A) Lack of, or significantly reduced, sexual interest/arousal, as manifested by at least three of the following:
- Absent/reduced interest in sexual activity.
- Absent/reduced sexual/erotic thoughts or fantasies.
- No/reduced initiation of sexual activity, and typically unreceptive to a partner’s attempts to initiate.
- Absent/reduced sexual excitement/pleasure during sexual activity in almost all or all (approximately, 75%-100%) sexual encounters (in identified situational contexts or, if generalized, in all contexts).
- Absent/reduced sexual interest/arousal in response to any internal or external sexual/erotic cues (e.g., written, verbal, visual).
- Absent/reduced genital or no genital sensations during sexual activity in almost all or all (approximately 75%-100) sexual encounters (in identified situational contexts or, if generalized, in all contexts).
B) The symptoms in Criterion A have persisted for a minimum duration of approximately 6 months.
C) The symptoms in Criterion A cause clinically significant distress in the individual.
D) The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of severe relationship distress (e. g., partner violence) or other significant stressors and is not attributable to the effects of a substance/medication or another medical condition.
Lifelong: The disturbance has been present since the individual became sexually active.
Acquired: The disturbance began after a period of relatively normal sexual function.
Generalized: Not limited to certain types of stimulation, situations, or partners.
Situational: Only occurs with certain types of stimulation, situations, or partners.
Specify current severity:
Mild: Evidence of mild distress over the symptoms in Criterion A.
Moderate: Evidence of moderate distress over the symptoms in Criterion A.
Severe: Evidence of severe or extreme distress over the symptoms in Criterion A.