, 2000
[PubMed]
 
Palha A,Esteves M: Drugs of abuse and sexual functioning. Adv Psychosom Med 29:131–149, 2008
[PubMed]
 
Rettenbacher M, Hofer A, Ebenbichler C, et al: Prolactin levels and sexual adverse effects in patients with schizophrenia during antipsychotic treatment. J Clin Psychopharmacol 30(6):711–715, 2010
[PubMed]
 
Segraves R: Sexual dysfunction associated with antidepressant therapies. Urol Clin North Am 34(4):575–579, 2007
[PubMed]
 
Strohmaier J, Wüst S, Uher R, et al: Sexual dysfunction during treatment with serotonergic and noradrenergic antidepressants: clinical description and the role of the 5-HTTLPR. World J Biol Psychiatry 12(7):528–538, 2011
[PubMed]
 
Williams VS, Baldwin DS, Hogue SL, et al: Estimating the prevalence and impact of antidepressant-induced sexual dysfunction in 2 European countries: a cross-sectional patient survey. J Clin Psychiatry 67(2):204–210, 2006
[PubMed]
 
Bancroft J: The behavioural correlates of testosterone (Chapter 5), in Testosterone: Action, Deficiency, Substitution, 4th Edition. Edited by Nieschlag E, Behre H. Cambridge, UK, Cambridge University Press, 2012, pp 87–122
 
Baumeister RF, Catanese KR, Vohs KD: Is there a gender difference in strength of sex drive? Theoretical views, conceptual distinctions, and a review of relevant evidence. Pers Soc Psychol Rev 5:242–273, 2001
 
Brotto LA: The DSM diagnostic criteria for Hypoactive Sexual Desire Disorder in men. J Sex Med 7(6):2015–2030, 2010
[PubMed]
 
Brotto LA: Diagnostic and clinical issues in the distinction between low desire and asexuality. Paper presented at the annual meeting of the International Academy of Sex Research, Estoril, Portugal, July 2012
 
Brotto LA, Woo JST, Gorzalka BB: Differences in sexual guilt and desire in east Asian and Euro-Canadian men. J Sex Res 49(6):594–602, 2012
[PubMed]
 
Corona G, Mannucci E, Petrone L, et al: Psycho-biological correlates of hypoactive sexual desire in patients with erectile dysfunction. Int J Impot Res 16(3):275–281, 2004
[PubMed]
 
Fugl-Meyer KS, Fugl-Meyer AR: Sexual disabilities are not singularities. Int J Impot Res 14(6):487–493, 2002
[PubMed]
 
Fugl-Meyer AR, Sjögren Fugl-Meyer KS: Sexual disabilities, problems and satisfaction in 18-74 year old Swedes. Scand J Sexol 2:79–105, 1999
 
Janssen E, McBride K, Yarber W, et al: Factors that influence sexual arousal in men: a focus group study. Arch Sex Behav 37(2):252–265, 2008
[PubMed]
 
Laumann EO, Nicolosi A, Glasser DB, et al: Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 17(1):39–57, 2005
[PubMed]
 
Mercer CH, Fenton KA, Johnson AM, et al: Sexual function problems and help seeking behaviour in Britain: national probability sample survey. BMJ 327(7412):426–427, 2003
[PubMed]
 
Meston CM, Buss DM: Why humans have sex. Arch Sex Behav 36(4):477–507, 2007
[PubMed]
 
Sandfort TGM, de Keizer M: Sexual problems in gay men: an overview of empirical research. Annu Rev Sex Res 12:93–120, 2001
[PubMed]
 
Bacon CG, Mittleman MA, Kawachi I, et al: Sexual function in men older than 50 years of age. health professionals follow-up study. Ann Intern Med 139(3):161–168, 2003
[PubMed]
 
Jern P, Santtila P, Johansson A, Sandnabba NK: Genetic and environmental effects on the continuity of ejaculatory dysfunction. BJU Int 105(12):1698–1704, 2010
[PubMed]
 
Laumann EO, Paik A, Rosen RC: Sexual dysfunction in the United States: prevalence and predictors. JAMA 281(6):537–544, 1999
[PubMed]
 
Laumann EO, Nicolosi A, Glasser DB, et al: Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 17(1):39–57, 2005
[PubMed]
 
McMahon CG, Abdo C, Incrocci L, et al: Disorders of orgasm and ejaculation in men. J Sex Med 1(1):58–65, 2004
[PubMed]
 
Mercer CH, Fenton KA, Johnson AM, et al: Sexual function problems and help seeking behaviour in Britain: national probability sample survey. BMJ 327(7412):426–427, 2003
[PubMed]
 
Richardson D, Goldmeir D; BASHH Special Interest Group for Sexual Dysfunction: Recommendations for the management of retarded ejaculation: BASHH Special Interest Group for Sexual Dysfunction. Int J STD AIDS 17(1):7–13, 2006 16409671
 
