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Sexual pain-penetration disorder

International Classification of Diseases for Mortality and Morbidity Statistics, 11th Revision, v2024-01

Sexual pain-penetration disorder is characterised by at least one of the following: 1) marked and persistent or recurrent difficulties with penetration, including due to involuntary tightening or tautness of the pelvic floor muscles during attempted penetration; 2) marked and persistent or recurrent vulvovaginal or pelvic pain during penetration; 3) marked and persistent or recurrent fear or anxiety about vulvovaginal or pelvic pain in anticipation of, during, or as a result of penetration. The symptoms are recurrent during sexual interactions involving or potentially involving penetration, despite adequate sexual desire and stimulation, are not entirely attributable to a medical condition that adversely affects the pelvic area and results in genital and/or penetrative pain or to a mental disorder, are not entirely attributable to insufficient vaginal lubrication or post-menopausal/age-related changes, and are associated with clinically significant distress.

exclusions

• Dyspareunia  (GA12)
• Pain related to vulva, vagina or pelvic floor  (GA34.0)

sections/codes in this section (HA20-HA20)

• Sexual pain-penetration disorder, lifelong, generalised  (HA20.0)
• Sexual pain-penetration disorder, lifelong, situational  (HA20.1)
• Sexual pain-penetration disorder, acquired, generalised  (HA20.2)
• Sexual pain-penetration disorder, acquired, situational  (HA20.3)
• Sexual pain-penetration disorder, unspecified  (HA20.Z)

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