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CONDITION/DISORDER SYNONYMS

  • Female orgasmic disorder (FOD)

  • Inhibited sexual orgasm

  • Neurogenic anorgasmia

ICD-9-CM CODES

  • 302.73 Female orgasmic disorder

  • V41.7 Problems with sexual function

ICD-10-CM CODES

  • F54 Sexual dysfunction not due to a substance or known physiological condition

  • F52.3 Orgasmic disorder

  • F52.31 Female orgasmic disorder

PREFERRED PRACTICE PATTERN

  • 4C: Impaired Muscle Performance1

PATIENT PRESENTATION

A 56-year-old woman reports that she was sexually inactive for 10 months following treatment for breast cancer. This treatment was 3 years ago. She has attempted to resume sexual relations with her husband: however, now she is unable to achieve an orgasm. They have tried many different approaches include masturbation without success.

KEY FEATURES

Description

  • Inability to achieve sexual orgasm during sexual intercourse or other sexual activity despite adequate stimulation and the desire to do so

  • Normal libido and sexual excitement

  • Primary anorgasmic (preorgasmic): Not yet able to reach organism

  • Secondary orgasmic disorder: Was previously able to reach orgasm, but is no longer able

TABLE 265-1Definitions of Sexual Dysfunction

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