F51Sleep-Wake Disorders Depressive Disorder with Peripartum Onset / Brief Psychotic Disorder with Peripartum OnsetF53

F52Behavioural Syndromes

Sexual Dysfunction Not Caused by Organic Disorder or Disease (F52)

DSM-5-TR: Sexual Dysfunctions

ICD-10-AM and DSM-5-TR may classify conditions differently. Refer to APA and WHO for complete diagnostic criteria.

Key Facts

ICD-10 Range

F50-F59

Subcodes

10 subcodes

Australian Prevalence

Sexual dysfunction affects approximately 40% of Australian women and 20% of Australian men at some point. Prevalence increases with age.

Global Prevalence

Sexual dysfunction affects approximately 40-45% of women and 20-30% of men worldwide.

Overview

Sexual dysfunction covers the various ways in which an individual is unable to participate in a sexual relationship as they would wish. Sexual response is a psychosomatic process and both psychological and somatic factors are usually involved.

ICD-10-AM Subcodes

Code	Name	Description
F52.0	Lack or loss of sexual desire	Loss of sexual desire, the principal problem, not secondary to other sexual difficulties.
F52.1	Sexual aversion and lack of sexual enjoyment	Prospect of sexual interaction produces sufficient anxiety or fear that sexual activity is avoided, or sexual responses occur normally but without pleasurable experience.
F52.2	Failure of genital response	Erectile dysfunction in men; vaginal dryness in women — of psychogenic origin.
F52.3	Orgasmic dysfunction	Orgasm does not occur or is markedly delayed.
F52.4	Premature ejaculation	Inability to delay ejaculation sufficiently to enjoy intercourse.
F52.5	Nonorganic vaginismus	Spasm of the pelvic floor muscles surrounding the vagina, causing occlusion of the vaginal opening.
F52.6	Nonorganic dyspareunia	Pain during sexual intercourse not caused by a physical disorder.
F52.7	Excessive sexual drive	Nymphomania or satyriasis.
F52.8	Other sexual dysfunction	Other specified sexual dysfunction of nonorganic origin.
F52.9	Unspecified sexual dysfunction	Unspecified sexual dysfunction not caused by organic disorder.

F52.0—Loss of sexual desire, the principal problem, not secondary to other sexual difficulties.

F52.1—Prospect of sexual interaction produces sufficient anxiety or fear that sexual activity is avoided, or sexual responses occur normally but without pleasurable experience.

F52.2—Erectile dysfunction in men; vaginal dryness in women — of psychogenic origin.

F52.3—Orgasm does not occur or is markedly delayed.

F52.4—Inability to delay ejaculation sufficiently to enjoy intercourse.

F52.5—Spasm of the pelvic floor muscles surrounding the vagina, causing occlusion of the vaginal opening.

F52.6—Pain during sexual intercourse not caused by a physical disorder.

F52.7—Nymphomania or satyriasis.

F52.8—Other specified sexual dysfunction of nonorganic origin.

F52.9—Unspecified sexual dysfunction not caused by organic disorder.

Classification Boundaries

Includes

Psychogenic impotence
Psychogenic dyspareunia
Psychogenic vaginismus

Excludes1 (coded elsewhere)

Organic erectile dysfunction (N48.4)
Organic dyspareunia (N94.1)

Australian Clinical Context

Sexual dysfunction is commonly encountered in Australian general practice. The Australasian Chapter of Sexual Health Medicine provides clinical guidelines. Psychological therapy (including sensate focus therapy) is first-line treatment. PBS-subsidised medications include PDE5 inhibitors for erectile dysfunction.

Medicare (MBS) Pathways

Better Access to Mental Health Care

The primary Medicare pathway for mental health treatment in Australia. Requires a GP Mental Health Treatment Plan (MHTP) referral. Available for any clinically diagnosed mental disorder.

10 individual + 10 group sessions per calendar year

Provider Type	MBS Items	Session Type
Clinical Psychologist	80000–80025	Psychological therapy (higher rebate)
Registered Psychologist	80100–80123	Focused psychological strategies
Occupational Therapist	80125–80145	Focused psychological strategies
Social Worker	80150–80175	Focused psychological strategies
Psychiatrist	291, 296–299, 300–308	Psychiatric consultation

Clinical Psychologist

80000–80025Psychological therapy (higher rebate)

Registered Psychologist

80100–80123Focused psychological strategies

Occupational Therapist

80125–80145Focused psychological strategies

Social Worker

80150–80175Focused psychological strategies

Psychiatrist

291, 296–299, 300–308Psychiatric consultation

GP referral items: 2700, 2701, 2715, 2717

Eligibility: Any clinically diagnosed mental disorder as defined by WHO ICD-10 Chapter V. Requires a GP or psychiatrist referral.

Exclusions:

Intellectual disability (use Complex Neurodevelopmental Disorder pathway or specialist referral)
Dementia and organic mental disorders (use specialist referral pathway)
Tobacco use disorder

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Reference information sourced from MBS Online (mbsonline.gov.au). Item availability, rebates, and eligibility criteria may change. This is not billing advice — always verify current items before claiming. Last verified: April 2026.

Clinical Documentation Notes

DSM-5-TR has reorganised sexual dysfunctions and renamed several categories. Document the specific dysfunction, duration, whether lifelong or acquired, and whether generalised or situational. Exclude organic causes.

Related Diagnostic Codes

ICD-10-AM diagnostic codes commonly associated with the Sexual Dysfunction Not Caused by Organic Disorder or Disease (F52).

F32

Mood Disorders

Major Depressive Disorder

View reference

References

World Health Organization. ICD-10-AM.
American Psychiatric Association. DSM-5-TR. 2022.

Clinical Scoring Calculator — Not a Diagnostic Tool

This tool calculates scores based on published guidelines for professional reference. It does not provide clinical diagnoses. Scores are provided as reference information only and should be interpreted by a qualified practitioner in the context of a comprehensive assessment.

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