1. Female Sexual Dysfunction (FSD) Susan R Davis Chair of Women’s Health Women’s Health Research Program Monash University, Melbourne, Australia

2. WHO Definition Sexuality is experienced and expressed in thoughts, fantasies, desires, beliefs, attitudes, values, behaviors, practices, roles and relationships. While sexuality can include all of these dimensions, not all of them are always experienced or expressed.

3. Sexual health is a state of physical, emotional, mental and social well-being related to sexuality; it is not merely the absence of disease, dysfunction or infirmity

4. FSD is associated with significant decreases in health-related quality of life Large negative effects on mental health, vitality, social function Affected women are more likely to be depressed, dissatisfied with their home life, dissatisfied with emotional and physical relationship with their sexual partner. The overall effect of HSDD on quality of life is similar in magnitude to that of diabetes and back pain. Biddle et al 2009

5. CLASSIFICATION OF Female Sexual Dysfunction (FSD) Female Sexual Dysfunction (FSD) DSM-V released 2013 Sexual Interest/Arousal Disorder Orgasmic disorder Genito-Pelvic Pain/Penetration Disorder Persistent arousal disorder

6. The definition of FSD is evolving Agreement on main issues being: Desire; arousal; orgasm; sexual pain with personal distress being a criterion for dysfunction Need to consider other conditions: Dyspareunia Secondary to medical or psychiatric illness, medication/substance induced. Persistent sexual arousal disorder in women

7. Full access to the rest of this slide kit is available to Members of IMS only. Please follow this link for details of the benefits of membership of IMS and to complete the application form.this link Members Only