Absent/reduced interest in sexual activity, no sexual thoughts or fantasies, no initiation, no sexual excitement or pleasure during sex, at least 6 months
Difficulties in vaginal penetration during intercourse, vaginal pain during intercourse or penetration attempts, anxiety about anticipating vulvovaginal or pelvic pain, at least 6 months
Ejaculation approx. 1 min following vaginal penetration or even before the individual wishes it, at least 6 months and must be experienced on almost all or all occasions