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Sexual dysfunction
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{{Short description|Difficulty experienced by humans during any stage of normal sexual activity}} {{Infobox medical condition (new) | name = Sexual dysfunction | synonyms = Sexual malfunction, sexual disorder | image = | caption = | field = [[sexology]], [[gynecology]], [[andrology]] | pronounce = | symptoms = | complications = | onset = | duration = | types = | causes = | risks = | diagnosis = | differential = | prevention = | treatment = | medication = | prognosis = | frequency = | deaths = }} '''Sexual dysfunction''' is difficulty experienced by an individual or partners during any stage of normal [[Human sexual activity|sexual activity]], including physical pleasure, [[Sexual desire|desire]], preference, [[sexual arousal|arousal]], or [[orgasm]]. The [[World Health Organization]] defines sexual dysfunction as a "person's inability to participate in a sexual relationship as they would wish".<ref>{{cite book | publisher = World Health Organization (WHO). | title = International Statistical Classification of Diseases and Related Health Problems | edition = 10th (ICD-10) | location = Geneva, Switzerland | date = 2010 }}</ref> This definition is broad and is subject to many interpretations.<ref name="Lo_2020">{{cite journal | vauthors = Lo YC, Chen HH, Huang SS | title = Panic Disorder Correlates With the Risk for Sexual Dysfunction | journal = Journal of Psychiatric Practice | volume = 26 | issue = 3 | pages = 185β200 | date = May 2020 | pmid = 32421290 | doi = 10.1097/PRA.0000000000000460 | s2cid = 218643956 }}</ref> A diagnosis of sexual dysfunction under the [[DSM-5]] requires a person to feel extreme distress and [[interpersonal]] strain for a minimum of six months (except for substance- or medication-induced sexual dysfunction). Sexual dysfunction can have a profound impact on an individual's perceived quality of sexual life.<ref name="eden">{{cite journal | vauthors = Eden KJ, Wylie KR | title = Quality of sexual life and menopause | journal = Women's Health | volume = 5 | issue = 4 | pages = 385β396 | date = July 2009 | pmid = 19586430 | doi = 10.2217/whe.09.24 | doi-access = free }}</ref> The term ''sexual disorder'' may not only refer to physical sexual dysfunction, but to [[paraphilia]]s as well; this is sometimes termed ''disorder of sexual preference''. A thorough sexual history and assessment of general health and other sexual problems (if any) are important when assessing sexual dysfunction, because it is usually correlated with other psychiatric issues, such as mood disorders, eating and anxiety disorders, and schizophrenia.<ref name="pmid26003261">{{cite book | vauthors = Waldinger MD | title = Neurology of Sexual and Bladder Disorders | chapter = Psychiatric disorders and sexual dysfunction | series = Handbook of Clinical Neurology | volume = 130 | pages = 469β89 | date = 2015 | pmid = 26003261 | doi = 10.1016/B978-0-444-63247-0.00027-4 | isbn = 9780444632470 }}</ref><ref name="Norton_1984">{{cite journal | vauthors = Norton GR, Jehu D | title = The role of anxiety in sexual dysfunctions: a review | journal = Archives of Sexual Behavior | volume = 13 | issue = 2 | pages = 165β83 | date = April 1984 | pmid = 6145405 | doi = 10.1007/BF01542150 | s2cid = 19396561 | url = }}</ref><ref name="Lo_2020"/> Assessing performance anxiety, [[guilt (emotion)|guilt]], [[Stress (biology)|stress]], and [[worry]] are integral to the optimal management of sexual dysfunction. Many of the sexual dysfunctions that are defined are based on the [[human sexual response cycle]] proposed by [[Masters and Johnson|William H. Masters and Virginia E. Johnson]], and modified by [[Helen Singer Kaplan]]. {{TOC limit}}
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