It is characterized by the presence of ≥ 1 of the following symptoms for ≥ 6 months: Deep pelvic pain and tension during penetration or superficial burning vulvovaginal pain caused by slight touch Fear or anxiety before, during, or after penetration, which often leads to decreased sexual desire or avoidance of sexual activity Reflexive tightening of the vaginal muscles when vaginal entry is attempted, making penetration difficult or impossible Female sexual interest / arousal disorder is absence of or a decrease in ≥ 3 of the following for ≥ 6 months: Interest in sexual activity Initiation of sexual activity and responsiveness to a partner's initiation Excitement or pleasure during almost all sexual activity Sexual or erotic fantasies or thoughts Genital or nongenital sensations during sexual activity Interest or arousal in response to internal or external sexual or erotic stimuli (eg, written, verbal, visual) In substance / medication-induced sexual dysfunction, sexual dysfunction is related to initiation, change in dose, or discontinuation of a substance or drug.