Female Sexual Arousal Disorder
(FSAD) is a persistent or recurrent inability to attain, or to maintain until completion
of the sexual activity, an adequate lubrication-swelling response of sexual excitement.
This "response" involves vaginal lubrication, expansion of the vagina, and
swelling of the external genitalia. The disturbance must cause marked distress or
interpersonal difficulty. The dysfunction is also not better accounted for by another
problem and is not due exclusively to the direct physical effects of a substance (i.e. an
illegal drug or prescription medication) or a medical condition. As with all sexual
disorders, FSAD can be classified as lifelong (existing for the entirety of the
persons adult life) or acquired (developed after a period of normal functioning). It
can also be classified as generalized (occurring across all partners, sexual activities,
and situations) or situational (limited to certain partners, sexual practices, or
situations). This disorder is not to be confused with hypoactive sexual arousal disorder.
In the case of FSAD, the person does have desire, whereas with HSDD, the individual does
not. Women with F.S.A.D have sexual desire but for various reasons, have
difficulty obtaining sexual satisfaction.
The following are the diagnostic criteria for FSAD as provided by the Diagnostic and
Statistical Manual of Mental Disorders, fourth edition (DSM-IV, 1994):
A. Persistent or recurrent inability to attain, or to maintain until completion of the
sexual activity, an adequate lubrication-swelling response of sexual excitement.
B. The disturbance causes marked distress or interpersonal difficulty.
C. The sexual dysfunction is not better accounted for by another disorder and is not
due exclusively to the direct physiological effects of a substance (e.g. a drug or
medication) or a general medical condition.
References:
American Psychiatric Association. (1994). Diagnostic and statistical manual of mental
disorders, fourth edition. Washington, DC: American Psychiatric Association.
National Institutes of Health, National Institute of Mental Health, NIH Publication No.
95-3879 (1995)