einstein (São Paulo). 01/Apr/2014;12(2):11-2.

A new sexual revolution

DOI: 10.1590/S1679-45082014ED3182

For the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV),⁽⁾ sexual dysfunctions are defined by the presence of pain or an alteration during one or more of the phases of the linear sexual response cycle (desire – arousal – orgasm – resolution).

In the fifth edition of this manual, DSM-5,⁽⁾ published in 2013, sexual dysfunctions were considered gender-specific, in which the difficulties with desire and arousal of the woman constitute a single dysfunction (female sexual interest/arousal disorder). The genito-pelvic pain/penetration disorder is also now one single category, replacing, respectively, dyspareunia and vaginismus (as they were in DSM-IV), since according to North-American specialists, they are conditions difficult to distinguish.

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