424 Sexual Dysfunctions
order), then only the other mental disorder diagnosis should be made. If the problem is
thought to be better explained by the use/misuse  or discontinuation of a drug or substance, it
should be diagnosed accordingly as a substance/medication-induced sexual dysfunction. If
the sexual dysfunction is attributable to anot her medical condition (e.g., peripheral neuropa-
thy), the individual would not receive a psychiatric diagnosis. If severe relationship distress,
partner violence, or significant stressors better ex plain the sexual difficulties, then a sexual dys-
function diagnosis is not made, but an appropriat e V or Z code for the relationship problem or
stressor may be listed. In many cases, a precise etiological relationship between another con-
dition (e.g., a medical condition) and a sexual dysfunction cannot be established. 
Delayed Ejaculation
Diagnostic Criteria 302.74 (F52.32)
A. Either of the following symptoms must be experienced on almost all or all occasions
(approximately 75%–100%) of partnered sexual activity (in identified situational con-
texts or, if generalized, in all contexts), and without the individual desiring delay:
1. Marked delay in ejaculation.
2. Marked infrequency or absence of ejaculation.
B. The symptoms in Criterion A have persist ed for a minimum duration of approximately
6 months.
C. The symptoms in Criterion A cause clinically significant distress in the individual.
D. The sexual dysfunction is not better explained by a nonsexual mental disorder or as a
consequence of severe relationship distress or other significant stressors and is not at-
tributable to the effects of a substance/medication or another medical condition.
Specify whether:
Lifelong:  The disturbance has been present since the individual became sexually active.