Dyspareunia not due to a substance or known physiological condition
ICD-10 F52.6 is a billable code used to indicate a diagnosis of dyspareunia not due to a substance or known physiological condition.
Dyspareunia refers to persistent or recurrent pain during sexual intercourse that is not attributable to a substance or a known physiological condition. This condition can significantly impact an individual's quality of life and intimate relationships. Dyspareunia can arise from various psychological factors, including anxiety, depression, or past trauma, and may also be influenced by eating disorders or sleep disorders. Individuals with eating disorders may experience body image issues that contribute to sexual dysfunction, while sleep disorders can lead to fatigue and decreased libido, further complicating sexual health. Behavioral syndromes, such as anxiety disorders, can exacerbate the perception of pain during intercourse. It is essential for healthcare providers to conduct a thorough assessment to rule out any physiological causes and to understand the psychological and emotional factors contributing to the condition. Treatment may involve psychotherapy, counseling, or sexual therapy, focusing on both the physical and emotional aspects of the patient's experience.
Detailed psychological evaluation and history, including any trauma or mental health disorders.
Patients presenting with anxiety or depression affecting sexual function.
Consideration of comorbid conditions such as PTSD or eating disorders.
Comprehensive gynecological examination and history to rule out physiological causes.
Women experiencing pain during intercourse with no identifiable physical cause.
Assessment of hormonal factors and pelvic floor disorders.
Used for patients undergoing therapy for psychological factors contributing to dyspareunia.
Document the focus of therapy and any progress made.
Psychiatrists should note any comorbid conditions affecting treatment.
Dyspareunia can be caused by a variety of factors, including psychological issues, past trauma, and relationship problems, rather than solely physiological conditions.
