450 Sexual Dysfunctions
Functional Consequences of 
Substance/Medication-Indu ced Sexual Dysfunction
Medication-induced sexual dysfunction ma y result in medication noncompliance.
Differential Diagnosis
Non-substance/medication-induced sexual dysfunctions. Many mental conditions, such
as depressive, bipolar, anxiet y, and psychotic disorders, ar e associated with disturbances
of sexual function. Thus, differentiating a substance/medication-induced sexual dys-
function from a manifestation of the underlying  mental disorder can be  quite difficult. The
diagnosis is usually established if a close re lationship between substance/medication ini-
tiation or discontinuation is observed. A clear diagnosis can be established if the problem
occurs after substance/medication initiation, dissipates with substance/medication dis-
continuation, and recurs with introduction of the same agent. Most substance/medication-in-
duced side effects occur shortly after initiation  or discontinuation. Sexual side effects that
only occur after chronic use of  a substance/medication may be extremely difficult to di-
agnose with certainty. 
Other Specified Sexual Dysfunction
302.79 (F52.8)
This category applies to presentations in which symptoms characteristic of a sexual dys-
function that cause clinically significant di stress in the individual predominate but do not
meet the full criteria for any of the disorders in the sexual dysfunctions diagnostic class.
The other specified sexual dysfunction category is used in situations in which the clinician
chooses to communicate the specific reason that the presentation does not meet the cri-
teria for any specific sexual dysfunction. This is done by recording “other specified sexual
dysfunction” followed by the specific reason (e.g., “sexual aversion”).
Unspecified Sexual Dysfunction
302.70 (F52.9)
This category applies to presentations in which symptoms characteristic of a sexual dys-