Segraves RT: Considerations for a better definition of male orgasmic disorder in DSM V. J Sex Med 7(2 pt 1):690–695, 2010
[PubMed]
 
Waldinger MD, Schweitzer DH: Retarded ejaculation in men: an overview of psychological and neurobiological insights. World J Urol 23(2):76–81, 2005
[PubMed]
 
Bancroft J, Loftus J, Long JS: Distress about sex: a national survey of women in heterosexual relationships. Arch Sex Behav 32(3):193–208, 2003
[PubMed]
 
Brotto LA: The DSM diagnostic criteria for hypoactive sexual desire disorder in women. Arch Sex Behav 39(2):221–239, 2010
[PubMed]
 
Brotto LA: Diagnostic and clinical issues in the distinction between low desire and asexuality. Paper presented at the annual meeting of the International Academy of Sex Research, Estoril, Portugal, July 2012
 
Brotto LA, Petkau JA, Labrie F, Basson R: Predictors of sexual desire disorder in women. J Sex Med 8(3):742–753, 2011
[PubMed] | [CrossRef]
 
Burri AV, Cherkas LM, Spector TD: The genetics and epidemiology of female sexual dysfunction: a review. J Sex Med 6(3):646–657, 2009
[PubMed]
 
Carvalheira AA, Brotto LA, Leal I: Women’s motivations for sex: exploring the Diagnostic and Statistical Manual, Fourth Edition, Text Revision criteria for hypoactive sexual desire and female sexual arousal disorders. J Sex Med 7(4 Pt 1):1454–1463, 2010
[PubMed]
 
Dennerstein L, Lehert P, Burger H: The relative effects of hormones and relationship factors on sexual function of women through the natural menopausal transition. Fertil Steril 84(1):174–180, 2005
[PubMed]
 
Dennerstein L, Koochaki P, Barton I, Graziottin A: Hypoactive sexual desire disorder in menopausal women: a survey of Western European women. J Sex Med 3(2):212–222, 2006
[PubMed]
 
Fugl-Meyer KS, Fugl-Meyer AR: Sexual disabilities are not singularities. Int J Impot Res 14(6):487–493, 2002
[PubMed]
 
Graham CA: The DSM diagnostic criteria for female sexual arousal disorder. Arch Sex Behav 39(2):240–255, 2010
[PubMed]
 
Hayes RD, Dennerstein L, Bennett C, Fairley C:What is the “true” prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact? J Sex Med 5(4):777–787, 2008
[PubMed]
 
Laan E, van Driel EM, van Lunsen RHW: Genital responsiveness in healthy women with and without sexual arousal disorder. J Sex Med 5(6):1424–1435, 2008
[PubMed]
 
Laumann EO, Nicolosi A, Glasser DB, et al: Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 17(1):39–57, 2005
[PubMed]
 
Lutfey KE, Link CL, Rosen RC, et al: Prevalence and correlates of sexual activity and function in women: results from the Boston Area Community Health (BACH) Survey. Arch Sex Behav 38(4):514–527, 2009
[PubMed]
 
McCall K, Meston C: Cues resulting in desire for sexual activity in women. J Sex Med 3(5):838–852, 2006
[PubMed]
 
Mercer CH, Fenton KA, Johnson AM, et al: Sexual function problems and help seeking behaviour in Britain: national probability sample survey. BMJ 327(7412):426–427, 2003
[PubMed]
 
Nobre PJ, Pinto-Gouveia J: Cognitive and emotional predictors of female sexual dysfunctions: preliminary findings. J Sex Marital Ther 34(4):325–342, 2008
[PubMed]
 
Richters J, Grulich AE, de Visser RO, et al: Sex in Australia: sexual difficulties in a representative sample of adults. Aust N Z J Public Health 27(2):164–170, 2003
[PubMed]
 
Sand M, Fisher WA: Women’s endorsement of models of female sexual response: the nurses’ sexuality study. J Sex Med 4(3):708–719, 2007
[PubMed]
 
Sanders SA, Graham CA, Milhausen RR: Predicting sexual problems in women: the relevance of sexual excitation and sexual inhibition. Arch Sex Behav 37(2):241–251, 2008
[PubMed]
 
Shifren JL, Monz BU, Russo PA, et al: Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol 112(5):970–978, 2008
[PubMed]
 
Woo JS, Brotto LA, Gorzalka BB: The role of sex guilt in the relationship between culture and women's sexual desire. Arch Sex Behav 40(2):385–394, 2011
[PubMed]
 
Woo JS, Brotto LA, Gorzalka BB: The relationship between sex guilt and sexual desire in a community sample of Chinese and Euro-Canadian women. J Sex Res 49(2–3):290–298, 2012
[PubMed]
 
