Non-substance/medication-induced sexual dysfunctions. Many mental conditions, such as depressive, bipolar, anxiety, and psychotic disorders, are associated with disturbances of sexual function. Thus, differentiating a substance/ medication-induced sexual dys— function from a manifestation of the underlying mental disorder can be quite difficult. The diagnosis is usually established if a close relationship between substance/medication ini- tiation or discontinuation is observed. A clear diagnosis can be established if the problem occurs after substance/medication initiation, dissipates with substance/medication dis- continuation, and recurs with introduction of the same agent. Most substance/medication-in- duced side effects occur shortly after initiation or discontinuation. Sexual side effects that only occur after chronic use of a substance/medication may be extremely difficult to di- agnose with certainty.
302.79 (F528)
This category applies to presentations in which symptoms characteristic of a sexual dys- function that cause clinically significant distress in the individual predominate but do not meet the full criteria for any of the disorders in the sexual dysfunctions diagnostic class.
The other specified sexual dysfunction category is used in situations in which the clinician chooses to communicate the specific reason that the presentation does not meet the cri- teria for any specific sexual dysfunction. This is done by recording “other specified sexual dysfunction" followed by the specific reason (e.g., “sexual aversion”).
302.70 (F52.9)
This category applies to presentations in which symptoms characteristic of a sexual dys- function that cause clinically significant distress in the individual predominate but do not meet the full criteria for any of the disorders in the sexual dysfunctions diagnostic class.
The unspecified sexual dysfunction category is used in situations in which the clinician chooses not to specify the reason that the criteria are not met for a specific sexual dys- function, and includes presentations for which there is insufficient information to make a more specific diagnosis.
"‘ . . (a‘uelidel‘I
In this Chapte r, there is one overarching diagnosis of gender dysphoria, with sepa- rate developmentally appropriate criteria sets for children and for adolescents and adults.
The area of sex and gender is highly controversial and has led to a proliferation of terms whose meanings vary over time and within and between disciplines. An additional source of confusion is that in English ”sex" connotes both male/ female and sexuality. This chapter employs constructs and terms as they are widely used by clinicians from various disci- plines with specialization in this area. In this chapter, sex and sexual refer to the biological indicators of male and female (understood in the context of reproductive capacity), such as in sex chromosomes, gonads, sex hormones, and nonambiguous internal and external genitalia. Disorders of sex development denote conditions of inborn somatic deviations of the reproductive tract from the norm and / or discrepancies among the biological indica- tors of male and female. Cross-sex hormone treatment denotes the use of feminizing hor- the use of masculinizing hormones in an individual assigned female at birth.
The need to introduce the term gender arose with the realization that for individuals with conﬂicting or ambiguous biological indicators of sex (i.e., ”intersex"), the lived role in society and/ or the identification as male or female could not be uniformly associated with or predicted from the biological indicators and, later, that some individuals develop an identity as female or male at variance with their uniform set of classical biological indica- tors. Thus, gender is used to denote the public (and usually legally recognized) lived role as boy or girl, man or woman, but, in contrast to certain social constructionist theories, biolog- ical factors are seen as contributing, in interaction with social and psychological factors, to gender development. Gender assignment refers to the initial assignment as male or female.