Table 1 Female sexual dysfunction classification and diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition [10]

Female sexual interest or arousal disorder

Absent or significantly decreased sexual interest or arousal as manifested by a lack of or reduction in:

1. Sexual activity

2. Sexual or erotic thoughts or fantasies

3. Initiation of sexual activity and unreceptive to partner’s attempts to initiate

4. Sexual excitement or pleasure during sexual activity in at least 75 % of all sexual encounters

5. Sexual interest or arousal in response to any internal or external sexual or erotic cues (written, verbal, or visual)

6. Genital or non-genital sensations during sexual activity in at least 75 % of all sexual encounters

Female orgasmic disorder

Presence of either of the following in at least 75 % of all sexual activities:

1. Significant delay in, frequency of, or absence of orgasm

2. Significantly reduced intensity of orgasmic sensations

Genitopelvic pain or penetration disorder

Persistent or recurrent difficulties with one or more of the following:

1. Vaginal penetration during intercourse

2. Significant vulvovaginal or pelvic pain during intercourse or penetration attempts

3. Significant fear or anxiety about vulvovaginal or pelvic pain in anticipation of, during, or because of vaginal penetration

4. Significant tensing or tightening of pelvic floor muscles during attempted vaginal penetration