Binik YM: The DSM diagnostic criteria for dyspareunia. Arch Sex Behav 39(2):292–303, 2010a
[PubMed]
 
Binik YM: The DSM diagnostic criteria for vaginismus. Arch Sex Behav 39(2):278–291, 2010b
[PubMed]
 
Binik YM, Bergeron S, Khalifé S: Dyspareunia and vaginismus: so-called sexual pain, in Principles and Practice of Sex Therapy. Edited by Leiblum SR. New York, Guilford, 2007, pp 124–156
 
Davis SN, Binik YM, Carrier S: Sexual dysfunction and pelvic pain in men: a male sexual pain disorder?J Sex Mar Ther 35(3):182–205, 2009
[PubMed]
 
Dogan S: Vaginismus and accompanying sexual dysfunctions in a Turkish clinical sample. J Sex Med 6(1):184–192, 2009
[PubMed]
 
Farmer MA, Taylor AM, Bailey AL, et al: Repeated vulvovaginal fungal infections cause persistent pain in a mouse model of vulvodynia. Sci Transl Med 3(101):101ra91, 2011
[PubMed]
 
Harlow BL, Wise LA, Stewart EG: Prevalence and predictors of chronic lower genital tract discomfort. Am J Obstet Gynecol 185(3):545–550, 2001
[PubMed]
 
Kao A, Binik YM, Amsel R, et al: Biopsychosocial predictors of postmenopausal dyspareunia: the role of steroid hormones, vulvovaginal atrophy, cognitive-emotional factors, and dyadic adjustment. J Sex Med 9(8):2066–2076, 2012
[PubMed]
 
Lahaie MA, Boyer SC, Amsel R, et al: Vaginismus: a review of the literature on the classification/diagnosis, etiology and treatment. Womens Health (Lond Engl) 6(5):705–719, 2010
[PubMed]
 
Laumann EO, Paik A, Rosen RC: Sexual dysfunction in the United States: prevalence and predictors. JAMA 281(6):537–544, 1999
[PubMed]
 
Melzack RJ, Katz J: The McGill pain questionnaire: appraisal and current status, in Handbook of Pain Assessment. Edited by Turk DCM. New York, Guilford, 1992, pp 152–164
 
Paterson LQ, Davis SN, Khalifé S, et al: Persistent genital and pelvic pain after childbirth. J Sex Med 6(1):215–221, 2009
[PubMed]
 
Reed BD: Dyspareunia and sexual/physical abuse, in Female Sexual Pain Disorders. Edited by Goldstein AT, Pukall CF, Goldstein I. Hoboken, NJ, Wiley-Blackwell, 2009, pp 213–217
 
Rosenbaum TY: Physical therapy evaluation of dyspareunia, in Female Sexual Pain Disorders. Edited by Goldstein AT, Pukall CF, Goldstein I. Hoboken, NJ, Wiley-Blackwell, 2009, pp 27–31
 
Spielberger CD, Gorsuch RL, Lushene RE: STAI Manual for the State-Trait Anxiety Inventory. Palo Alto, CA, Consulting Psychologist Press, 1970
 
Avis NE, Stellato R, Crawford S, et al: Is there an association between menopause status and sexual functioning? Menopause 7(5):297–309, 2000
[PubMed]
 
Bancroft J, Loftus J, Long JS: Distress about sex: a national survey of women in heterosexual relationships. Arch Sex Behav 32(3):193–208, 2003
[PubMed]
 
Burri AV, Cherkas LM, Spector TD: The genetics and epidemiology of female sexual dysfunction: a review. J Sex Med 6(3):646–657, 2009
[PubMed]
 
Graham CA: The DSM diagnostic criteria for female orgasmic disorder. Arch Sex Behav 39(2):256–270, 2010
[PubMed]
 
Kinsey AC, Pomeroy WB, Martin CE, Gebhard PH: Sexual Behavior in the Human Female. Philadelphia, PA, WB Saunders, 1953
 
Laumann EO, Gagnon JH, Michael RT, Michaels S: The Social Organization of Sexuality: Sexual Practices in the United States. Chicago, IL, University of Chicago Press, 1994
 
Laumann EO, Nicolosi A, Glasser DB, et al: Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 17(1):39–57, 2005
[PubMed]
 
Levine KB, Williams RE, Hartmann KE: Vulvovaginal atrophy is strongly associated with female sexual dysfunction among sexually active postmenopausal women. Menopause 15(4 pt 1):661–666, 2008
[PubMed]
 
Mercer CH, Fenton KA, Johnson AM, et al: Sexual function problems and help seeking behaviour in Britain: national probability sample survey. BMJ 327(7412):426–427, 2003
[PubMed]
 
