Criteria require an absence of or a significant decrease in ≥ 3 of the following: Interest in sexual activity Sexual or erotic fantasies or thoughts Initiation of sexual activity and responsiveness to a partner's initiation Excitement or pleasure during ≥ 75% of sexual activity Interest or arousal in response to sexual internal or external erotic stimuli (eg, written, verbal, visual) Genital or nongenital sensations during ≥ 75% of sexual activity These symptoms must have been present for ≥ 6 months and cause significant distress for the woman.