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The scientific discussion is ongoing regarding whether desire and arousal can be reliably differentiated in men, and parallels are drawn with the literature on women. Generally, three options are hypothesized for the diagnosis of low desire in men for the DSM-5. Option 1 proposes that the name and criteria of DSM-IV-TR be retained for men in DSM-5. Option 2 suggests adopting the recently proposed criteria for the disorder of sexual interest and arousal in women for men, which would result in a gender-neutral category. Option 3 recommends applying the criteria for the disorder of sexual interest and arousal to men, with a small modification to one criterion: namely, that the absent or reduced genital and non-genital physical changes are not included as a criterion. This diagnosis would only be applied to men (Brotto LA. J Sex Med 7:2015–2030, 2010).

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Clinical and Pharmacological Approaches to Hypoactive Sexual Desire Disorder in Humans

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  • 发表日期：

    2025年

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  • Elena Vittoria Longhi

摘要

The scientific discussion is ongoing regarding whether desire and arousal can be reliably differentiated in men, and parallels are drawn with the literature on women. Generally, three options are hypothesized for the diagnosis of low desire in men for the DSM-5. Option 1 proposes that the name and criteria of DSM-IV-TR be retained for men in DSM-5. Option 2 suggests adopting the recently proposed criteria for the disorder of sexual interest and arousal in women for men, which would result in a gender-neutral category. Option 3 recommends applying the criteria for the disorder of sexual interest and arousal to men, with a small modification to one criterion: namely, that the absent or reduced genital and non-genital physical changes are not included as a criterion. This diagnosis would only be applied to men (Brotto LA. J Sex Med 7:2015–2030, 2010).