Female Sexual Dysfunction (FSD)

Hypoactive Sexual Desire Disorder (HSDD)
Persistent or recurrent deficiency and/or absence of sexual fanatasies/thoughts, and/or desire for, or receptivity to, sexual activity, which causes personal distress.

Sexual Aversion Disorder
Persistent or recurrent phobic aversion to and avoidance of sexual contact with a sexual partner, which causes personal distress.

Sexual Arousal Disorder (FSAD)
Persistent or recurrent inability to attain or maintain sufficient sexual excitement, causing personal distress. It may be expressed as a lack of subjective excitement, or a lack of genital lubrication, or swelling, or other somatic responses.

Persistent sexual arousal syndrome (PSAS)
A subclassification of female sexual arousal disorder, PSAS is defined as feelings of spontaneous, persistent and intense genital arousal with or without orgasm, with or without genital engorgement, in the absence of sexual desire.

Orgasmic Disorder
Persistent or recurrent difficulty, delay in or absence of attaining orgasm following sufficient sexual stimulation and arousal, which causes personal distress.

Sexual Pain Disorders
Recurrent or consistent genital pain associated with genital intercourse.
Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with vaginal penetration which causes personal distress.
•Non-Coital Sexual Pain Disorder
Recurrent of persistent genital pain induced by non-coital sexual stimulation.

Female Androgen Insufficiency Syndrome
A pattern of clinical symptoms in the presence of decreased bioavailable testosterone and normal estrogen status. Clinical symptoms include:
•diminished sense of well-being or dysphoric mood
•peristent, unexplained fatigue
•sexual function changes including decreased libido, sexual receptivity and pleasure
•bone loss
•decreased muscle strength
•changes in cognition or memory
Free testosterone values should be at or below the lowest quartile of the normal range.

Primary teaching affiliate
of BU School of Medicine