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Primary sexual disorders: recognition and treatment
Paula L Hensley1, Carol K Slonimski
1Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque, NM, USA.
Female sexual dysfunction is common, with challenges in defining normal sexual response. This review outlines diagnostic criteria and treatment options for desire, arousal, orgasm, and pain disorders.
Area of Science:
- Women's Health
- Sexual Medicine
- Psychiatry
Background:
- Female sexual dysfunction (FSD) is a prevalent issue affecting women across various life stages.
- Clinical guidance for FSD is limited due to difficulties in defining sexual response normality.
- The Diagnostic and Statistical Manual of Mental Disorders, 4th Edition, Text Revision (DSM-IV-TR) offers a classification framework.
Purpose of the Study:
- To define the scope and impact of female sexual dysfunction.
- To discuss diagnostic approaches for FSD.
- To summarize current psychological and physiological treatment strategies.
Main Methods:
- Literature review and synthesis of existing data on FSD.
- Analysis of the DSM-IV-TR classification of female sexual disorders.
- Summary of evidence-based treatment modalities.
Main Results:
- FSD encompasses disorders of desire, arousal, orgasm, and pain.
- Diagnosis requires careful clinical evaluation and consideration of the DSM-IV-TR criteria.
- A range of psychological and physiological treatments are available.
Conclusions:
- Female sexual dysfunction is a complex and common condition requiring a structured diagnostic approach.
- The DSM-IV-TR provides a valuable tool for classifying FSD.
- Comprehensive treatment strategies should address both psychological and physiological aspects of sexual health.
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