Women's sexual function: Revised and expanded definitions

Department of Psychiatry, University of British Columbia and B.C. Centre for Sexual Medicine, Vancouver General Hospital, Vancouver, BC.
Canadian Medical Association Journal (Impact Factor: 5.96). 06/2005; 172(10):1327-33. DOI: 10.1503/cmaj.1020174
Source: PubMed


Acceptance of an evidence-based conceptualization of women's sexual response combining interpersonal, contextual, personal psychological and biological factors has led to recently published recommendations for revision of definitions of women's sexual disorders found in the American Psychiatric Association's Diagnostic and Statistical Manual (DSM-IV-TR). DSM-IV definitions have focused on absence of sexual fantasies and sexual desire prior to sexual activity and arousal, even though the frequency of this type of desire is known to vary greatly among women without sexual complaints. DSM-IV definitions also focus on genital swelling and lubrication, entities known to correlate poorly with subjective sexual arousal and pleasure. The revised definitions consider the many reasons women agree to or instigate sexual activity, and reflect the importance of subjective sexual arousal. The underlying conceptualization of a circular sex-response cycle of overlapping phases in a variable order may facilitate not only the assessment but also the management of dysfunction, the principles of which are briefly recounted.

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Available from: Rosemary Basson, Aug 14, 2014
    • "These factors were included but were not limited to genetics (Dawood et al. 2005), mental health status (Azar et al. 2007; Khajehei and Hadzic 2012), symptoms of depression and anxiety (Shindel et al. 2011; Khajehei et al. 2012a, b, c), quality of relationships (Papaharitou et al. 2008), menopause, hormonal imbalance, hysterectomy, ovariectomy, sexual abuse, negative sexual attitude , negative body image, drug and alcohol abuse (Burri et al. 2009), sexual orientation (Breyer et al. 2010; Khajehei et al. 2012a, b, c), childbirth and its outcomes (Thompson et al. 2002), mode of delivery (Chang et al. 2011), number of childbirths (East et al. 2012), breastfeeding (Khajehei et al. 2009a, b, c), and fears of pregnancy or sexually transmitted diseases (Crooks and Baur 2011). Previous literature (Rosen 2000; Basson 2005; Ponholzer et al. 2005) has discussed the role of some of these factors in the occurrence of female 424 M. Khajehei et al. "
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    ABSTRACT: Sexual function of women can be affected by many factors resulting in female sexual dysfunction (FSD). Sexual dysfunction is a common problem among women of all ages and has negative effects not only on their quality of lives but also on the sexual function and quality of life of their partners. It can also affect mental health of the entire family and society. Regarding the multidimensional nature of female sexual dysfunction and considering its consequences, this condition needs to be recognised in its early stages in order to prevent future consequences and impacts. This article discusses biopsychosocial aspect of female sexual function, classifications and risk factors of female sexual dysfunction and investigates current approaches to identify and treat this problem.
    Archives of Women s Mental Health 05/2015; 18(3). DOI:10.1007/s00737-015-0535-y · 2.16 Impact Factor
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    • ". The ICD-10 focuses on the physical factors involved in this disorder, and the DSM-IV addresses the psychological factors that affect the normal sexual response. The classification of FSD was further revised by the Second International Consensus of Sexual Medicine in 2004 [29]. The 2004 version established guidelines to examine the extent of the distress caused by sexual dysfunction, which allowed physicians to evaluate the clinical significance of the symptoms and further define the distress. "
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    ABSTRACT: Sexual dysfunction refers to difficulties that occur during the sexual response cycle that prevent the individual from experiencing satisfaction from sexual activity. It is relatively difficult to estimate the prevalence of female sexual dysfunction (FSD), because the definition and diagnostic criteria are still controversial and under development. These difficulties reveal our insufficient understanding of the basis of FSD. This review was conducted in an effort to deal with this complicated clinical issue, by examining the most updated clinical criteria of FSD under the context of a redefined female sexual response model.
    Taiwanese journal of obstetrics & gynecology 03/2013; 52(1):3-7. DOI:10.1016/j.tjog.2013.01.002 · 0.99 Impact Factor
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    • "This was later seen as insufficient in describing female sexuality. An alternative circular model by Basson [3] was found to be more widely endorsed by women [3] [4] [5] in which the discrete phases of the earlier model were observed to be highly overlapping to form broader components. This model was endorsed by the Malaysian population [6] [7]. "
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    ABSTRACT: Aims: This study compared the components of sexual responses between Malaysian women with Type 2 diabetes mellitus and those without the disease. Methods: This cross-sectional study measured sexual responses by using the validated Malay version of Female Sexual Function Index. A factor analysis with varimax rotation method was employed using principal component analysis to explore the correlation structure of the different domains of sexual responses between the two groups. Components of sexual responses were obtained using Kaiser's criteria and compared between those in the diabetic and non-diabetic groups. Results: A total of 353 women (178 with diabetes and 175 without diabetes) were recruited. Three components of sexual responses emerged from the analysis in the study and control groups. Sexual pain was found to form a component together with lubrication and orgasm domains among the women with diabetes, unlike those without diabetes, where pain stood on its own. Sexual desire and arousal formed one component and satisfaction formed another in both groups. Conclusions: The domains in the sexual responses of Malaysian women were highly overlapping. It is concluded that the presence of pain as part of lubrication and orgasm component in women with diabetes indicates the importance of intact genital sensation, even though an adverse type of sensation, for vaginal congestion and orgasm to occur in this group of women.
    Comprehensive psychiatry 01/2013; 55. DOI:10.1016/j.comppsych.2012.12.028 · 2.25 Impact Factor
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