1. Clinically significant sexual dysfunction that results in marked distress or interpersonal difficulty predominates in the clinical picture.
2. There is evidence from the history, physical examination, or laboratory findings that the sexual dysfunction is fully explained by the direct physiological effects of a general medical condition.
3. The disturbance is not better accounted for by another mental disorder (e.g., major depressive disorder).

Select, code and term based on the predominant sexual dysfunction:
Female hypoactive sexual desire disorder due to …[indicate the general medical condition]: if deficient or absent sexual desire is the predominant feature
Male hypoactive sexual desire disorder due to …[indicate the general medical condition]: if deficient or absent sexual desire is the predominant feature
Male erectile disorder due to …[indicate the general medical condition]: if male erectile dysfunction is the predominant feature
Female dyspareunia due to …[indicate the general medical condition]: if pain associated with intercourse is the predominant feature
Male dyspareunia due to …[indicate the general medical condition]: if pain associated with intercourse is the predominant feature
Other female sexual dysfunction due to …[indicate the general medical condition]: if some other feature is predominant (e.g., orgasmic disorder) or no feature predominates
Other male sexual dysfunction due to …[indicate the general medical condition]: if some other feature is predominant (e.g., orgasmic disorder) or no feature predominates
Coding note: Include the name of the general medical condition on Axis I, e.g., male erectile disorder due to diabetes mellitus; also code the general medical condition on Axis III.