Definitions of women's sexual dysfunction reconsidered: Advocating expansion and revision

R. Basson, S. Leiblum, L. Brotto, L. Derogatis, J. Fourcroy, K. Fugl-Meyer, A. Graziottin, J. R. Heiman, E. Laan, C. Meston, L. Schover, J. Van Lankveld, W. Weijmar Schultz

Research output: Contribution to journalReview articlepeer-review


In light of various shortcomings of the traditional nosology of women's sexual disorders for both clinical practice and research, an international multi-disciplinary group has reviewed the evidence for traditional assumptions about women's sexual response. It is apparent that fullfillment of sexual desire is an uncommon reason/incentive for sexual activity for many women and, in fact, sexual desire is frequently experienced only after sexual stimuli have elicited subjective sexual arousal. The latter is often poorly correlated with genital vasocongestion. Complaints of lack of subjective arousal despite apparently normal genital vasocongestion are common. Based on the review of existing evidence-based research, many modifications to the definitions of women's sexual dysfunctions are recommended. There is a new definition of sexual interest/desire disorder, sexual arousal disorders are separated into genital and subjective subtypes and the recently recognized condition of persistent sexual arousal is included. The definition of dyspareunia reflects the possibility of the pain precluding intercourse. The anticipation and fear of pain characteristic of vaginismus is noted while the assumed muscular spasm is omitted given the lack of evidence. Finally, a recommendation is made that all diagnoses be accompanied by descriptors relating to associated contextual factors and to the degree of distress.

Original languageEnglish (US)
Pages (from-to)221-229
Number of pages9
JournalJournal of Psychosomatic Obstetrics and Gynecology
Issue number4
StatePublished - Dec 2003


  • Definitions
  • Sexual disorders
  • Women's sexual dysfunction

ASJC Scopus subject areas

  • Reproductive Medicine
  • Clinical Psychology
  • Obstetrics and Gynecology
  • Psychiatry and Mental health


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