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All the DSM classifications until present time based definitions of sexual dysfunctions on expert opinions that were not supported by sufficient clinical or epidemiological data. Additionally, definitions included vague terms such as satisfactory, soon after, short, minimal, recurrent, persistent which were difficult to interpret. The DSM 5 attempted to operationalize the diagnostic criteria and avoided these vague terms. It also used specific duration and severity criteria to identify more homogeneous groups for purposes of good clinical epidemiological research. All of the DSM classifications until DSM 5 classified male and female SD on the same continuum based on unified sexual response cycles. DSM 5 made a major conceptual change and emphasized that different genders’ sexual disorders are no longer required to be analogous. DSM 5 also merged female desire and arousal diagnosis into one entity defined as female sexual interest and arousal disorders. This presentation will aim to compare and contrast DSM 5 definitions of sexual dysfunctions with that of DSM IV TR. It subsequently challenges the suggested DSM 5 criteria and addresses some issues to be considered further for future diagnostic criteria.

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