, Volume 40, Issue 2, pp 217-219
Date: 13 Oct 2010

Should Sexual Desire and Arousal Disorders in Women Be Merged?

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In a previous issue of this Journal, Brotto (2010) critiqued the existing Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) (American Psychiatric Association, 2000) criteria for Hypoactive Sexual Desire Disorder (HSDD) and recommended that female sexual desire and arousal disorders be combined into one taxonomic category in the forthcoming revision (DSM-5). Here, we provide evidence that premenopausal women with HSDD and with Female Sexual Arousal Disorder (FSAD) according to DSM-IV-TR criteria have distinct symptom patterns and that the majority of premenopausal women with HSDD are unlikely to meet the proposed new criteria for Sexual Interest/Arousal Disorder (Table 1).

Are HSDD and FSAD distinct syndromes? Using data from two non-treatment studies (N = 143), we have shown that, although premenopausal women with primary HSDD or primary FSAD (according to DSM-IV-TR criteria) are equally distressed by their disorder (based on Female Sexual Distress Scale-Revised scores), ...