What has the new 11th revision of International Classification of Diseases classification brought in the categorization of female sexual dysfunctions?


Authors: Z. Pastor 1,2 ;  M. Jonášová 1
Authors‘ workplace: Gynekologicko-porodnická klinika 2. LF UK a FN Motol, Praha 1;  Centrum pro sexuální zdraví a intervence, Národní ústav duševního zdraví, Klecany 2
Published in: Ceska Gynekol 2022; 87(6): 432-439
Category: Review Article
doi: 10.48095/cccg2022432

Overview

In January 2022, the classification of female sexual dysfunctions under the new eleventh revision of International Classification of Diseases came into force. Its definitive integration into practice is expected after a 5-year transition period. The new nomenclature is based on a circular model of female sexual activity, eliminating the Cartesian-dualistic concept of separating individual pathophysiological entities with „non-organic“ and „organic“ etiology. Sexual dysfunctions are evaluated as a complex interaction of psychological, interpersonal, social, cultural, physiological, and by gender-related processes. The new 11th revision of International Classification of Diseases established clear criteria for symptomatology and duration of disorders according to duration, frequency, and exposure to distress. Female sexual dysfunctions may be diagnosed regardless of etiology. The system of qualifiers allows the identification of etiological factors related to health condition; psychological and mental disorders; use of psychoactive substances or medication; lack of knowledge or experience; relational, cultural or gender-related factors. This article summarizes the current situation in the classification of female sexual dysfunctions in a historical context and presents the modus operandi for clinical practice according to current classifications.

Keywords:

vaginismus – dyspareunia – hypoactive sexual desire disorder – orgasmic disorder – sexual arousal disorder


Sources

1. Shaeer O, Skakke D, Giraldi A et al. Female orgasm and overall sexual function and habits: a descriptive study of a cohort of U. S. women. J Sex Med 2020; 17 (6): 1133–1143. doi: 10.1016/j.jsxm.2020.01.029.

2. World Health Organisation. ICD-10: International statistical classification of diseases and related health problems. 1992. [online]. Available from: https: //icd.who.int/browse10/2019/en#/.

3. World Health Organisation. ICD-11 for mortality and morbidity statistics (ICD-11 MMS). 2018 [online]. Available from: https: //icd.who.int/browse11/l- m/en.

4. American Psychiatric Association. DSM-5: Diag­­nostic and statistical manual of mental disorders. 5th ed. Arlington, VA: American Psychiatric Press 2013.

5. Basson R, Berman J, Burnett A et al. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. J Urol 2000; 163 (3): 888–893. doi: 10.1016/S0022-5347 (05) 67828-7.

6. Basson R, Wierman ME, van Lankveld J et al. Summary of the recommendations on sexual dysfunctions in women. J Sex Med 2010; 7 (1 Pt 2): 314–326. doi: 10.1111/j.1743-6109.2009.01617.x.

7. Parish SJ, Cottler-Casanova S, Clayton AH et al. The evolution of the female sexual disorder/dysfunction definitions, nomenclature, and classifications: a review of DSM, ICSM, ISSWSH, and ICD. Sex Med Rev 2021; 9 (1): 36–56. doi: 10.1016/j.sxmr.2020.05.001.

8. Pastor Z. Jak správně klasifikovat ženské sexuální dysfunkce? Prakt Gyn 2015; 19 (1): 60–65.

9. Pastor Z. Ženské sexuální dysfunkce. Ceska Gynekol 2002; 67 (6): 384–390.

10. Pastor Z. Poruchy ženské sexuální touhy – prevalence, klasifikace a možnosti terapie. Ceska Gynekol 2011; 76 (1): 59–64.

11. Masters W, Johnson V. Human sexual response. Boston: Little, Brown 1966.

12. Parish SJ, Meston CM, Althof SE et al. Toward a more evidence-based nosology and nomenclature for female sexual dysfunctions – part III. J Sex Med 2019; 16 (3): 452–462. doi: 10.1016/j.jsxm.2019.01.010.

