Sexual and Gender Identity Disorders

This sections is broken down into Sexual Dysfunctions, Paraphilias, and Gender Identity Disorders.

Sexual Dysfunctions

                Sexual Desire D/o’s

                                Hypoactive Sexual Desire Disorder - deficient and absent fantasies and desire for sexual activity

                                Sexual Aversion D/o - avoidance to sex & sexual contact

                Sexual Arousal D/o’s

Female Sexual Arousal D/o – inability to attain or maintain swelling and lubrication to completion of sexual activity

Male Erectile D/o – inability to attain or maintain erection to completion of sexual activity

                Orgasmic D/o’s

                                Female Orgasmic D/o – absence or delay in orgasm in female

                                Male Orgasmic D/o – absence or delay in orgasm in male

Premature Ejaculation – the recurrent onset of orgasm and ejaculation w/ minimal sexual stimulation

                Sexual Pain Disorders

                                Dyspareunia - Genital pain associated with sex

Vaginismus – muscle contraction of vagina when penetration occurs (whether with penis or other object). Sometimes this occurs even with anticipation of penetration. Can block penetration from occurring.

Sexual Dysfunction due to gen med condition

Substance-induced Sexual Dysfunction

Sexual dysfunction NOS

Paraphilias

                Exhibitionism – focus of fantasizing of showing genitals to a strangers – must last 6 months

                Fetishism – use of nonliving objects to create arousal

                Frotteurism – touching and rubbing against a nonconsenting person

                Pedophilia – focus of sexual activity with a prepubescent child

                Sexual Masochism – act of being humiliated, beaten, bound, and made to suffer causes arousal

                Sexual Sadism – act of humiliated or physically harming another causes arousal

                Transvestic Fetishism – male dressing as a female – clothing is seen as symbols of own femininity (not fetishism)

                Voyeurism – observing strangers who are naked to achieve sexual excitement

Gender Identity Disorders – cross gender identification and discomfort with own sex

Gender Identity D/o NOS

Sexual D/o NOS

American Psychiatric Association. (2000). Diagnositc and Statistical Manual of Mental Disorders Text Revision, 4^th ed. Jaypee Brothers Medical Publishers.