Female sexual dysfunction K019

Current RMA Instruments:

SOP bulletin information on new SOPs

ICD Coding

• ICD-10-AM Codes: F52.22, F52.31, F52.5, F52.6, N94.1-2

Brief description

Female sexual dysfunction is a clinically significant problem occurring during the female sexual response cycle that prevents the individual from experiencing satisfaction from sexual activity, where the problem has persisted for at least 6 months.

The SOP may include female orgasmic dysfunction, female sexual interest/arousal dysfunction, and genito-pelvic pain/penetration dysfunction.

Symptoms may include reduced sexual interest or arousal, impaired orgasmic function, genital or pelvic pain associated with sexual activity, or difficulty with vaginal penetration.

Confirming the diagnosis

The diagnosis is made clinically. The condition must represent a clinically significant and persistent disturbance of sexual function present for at least 6 months. Clinical assessment may include evaluation of sexual interest and arousal, orgasmic function, genital or pelvic pain symptoms, relationship and psychosocial factors; and relevant medical or psychiatric comorbidities.

Management and confirmation are usually undertaken by a gynaecologist, psychiatrist or sexual health clinician.

Additional diagnoses covered by the SOP

• Female sexual interest/arousal disorder
• Genitopelvic pain/penetration disorder
• Female orgasmic disorder

Conditions not covered by the SOP

• Hyperactive sexual desire disorder
• Persistent genital arousal disorder

# non-SOP condition

Clinical onset

Clinical onset generally corresponds to the time when symptoms first became clinically significant and persisted for the minimum duration required by the diagnostic criteria, as confirmed by the appropriate medical specialist. Clinical significance is commonly evidenced by the individual seeking assessment or treatment, or by the symptoms resulting in distress or functional impairment.

Clinical worsening

Clinical worsening may be indicated by increasing severity or persistence of symptoms, increasing distress, worsening impairment in sexual function, or increasing psychosocial or relationship impact. Specialist advice should be sought when assessing for possible clinical worsening and progression beyond the normal clinical course. Adverse outcomes may occur where there is inability to obtain timely and appropriate clinical management.