Rosh Psychiatry Board Practice Exam

A woman with a lack of sexual arousal and reduced genital sensations likely has which diagnosis?

1. Female hypoactive sexual desire disorder

2. Female low libido disorder

3. Female orgasmic disorder

4. Female sexual interest/arousal disorder

The correct answer is: Female sexual interest/arousal disorder

The diagnosis of female sexual interest/arousal disorder is appropriate in this scenario because it specifically encompasses both a lack of sexual arousal and reduced genital sensations. This disorder is characterized by a significant decrease in sexual interest and/or arousal, which can manifest as a lack of sexual thoughts, fantasies, or a desire for sexual activity, as well as diminished genital response, such as lubrication or engorgement. Understanding this diagnosis is critical as it addresses the physiological and psychological aspects of sexual arousal that are necessary for a satisfying sexual experience. The focus on both arousal and interest differentiates it from other conditions. In contrast, female hypoactive sexual desire disorder primarily refers to a low desire for sexual activity without necessarily the accompanying loss of physical arousal, making it a distinct condition. Female low libido disorder is not a formally recognized diagnosis in the DSM-5, which may lead to confusion with hypoactive sexual desire disorder. Female orgasmic disorder specifically pertains to difficulties in experiencing orgasm rather than issues with arousal or sensation, so it does not apply in this case. The clarity in understanding these distinctions is vital for accurate diagnosis and appropriate treatment planning.