Skip to Main Content




Female sexual dysfunction (FSD) is a common health problem that may affect up to 43% of women.1 Over past decades the definition of FSD has evolved. The World Health Organization’s International Classification of Diseases (ICD-10, 1980) emphasized physical factors that influence the sexual response, in contrast with the focus on psychological ones by the American Psychiatric Association’s Diagnostic and Statistical Manual of Mental Disorders (DSM). More recently, the American Foundation for Urologic Disease (AFUD) defined FSD as disorders of libido, arousal, orgasm, and sexual pain that lead to personal distress or interpersonal difficulties.2


While the DSM-V due in 2012 is expected to make further adjustments to the current classification system, the most recent revision of the definition was generated at the Third International Consultation on Sexual Medicine (ICSM), published in 2010,3 and is a modification of the AFUD classification system. The ICSM definitions were formulated by an international panel of 21 experts in the field of female sexual medicine (Tables 18-1 and 18-2).3,4

Table Graphic Jump Location
Table 18-1

ICSM Definition3

Want remote access to your institution's subscription?

Sign in to your MyAccess profile while you are actively authenticated on this site via your institution (you will be able to verify this by looking at the top right corner of the screen - if you see your institution's name, you are authenticated). Once logged in to your MyAccess profile, you will be able to access your institution's subscription for 90 days from any location. You must be logged in while authenticated at least once every 90 days to maintain this remote access.


Create a Free MyAccess Profile

* Required Fields

Note: If you have registered for a MyAccess profile on any of the Access sites, you can use the same MyAccess login credentials across all sites.

Passwords must be between 6 and 40 characters long (no whitespace), cannot contain characters #, &, and must contain:
  • at least one lowercase letter
  • at least one uppercase letter
  • at least one digit

Benefits of a MyAccess Profile:

  • Remote access to the site off-campus on any device
  • Notification of new content via custom alerts
  • Bookmark your favorite content such as chapters, figures, tables, videos, cases and more
  • Save and download images to PowerPoint
  • Self-Assessment quizzes saved for quick review
  • Custom Curriculum access for both instructors and learners

Pop-up div Successfully Displayed

This div only appears when the trigger link is hovered over. Otherwise it is hidden from view.