Volume : 2, Issue : 6, JUN 2016

DSM-V CLASSIFICATION GENITO-PELVIC PAIN/PENETRATION DISORDERS VULVARVESTIBULITIS - SEXUOLOGICAL DIAGNOSTICS IN A GYNECOLOGIST'S PRACTICE

Beata R. Wróbel

Abstract

Nowadays, women's sexual disorders are included in three classifications of diseases:
1. by the World Health Organization: International Statistical Classification of Diseases and Related Problems (ICD – 10),
2. by the American Foundation for Urological Disease (AFUD), and
3. by the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders (DSM-V).
The diversity of the classifications arises from the absence of an unambiguous definition of a sexual disorder.
Up to the present times, the woman's painful sexual intercourse and sexual dysfunctions have not been associated with the physiopathology of the female genitals. At present, the situation seems to be changing due to the DSM-V Classification published in 2013. Dyspareunia and vaginismus are jointly classified there and described as: Genito- Pelvic Pain / Penetration Disorders. DSM – V opens a new direction of diagnostics and therapy of pain-related sexual disorders in women. This requires collaboration of gynecologist, psychologist and a physiotherapist. Such a situation needs new procedures to be implemented. [1,2,3,4]. The paper presents a suggestion of the Sexological Examination Model (SexEM) as prepared for the use of a gynecologist. The model is based upon an interview and bimanual gynecological examination towards a diagnosis of the sexual problem.The purpose of such an examination is to confirm or exclude the presence of an organic factor which causes the women's sexual disorder in vulvodynia and in diseases of the vulva which accompany other ailments and diseases classified as nonvulvodynia.

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