Meston CM, Levin RJ, Sipski ML, et al: Women’s orgasm. Annu Rev Sex Res 15:173–257, 2004
[PubMed]
 
Oberg K, Fugl-Meyer AR, Fugl-Meyer KS: On categorization and quantification of women’s sexual dysfunctions: an epidemiological approach. Int J Impot Res 16(3):261–269, 2004
[PubMed]
 
Althof S: Prevalence, characteristics and implications of premature ejaculation/rapid ejaculation. J Urol 175(3, Pt 1):842–848, 2006
[PubMed]
 
Jern P, Santtila P, Witting K, et al: Premature and delayed ejaculation: genetic and environmental effects in a population-based sample of Finnish twins. J Sex Med 4(6):1739–1749, 2007
[PubMed]
 
Jern P, Santtila P, Johansson A, et al: Is there an association between same-sex sexual experiences and ejaculatory dysfunction? J Sex Marit Ther 36(4):303–312, 2010
[PubMed]
 
Laumann EO, Nicolosi A, Glasser DB, et al: Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behavior. Int J Impot Res 17(1):39–57, 2005
[PubMed]
 
Rosen RC, Althof S: Impact of premature ejaculation: the psychological, quality of life and sexual relationship consequences. J Sex Med 5(6):1296–1307, 2008
[PubMed]
 
Rowland D, McMahon CG, Abdo C, et al: Disorders of orgasm and ejaculation in men. J Sex Med 7(4 Pt 2):1668–1686, 2010
[PubMed]
 
Santtila P, Jern P, Westberg L, et al: The dopamine transporter gene (DAT1) polymorphism is associated with premature ejaculation. J Sex Med 7(4 Pt 1):1538–1546, 2010
[PubMed]
 
Segraves RT: Considerations for an evidence-based definition of premature ejaculation in the DSM-V. J Sex Med 7(2, Pt 1):672–679, 2010
[PubMed]
 
Waldinger MD: Toward evidence-based genetic research on lifelong premature ejaculation: a critical evaluation of methodology. Korean J Urol 52(1):1–8, 2011
[PubMed]
 
Waldinger MD, Schweitzer D: Changing paradigms from a historical DSM-III and DSM-IV view toward an evidenced based definition of premature ejaculation, Part II: proposals for DSM-V and ICD-11. J Sex Med 3(4):693–705, 2006
[PubMed]
 
Waldinger MD, Quinn P, Dilleen M, et al: A multinational population survey of intravaginal ejaculatory latency time. J Sex Med 2(4):492–497, 2005
[PubMed]
 
Araujo AB, Johannes CB, Feldman HA, et al: Relation between psychosocial risk factors and incident erectile dysfunction: prospective results from the Massachusetts Male Aging Study. Am J Epidemiol 152(6):533–541, 2000
[PubMed]
 
Beutel ME, Weidner W, Brähler E: Epidemiology of sexual dysfunction in the male population. Andrologia 38(4):115–121, 2006
[PubMed]
 
Inman BA, Sauver SL, Jacobson DJ, et al: A population-based, longitudinal study of erectile dysfunction and future coronary artery disease. Mayo Clin Proc 84(2):108–113, 2009
[PubMed]
 
Lewis RW: Epidemiology of erectile dysfunction. Urol Clin North Am 28(2):209–216, 2001
[PubMed]
 
Michetti PM, Rossi R, Bonanno D, et al: Male sexuality and regulation of emotions: a study on the association between alexithymia and erectile dysfunction (ED). Int J Impot Res 18(2):170–174, 2006
[PubMed]
 
Nicolosi A, Laumann EO, Glasser DB, et al: Sexual behavior and sexual dysfunctions after age 40: the global study of sexual attitudes and behaviors. Urology 64(5):991–997, 2004
[PubMed]
 
Prins J, Blanker MH, Bohnen AM, et al: Prevalence of erectile dysfunction: a systematic review of population-based studies. Int J Impot Res 14(6):422–432, 2002
[PubMed]
 
Santtila P, Sandnabba NK, Jern P: Prevalence and determinants of male sexual dysfunctions during first intercourse. J Sex Marital Ther 35(2):86–105, 2009
[PubMed]
 
Shrestha R, Segraves R: Diagnosis, epidemiology and course of sexual disorders, in Clinical Manual of Sexual Disorders. Edited by Balon R, Segraves R. Washington, DC, American Psychiatric Publishing, 2009, pp 3–22
 
Travison TG, Shabsigh R, Araujo AB, et al: The natural progression and remission of erectile dysfunction: results from the Massachusetts Male Aging Study. J Urol 177(1):241–246, 2007
[PubMed]
 
Wylie K: Erectile dysfunction. Adv Psychosom Med 29:33–49, 2008
[PubMed]
 
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