34 - Sexual disorders

Sexual disorders

© SPMM Course A more commonly used classification system for sleep disorders is the International Classification of Sleep Disorders ICSD system. DSM closely resembles ICSD. Classification of sleep disorders as per this system is shown below: Dyssomnias x Primary insomnia x Primary hypersomnia x Circadian sleep disorders x Narcolepsy x Breathing related sleep disorders x Sleep state misperception Parasomnias (subdivided according to the phase of sleep with which they are associated) Arousal disorders (arising from NREM sleep) x Confusional arousals x Sleepwalking x Sleep terrors Sleep– wake transition disorders x Sleep starts x Sleep talking REM sleep parasomnias x REM behavioural disorder x Nightmares x Sleep paralysis Other parasomnias x Sleep bruxism x Sleep enuresis

Sexual disorders

Sexual dysfunctions are coded in F52 group. These disorders include the lack or loss of sexual desire (sexual aversion disorder, failure of genital response, orgasmic dysfunction, premature ejaculation, nonorganic vaginismus, nonorganic dyspareunia and excessive sexual drive).

According to DSM-IV, they can be classified into

Sexual desire disorders (sexual aversion, hypoactive sexual desire)

Sexual arousal disorder (female sexual arousal disorder, male erectile disorder)

Orgasmic disorders (female and male orgasmic disorder, premature ejaculation)

Sexual pain disorder (Dyspareunia, vaginismus)

Others (including those due to general medical or substance use disorders)