Diagnostic Criteria for Premature Ejaculation
- Persistent or recurrent ejaculation with minimal sexual stimulation before, on, or shortly after penetration and before the person wishes it. The clinician must take into account factors that affect duration of the excitement phase, such as age, novelty of sexual partner or situation, and recent frequency of sexual activity.
- The disturbance causes marked distress or interpersonal difficulty.
- The premature ejaculation is not due exclusively to the direct effects of a substance (e.g., withdrawal from opioids).
Diagnostic Criteria for Dyspareunia
- Recurrent or persistent genital pain associated with sexual intercourse in either a male or a female.
- The disturbance causes marked distress or interpersonal difficulty.
- The disturbance is not caused exclusively by Vaginismus or lack of lubrication, is not better accounted for by another Axis I disorder (except another Sexual Dysfunction), and is not due exclusively to the direct physiological effects of a substance (e.g., a drug of abuse, a medication) or a general medical condition.
Diagnostic Criteria for Vaginismus
- Recurrent or persistent involuntary spasm of the musculature of the outer third of the vagina that interferes with sexual intercourse.
- The disturbance causes marked distress or interpersonal difficulty.
- The disturbance is not better accounted for by another Axis I disorder (e.g., Somatization Disorder) and is not due exclusively to the direct physiological effects of a general medical condition.
Source: APA, 1994.
Last Updated: 1-Oct-97
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