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Evaluation of Female Orgasmic Disorder

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The Textbook of Clinical Sexual Medicine

Abstract

The issues to be considered and approaches to be used in the evaluation of female orgasmic disorder are presented in the context of research evidence and best clinical practice. The sections in this chapter include epidemiology, etiology, pathophysiology, DSM-5 and ICD-10 diagnostic criteria, and approach to diagnosis (including diagnostic scales and issues to be considered during the clinical interview). Psychological, behavioral, interpersonal, pharmacological, and physiological factors related to female orgasmic disorder are reviewed. The psychological and behavioral issues include family and other developmental and experiential factors, exercise, personality traits, attachment, psychopathology, intimate relationship function, specifics of sexual behaviors, mental focus during sexual activity, specifics of sex education, and partner characteristics including partner sexual function. The physiological factors reviewed include prenatal factors, age, nutrition and substance use, medical conditions and treatments, hormonal influences, autonomic tone, muscle tone, and both peripheral and central neurophysiological pathways. The problem of fluctuating diagnostic criteria is addressed, and the issue of whether a distress criterion scientifically or clinically merits being a requirement for the diagnosis of female orgasmic disorder is evaluated. The evidence for differences between orgasm triggers (including the special psychological, physiological, and interpersonal aspects of vaginal orgasm) is presented. The implications of the process of evaluation of female orgasmic disorder for its treatment formulation are also presented.

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  1. Department of General Anthropology, Charles University, U Kříže 8, Prague, 15800, Czech Republic

    Stuart Brody PhD, DSc, CPschol, FBPsS

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  1. Cedars-Sinai Department of Psychiatry and Behavioral Neurosciences, Cedars-Sinai Medical Center, Los Angeles, California, USA

    Waguih William IsHak

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Brody, S. (2017). Evaluation of Female Orgasmic Disorder. In: IsHak, W. (eds) The Textbook of Clinical Sexual Medicine. Springer, Cham. https://doi.org/10.1007/978-3-319-52539-6_14

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  • DOI: https://doi.org/10.1007/978-3-319-52539-6_14

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