Chapter 17 – Female Sexual Interest and Arousal Disorder (FSIAD)

Sexual aversion disorder

Sexual aversion disorder has been deleted from the Diagnostic and Statistical Manual of Mental Disorders, Fifth edition (DSM-5) due to limited empirical data and the strong link to other phobias and anxiety disorders. Sexual aversion disorder was defined as the persistent or recurrent extreme aversion to, and avoidance of, genital sexual contact with a sexual partner.(20) Distinguish from FSIAD by careful history taking; ask if sexual contact provokes withdrawal, aggression, disgust, tears, panic or other negative feelings or behaviours. The patient may have a history of sexually negative experiences such as sexual abuse or sexual assault. In many cases, specialist referral for psychological/psychiatric treatment is required.

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