13. McCabe MP, Sharlip ID, Atalla E et al. Definitions of sexual dysfunctions in women and men: a consensus statement from the fourth international consultation on sexual medicine 2015. J Sex Med 2016; 13 (2): 135–143. doi: 10.1016/j.jsxm.2015.12.019.

14. Parish SJ, Hahn SR. Hypoactive sexual desire disorder: a review of the epidemiology, bio­epsychology, dia­gnosis and treatment. Sex Med Rev 2016; 4 (2): 103–120. doi: 10.1016/j.sxmr.2015.11.009.

15. Světová zdravotnická organizace. Mezi­národní klasifikace nemocí. 9. decenální revize. Praha: Avicenum 1978.

16. Graham, CA. Reconceptualising women’s sexual desire and arousal in DSM-5. Psychology and Sexuality 2015; 7: 34–47.

17. Sungur MZ, Gündüz A. A comparison of DSM-IV-TR and DSM-5 definitions for sexual dysfunctions: critiques and challenges. J Sex Med 2014; 11 (2): 364–373. doi: 10.1111/jsm. 12379.

18. Hendrickx L, Gijs L, Enzlin P. Distress, sexual dysfunctions, and DSM: dialogue at cross purposes? J Sex Med 2013; 10 (3): 630–641. doi: 10.1111/j.1743-6109.2012.02971.x.

19. Balon R, Clayton AH. Female sexual interest/arousal disorder: a dia­gnosis out of thin air. Arch Sex Behav 2014; 43 (7): 1227–1229. doi: 10.1007/s10508-013-0247-1.

20. Brotto LA. The DSM dia­gnostic criteria for hypoactive sexual desire disorder in women. Arch Sex Behav 2010; 39 (2): 221–239. doi: 10.1007/s10508-009-9543-1.

21. Bancroft J, Graham CA, Janssen E et al. The dual control model: current status and future directions. J Sex Res 2009; 46 (2–3): 121–142. doi: 10.1080/00224490902747222.

22. Pfaus JG. Pathways of sexual desire. J Sex Med 2009; 6 (6): 1506–1533. doi: 10.1111/j.1743-6109. 2009.01309.x.

23. Parameshwaran S, Chandra PS. The new avatar of female sexual dysfunction in ICD-11 – will it herald a better future? J Psychosexual Health 2019; 1: 111–113. doi: 10.1177/2631 831819862408.

24. Basson R. Human sex-response cycles. J Sex Marital Ther 2001; 27 (1): 33–43. doi: 10.1080/00926230152035831.

25. McCall K, Meston C. Cues resulting in desire for sexual activity in women. J Sex Med 2006; 3 (5): 838–852. doi: 10.1111/j.1743-6109. 2006.00301.x.

26. Gola M, Poteza MN. Promoting educational, classification, treatment, and policy ini­tiatives. Commentary on: Compulsive sexual behaviour disorder in the ICD-11 (Kraus et al 2018). J Behav Addict 2018; 7 (2): 208–210. doi: 10.1556/2006.7.2018.51.

27. McCool ME, Zuelke A, Theurich MA et al. Prevalence of female sexual dysfunction among premenopausal women: a systematic review and meta-analysis of observational studies. Sex Med Rev 2016; 4 (3): 197–212. doi: 10.1016/ j.sxmr.2016.03.002.

28. Briken P, Matthiesen S, Pietras L et al. Estimating the prevalence of sexual dysfunction using the new ICD-11guideline – results of the first representative, population-based German Health and Sexuality Survey (GeSiD). Dtsch Arztebl Int 2020; 117 (39): 653–658. doi: 10.3238/arztebl.2020.0653.

29. Ishak WW, Bokarius A, Jeffrey JK et al. Disorders of orgasm in women: a literature review of etiology and current treatments. J Sex Med 2010; 7 (10): 3254–3268. doi: 10.1111/j.1743-61 09.2010.01928.x.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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