ICD-11 Codes
for HA01.03 - Female sexual arousal dysfunction, acquired, situational

Teodor Jurukovski January 1, 1970

Fact checked by: Teodor Jurukovski

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Understanding Female Sexual Arousal Dysfunction, Acquired, Situational (ICD-11 Code HA01.03)

Female sexual arousal dysfunction, acquired, situational, identified by the ICD-11 code HA01.03, refers to a specific type of sexual dysfunction where a woman experiences an absence or marked reduction in sexual arousal in response to sexual stimulation. This condition is classified as 'acquired,' meaning it has developed after a period of normal sexual functioning, and 'situational,' indicating that the difficulties occur only in specific circumstances, with certain partners, or in response to particular stimuli, rather than being generalized across all sexual encounters.

Synonyms and Alternative Terms for HA01.03

This condition is also known by several other clinical and patient-friendly terms. Common synonyms include acquired situational female sexual arousal disorder. Patients might describe their experience as difficulty achieving sexual arousal in specific situations or with particular partners. Understanding these various terms is crucial for accurate diagnosis and communication within healthcare settings.

Common Symptoms and Presentation of HA01.03

The primary presentation of female sexual arousal dysfunction, acquired, situational, involves a noticeable decrease or absence of sexual arousal in specific contexts. This can manifest as:

• Reduced or absent genital or non-genital sensations during sexual activity in particular situations.
• A lack of sexual excitement or pleasure during sexual activity that is specific to certain encounters or partners.
• Diminished responsiveness to sexual or erotic thoughts, fantasies, or stimuli when they would typically be expected to elicit arousal.
• A reduced initiation of sexual activity or unreceptiveness to a partner's attempts to initiate sex, confined to specific scenarios.

It is important to note that for a diagnosis, these symptoms must cause clinically significant distress to the individual and have persisted for at least six months.

Causes and Risk Factors for Situational Arousal Issues

The development of acquired situational female sexual arousal dysfunction can be multifactorial. Potential contributing factors include:

• Psychological Factors: Stress, anxiety, depression, past trauma, or specific fears related to certain sexual situations or partners.
• Relationship Dynamics: Communication issues, unresolved conflicts, or changes in the relationship that impact intimacy.
• Physiological Factors: While the condition is situational, underlying physiological changes (e.g., hormonal shifts, medication side effects) can sometimes be exacerbated or triggered by specific circumstances.
• Situational Triggers: Specific environments, types of stimulation, or partner behaviours that may inadvertently inhibit arousal.

Identifying these specific triggers is key to understanding and managing this condition.

Diagnosis of Female Sexual Arousal Dysfunction, Acquired, Situational

Diagnosing HA01.03 involves a comprehensive assessment by a healthcare professional. This typically includes:

• Detailed Medical History: Discussing the onset, duration, and specific situations where arousal difficulties occur, as well as overall sexual health and any relevant medical conditions or medications.
• Symptom Assessment: Evaluating the presence of reduced sexual interest, arousal, or pleasure, and confirming that these symptoms are linked to specific contexts and cause significant distress.
• Psychosocial Evaluation: Exploring relationship factors, stress levels, and psychological well-being.

The diagnostic criteria require symptoms to be present for at least six months and to cause marked distress or interpersonal difficulty, specifically within certain situations.

Treatment and Management Considerations for HA01.03

Management strategies for female sexual arousal dysfunction, acquired, situational, are tailored to the individual and the specific triggers identified. Approaches may include:

• Psychotherapy and Counselling: Cognitive behavioural therapy (CBT), sex therapy, or couples counselling can help address psychological barriers, improve communication, and develop coping strategies for specific situations.
• Addressing Underlying Factors: If specific medications, relationship issues, or psychological conditions are contributing, these will be targeted for treatment or adjustment.
• Lifestyle Modifications: Recommendations may include stress management techniques or changes to enhance sexual well-being.

Treatment focuses on identifying and mitigating the situational triggers while improving overall sexual response and satisfaction.

Documentation and Coding Considerations for HA01.03

Accurate documentation and coding are essential for patient care and billing. The ICD-11 code HA01.03 specifically denotes 'Female sexual arousal dysfunction, acquired, situational.' Healthcare providers should ensure that clinical documentation clearly reflects the acquired nature and situational context of the dysfunction. Post-coordination with aetiological codes (e.g., associated with psychological factors, relationship factors, or medication use) may be necessary to provide a more detailed clinical picture and support appropriate treatment planning and reimbursement. Using the correct ICD-11 code ensures that patient records are precise and align with international standards for health data classification.