DSM-III

In DSM-III, this disorder is called Inhibited Sexual Excitement

For more information, see Psychosexual Dysfunctions

This has also been termed frigidity or impotence.

Diagnostic Criteria

A. Recurrent and persistent inhibition of sexual excitement during sexual activity, manifested by:

  • In males, partial or complete failure to attain or maintain erection until completion of the sexual act, or
  • In females, partial or complete failure to attain or maintain the lubrication-swelling response of sexual excitement until completion of the sexual act.

B. A clinical judgment that the individual engages in sexual activity that is adequate in focus, intensity, and duration.

C. The disturbance is not caused exclusively by organic factors (e.g., physical disorder or medication) and is not due to another mental disorder.

DSM-IV

For more information, see Sexual Dysfunctions

Diagnostic Criteria

A. Persistent or recurrent extreme aversion to, and avoidance of, all (or almost all) genital sexual contact with a sexual partner.

B. The disturbance causes marked distress or interpersonal difficulty.

C. The sexual dysfunction is not better accounted for by another mental disorder (except another Sexual Dysfunction).

Specify type:

  • Lifelong Type
  • Acquired Type

Specify type:

  • Generalized Type
  • Situational Type

Specify type:

  • Due to Psychological Factors
  • Due to Combined Factors

Differential Diagnosis

Other mental disorders

Sexual Aversion Disorder may also occur in association with other Sexual Dysfunctions (e.g., Dyspareunia). If so, both should be noted. An additional diagnosis of Sexual Aversion Disorder is usually not made if the sexual aversion is better accounted for by another mental disorder (e.g., Major Depressive Disorder, Obsessive-Compulsive Disorder, Posttraumatic Stress Disorder). The additional diagnosis may be made when the aversion predates the mental disorder or is a focus of independent clinical attention. Although sexual aversion may technically meet the criteria for Specific Phobia, this additional diagnosis is not given.

Occasional sexual aversion

Occasional sexual aversion that is not persistent or recurrent or is not accompanied by marked distress or interpersonal difficulty is not considered to be a Sexual Aversion Disorder.

DSM-5

See Female Sexual Interest/Arousal Disorder and Male Hypoactive Sexual Desire Disorder

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