DSM Sexual Disorders

Summary

This video discusses various sexual dysfunctions affecting both men and women, such as delayed ejaculation, erectile dysfunction, premature ejaculation, and female orgasmic disorder. It highlights the prevalence of these issues, including medication-induced dysfunctions from substances like antidepressants and antipsychotics. The video also covers potential causes, including chronic health conditions, mental health issues, stress, relationship problems, and cultural factors. The importance of addressing distress caused by these conditions and seeking treatment is emphasized. Viewers are encouraged to explore further in chapter 10 of Genolevski's DSM-5 section on sexual dysfunctions.

Takeaways

• 😀 The prevalence of delayed ejaculation ranges from 1% to 4% in males.
• 😀 Erectile dysfunction increases with age, affecting 5-10% of men under 40, and 30% of men aged 70 and older.
• 😀 Up to 80% of individuals taking antidepressants experience medication-induced sexual dysfunction.
• 😀 Delayed ejaculation is when it takes an extended period of sexual stimulation for a man to ejaculate, or some men are unable to ejaculate at all.
• 😀 Causes of delayed ejaculation include chronic health conditions, surgeries, medications, depression, anxiety, relationship issues, and cultural/religious taboos.
• 😀 Erectile dysfunction is characterized by difficulty obtaining or maintaining an erection during sexual activities and must cause distress for at least six months.
• 😀 Female orgasmic disorder involves difficulty experiencing orgasm or markedly reduced orgasmic sensations, with symptoms persisting for at least six months.
• 😀 Female sexual interest or arousal disorder is defined by reduced sexual interest or intensity of erotic thoughts and excitement for at least six months.
• 😀 Genitopelvic pain or penetration disorder causes extreme pain or discomfort during vaginal penetration and can lead to a loss of interest in sex.
• 😀 Premature ejaculation occurs when a man ejaculates within about one minute during penetrative sex, often before he wishes to, affecting around one in three men.

Q & A

What is the prevalence of delayed ejaculation in males?

The prevalence of delayed ejaculation ranges from one to four percent of males.

How does the prevalence of erectile dysfunction vary by age?

The prevalence of erectile dysfunction increases with age. Among men under 40, it is 5-10%, and among 70-year-old men, it affects about one in three men.

What percentage of people taking antipsychotic medications experience medication-induced sexual dysfunction?

Approximately 50% of people taking antipsychotic medications experience medication-induced sexual dysfunction.

What causes delayed ejaculation in men?

Delayed ejaculation can be caused by chronic health conditions, surgeries, medications, depression, anxiety, relationship problems, performance anxiety, poor body image, and cultural or religious taboos.

What is the difference between delayed ejaculation and erectile dysfunction?

Delayed ejaculation refers to a prolonged period required to ejaculate or an inability to ejaculate, while erectile dysfunction involves difficulty obtaining or maintaining an erection during sexual activities.

What is female orgasmic disorder, and what criteria must be met for diagnosis?

Female orgasmic disorder is characterized by difficulty experiencing orgasm and reduced intensity of orgasmic sensations. The condition must persist for at least six months and cause distress, not be explained by non-sexual disorders or stress-related factors.

What are the criteria for diagnosing female sexual interest or arousal disorder?

The condition is diagnosed if there is a reduced frequency or intensity of at least three of six indicators, such as reduced interest in sexual activity and absent erotic thoughts, lasting for at least six months and causing significant distress.

What is genitopelvic pain/penetration disorder?

Genitopelvic pain/penetration disorder is characterized by persistent pain or discomfort during vaginal penetration, along with fear of pain, emotional distress, and a loss of interest in sex.

What is male hypoactive sexual desire disorder?

Male hypoactive sexual desire disorder is a persistent or recurrent lack of sexual or erotic thoughts or fantasies, and desire for sexual activity, which must continue for at least six months and cause clinically significant distress.

What medications can cause sexual dysfunction?

Medications that can cause sexual dysfunction include antidepressants, antipsychotics, benzodiazepines, statins, fibrates, blood pressure medications, and substances like marijuana, alcohol, and tobacco.