189 Sexual Dysfunction Due to…[Indicate General Medical Condition]
DSM-IV-TR criteria
- A. Clinically significant sexual dysfunction that results in marked distress or interpersonal difficulty predominates in the clinical picture.
- B. There is evidence from the history, physical examination, or laboratory findings that the sexual dysfunction is fully explained by the direct physiological effects of a general medical condition.
- C. The disturbance is not better accounted for by another mental disorder (e.g., Major Depressive Disorder).
- Select code and term based on the predominant sexual dysfunction:
- 625.8 Female Hypocative Sexual Desire Disorder Due to…[Indicate general medical condition]: if deficient or absent sexual desire is the predominant feature
- 608.89 Male Hypoactive Sexual Desire Disorder Due to …[Indicate general medical condition]: if deficient or absent sexual desire is the predominant feature
- 607.84 Male Erectile Disorder Due to…[Indicate general medical condition]: if male erectile dysfunction is the predominant feature
- 625.0 Female Dyspareunia Due to …[Indicate general medical condition]: if pain associated with intercourse is the predominant feature
- 608.89 Male Dyspareunia Due to …[Indicate general medical condition]: if pain associated with intercourse is the predominant feature
- 625.8 Other Female Sexual Dysfunction Due to …[Indicate general medical condition]: if some other feature is predominant (e.g., Orgasmic Disorder) or no feature predominates
- 608.89 Other Male Sexual Dysfunction Due to …[Indicate general medical condition]: if some other feature is predominant (e.g., Orgasmic Disorder) or no feature predominates
- Coding Note: Include the name of the general medical condition on Axis I, e.g., 607.84 Male Erectile Disorder Due to Diabetes Mellitus; also code the general medical condition on Axis III
Associated Features
Dysfunction is due exclusively to physiological effects of a general medical condition. Symptoms can include pain with intercourse, hypoactive sexual desire, male erectile dysfunction, orgasmic disorder or other sexual dysfunctions.
Child vs. adult presentation
Gender and cultural differences in presentation
Epidemiology
Etiology
Caused by any type of general medical condition that causes physiological sexual dysfunction.