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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 18-1

ICSM Definition3

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