2013 DSM 5 Definition of Vaginismus
Vaginismus is newly defined in the latest edition of the 2013 DSM 5 (formerly known as the DSM V) as a “Genito-Pelvic Pain Disorder/ Penetration Disorder” which attempts to bring together the concepts and full spectrum of painful vaginal penetration. This replaces the definition that has been in use since last published by the 2000 DSM IV.
DSM-5 is the fifth edition of the American Psychiatric Association’s (APA) Diagnostic and Statistical Manual of Mental Disorders, and is used by doctor’s to help code conditions for insurance companies. It is therefore important for anyone submitting an insurance claim for vaginismus to be aware of this new definition.
“Genito-Pelvic Pain Disorder/Penetration Disorder”
Though “Genito-Pelvic Pain Disorder/Penetration Disorder” seems to be a complex term it brings together the spectrum of dyspareunia (painful sex) to vaginismus (severe pain with penetration, or penetration is impossible) and also accounts for other penetration difficulties such as tampon use, finger penetration, difficulty with GYN exams and of course intercourse. As such this diagnosis becomes part of the following spectrum of vaginal penetration disorders that are also defined as:
- Pelvic Floor Muscle Dysfunction
- Vaginal spasm
- Sexual pain disorder
- Inability to consummate
Further information on vaginismus can be found on PubMed.gov
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