Diagnosis Gangguan Keinginan dan Gairah Seksual

Oleh :

dr. Irwan Supriyanto PhD SpKJ

Diagnosis gangguan keinginan dan gairah seksual (sexual drive disorder) ditegakkan berdasarkan kriteria dalam ICD X atau DSM-V. Pasien jarang mengungkapkan adanya masalah seksual, sehingga bila terdapat kecurigaan masalah seksual, sebaiknya dokter yang mengawali bertanya, bisa dengan instrumen decreased sexual desire screener.[1]

Anamnesis

Mengangkat topik seksual seringkali membuat pasien merasa enggan atau tidak nyaman. Oleh karena itu, proses anamnesis kesehatan seksual bisa diawali dengan meminta pasien untuk mengisi instrumen skrining gangguan seksual, misalnya instrumen decreased sexual desire screener.[1]

Tabel 1. Instrumen Decreased Sexual Desire Screener

Referensi

1. Goldstein I, Kim NN, et al. Hypoactive Sexual Desire Disorder. Mayo Clinic Proceedings 2017;92:114–28. https://www.mayoclinicproceedings.org/article/S0025-6196(16)30596-1/fulltext
3. Meuleman EJH, van Lankveld JJDM. Hypoactive sexual desire disorder: an underestimated condition in men. BJU Int 2005;95:291–6.
9. APA. Diagnostic and statistical manual of mental disorders (5th ed.). Arlington VA: American Psychiatric Publishing; 2013.
11. Gerstenberger EP, Rosen RC, et al. Sexual Desire and the Female Sexual Function Index (FSFI): A Sexual Desire Cutpoint for Clinical Interpretation of the FSFI in Women with and without Hypoactive Sexual Desire Disorder. The Journal of Sexual Medicine 2010;7:3096–103.
12. WHO. The ICD-10 Classification of Mental and Behavioural Disorders. Geneva: World Health Organization; 2007.
13. Buvat J. Hyperprolactinemia and sexual function in men: a short review. Int. J. Impot. Res. 2003;15:373–7. https://pubmed.ncbi.nlm.nih.gov/14562140
14. Kruger THC, Leeners B, et al. Prolactin secretory rhythm in women: immediate and long-term alterations after sexual contact. Human Reproduction 2012;27:1139–43.
15. Gabrielson AT, Sartor RA, et al. The Impact of Thyroid Disease on Sexual Dysfunction in Men and Women. Sexual Medicine Reviews 2019;7:57–70.
16. Cacioppo S. Neuroimaging of Female Sexual Desire and Hypoactive Sexual Desire Disorder. Sexual Medicine Reviews 2017;5:434–44. https://www.ncbi.nlm.nih.gov/pubmed/28865901
17. Clayton AH, El Haddad S, et al. Sexual dysfunction associated with major depressive disorder and antidepressant treatment. Expert Opinion on Drug Safety 2014;13:1361–74.
18. Ghadigaonkar DS, Murthy P. Sexual Dysfunction in Persons With Substance Use Disorders. Journal of Psychosexual Health 2019;1:117–21.
19. Pakpoor J, Agius M. A review of the adverse side effects associated with antipsychotics as related to their efficacy. Psychiatr Danub 2014;26 Suppl 1:273–84.
20. Bernardo A. Sexuality in patients with coronary disease and heart failure. Herz 2001;26:353–9. https://www.ncbi.nlm.nih.gov/pubmed/11556163
21. Lallemand F, Salhi Y, et al. Sexual dysfunction in 156 ambulatory HIV-infected men receiving highly active antiretroviral therapy combinations with and without protease inhibitors. J. Acquir. Immune Defic. Syndr. 2002;30:187–90.
22. Edey, ME. Male Sexual Dysfunction and Chronic Kidney Disease. Frontiers in medicine 2017; 4(32) https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5360730/
23. Grenier-Genest A, Gérard M, Courtois F. Stroke and sexual functioning: A literature review. NRE 2017;41:293–315. https://www.ncbi.nlm.nih.gov/pubmed/29036839

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