Dyspareunia diagnostic criteria

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Jesus Rosario Hernandez, M.D. [2]

Overview

Diagnosis Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) dyspareunia and vaginismus were typically classified as distinct sexual pain disorders.This new classification unifies vaginismus and dyspareunia into one category called “genito-pelvic pain/penetration disorder” due to the clinical difficulties to distinguishing these condition.

Diagnostic Criteria

Diagnosis Statistical Manual of Mental Disorders (DSM-5; American Psychiatric Association, 2013) dyspareunia and vaginismus were typically classified as distinct sexual pain disorders.This new classification unifies vaginismus and dyspareunia into one category called “genito-pelvic pain/penetration disorder” due to the clinical difficulties to distinguishing these condition.
DSM-5 Diagnostic Criteria for Genito-Pelvic Pain/ Penetration Disorder:

• A. Persistent or recurrent difficulties with one (or more) of the following:
  • Vaginal penetration during intercourse.
  • Marked vulvovaginal or pelvic pain during vaginal intercourse or penetration attempts.
  • Marked fear or anxiety about vulvovaginal or pelvic pain in anticipation of, during, or as a result of vaginal penetration.
  • Marked tensing or tightening of the pelvic floor muscles during attempted vaginal penetration.

AND

• B. The symptoms in Criterion A have persisted for a minimum duration of approximately 6 months.

AND

• C. The symptoms in Criterion A cause clinically significant distress in the individual.

AND

• D. The sexual dysfunction is not better explained by a nonsexual mental disorder or as a consequence of a severe relationship distress (e.g., partner violence) or other significant stressors and is not attributable to the effects of a substance/medication or an other medical condition.

Any one of the above criteria must be met for a diagnosis of GPPPD, with at least six months duration and the presence of clinically significant distress.

Specify whether:

Lifelong: The disturbance has been present since the individual became sexually active.

Acquired: The disturbance began after a period of relatively normal sexual function.

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.