Delayed Ejaculation
A marked delay in, or marked infrequency or absence of, ejaculation during partnered sexual activity despite adequate sexual stimulation and the desire to ejaculate, causing clinically significant distress.
Sexual Dysfunctions
Conditions characterized by a clinically significant disturbance in a person's ability to respond sexually or experience sexual pleasure.
Disorders in this family
Erectile Disorder
Marked difficulty obtaining or maintaining an erection until completion of sexual activity, or marked decrease in erectile rigidity, on almost all or all occasions of sexual activity, for a minimum duration of approximately 6 months, causing clinically significant distress.
Female Orgasmic Disorder
Marked delay in, marked infrequency of, or absence of orgasm, or markedly reduced intensity of orgasmic sensation, on almost all or all occasions of sexual activity, for a minimum duration of approximately 6 months, causing clinically significant distress.
Female Sexual Interest/Arousal Disorder
Absent or significantly reduced sexual interest/arousal, evidenced by at least 3 of 6 specific indicators (e.g., absent/reduced interest, sexual/erotic thoughts, initiation, pleasure, response to cues, genital/nongenital sensations), for a minimum duration of approximately 6 months, causing clinically significant distress.
Genito-Pelvic Pain/Penetration Disorder
Persistent or recurrent difficulties with vaginal penetration, marked vulvovaginal or pelvic pain during intercourse or penetration attempts, marked fear or anxiety about pain in anticipation of penetration, or marked tensing/tightening of pelvic floor muscles during attempted penetration, for a minimum duration of approximately 6 months.
Male Hypoactive Sexual Desire Disorder
Persistently or recurrently deficient or absent sexual/erotic thoughts or fantasies and desire for sexual activity, judged by the clinician taking into account factors affecting sexual functioning (age, general/sociocultural context of the person's life), for a minimum duration of approximately 6 months, causing clinically significant distress.
Other Specified / Unspecified Sexual Dysfunction
A residual classification for presentations with sexual dysfunction causing clinically significant distress that do not meet full criteria for a named sexual dysfunction, most often due to duration, frequency, or symptom-count thresholds.
Premature (Early) Ejaculation
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, on almost all or all occasions of sexual activity, for a minimum duration of approximately 6 months, causing clinically significant distress.
Substance/Medication-Induced Sexual Dysfunction
A clinically significant disturbance in sexual function that developed during or soon after substance intoxication, withdrawal, or exposure to a medication capable of producing sexual dysfunction, where the substance/medication is judged etiologically related to the disturbance.
Case Lab vignettes
A Side Effect Never Mentioned
Recognize medication-induced sexual dysfunction, including the importance of proactively asking about it.
Bracing Before It Starts
Recognize Genito-Pelvic Pain/Penetration Disorder's characteristic fear, pain, and involuntary pelvic floor tensing specific to penetration, distinguished from a general reduction in desire.
Close, But Never There
Distinguish Female Orgasmic Disorder, where desire and arousal are intact but orgasm remains elusive, from Female Sexual Interest/Arousal Disorder, where interest and arousal themselves are reduced.
Eager but Unable to Finish
Distinguish Delayed Ejaculation, where desire is intact but ejaculation is impaired, from Male Hypoactive Sexual Desire Disorder, where desire itself is deficient.
Losing Interest, Over Time
Distinguish Female Sexual Interest/Arousal Disorder's broad reduction in desire and arousal from Genito-Pelvic Pain/Penetration Disorder's pain- and fear-specific avoidance of penetration.
New Difficulty After a New Prescription
Recognize when a brief-duration sexual difficulty with a possible medication link warrants Other Specified Sexual Dysfunction pending further evaluation.
Over Before It Begins
Recognize Premature (Early) Ejaculation's core timing complaint despite intact desire, distinguished from Male Hypoactive Sexual Desire Disorder.
The Fading Spark
Recognize Male Hypoactive Sexual Desire Disorder's primary deficiency in sexual thoughts and desire, distinguished from Erectile Disorder, where desire is intact but erections are physically difficult to attain.
Wanting, But Unable
Distinguish Erectile Disorder, where desire is intact but erections cannot be attained or maintained, from Male Hypoactive Sexual Desire Disorder, where desire itself is diminished.