The classification of sexual health-related conditions was reformulated
in 11th revision of International Classification of Diseases (ICD-11)
following current evidence, best practice, and taking human rights
into consideration, which is expected to reflect and provide guidance
for more integrative clinical approaches. Overcoming the artificial, yet
historical, distinction between “organic” and “non-organic” conditions,
sexual dysfunctions classified in the “Mental and Behavioral Disorders”
and “Disorders of Genitourinary System” in ICD-10 were listed in a new
chapter called “Conditions Related to Sexual Health.” In practice, this
approach has been consistently recommended. However, diagnostical
clasification was not congruent with the recommendation. Dysfunctions,
defined with a non-normative but individual-based threshold, are
categorized according to different stages of the sexual response cycle,
similar to ICD-10 and Diagnostic and Statistical Manual of Mental
Disorders 5th version (DSM-5). However, similarities and distinctions in
the clinical presentation of the dysfunction in men and women were also
considered, resulting in differences from the DSM-5 approach. Gender
Incongruence is classified in this newly formed “Conditions Related to
Sexual Health” chapter, not with mental disorders as in the earlier version,
reflecting the current non-pathologizing understanding of gender diversity.
Furthermore, the criteria for these conditions were revised to embrace the
variability in the experience of gender identity. In addition, the residuals of
sexual orientation-related diagnostic categories were removed. Paraphilic
disorders categories replaced “Disorders of sexual preference” in ICD-10,
with significant modifications in conceptualization and classification.
Keywords: ICD-11, Gender Incongruence, Paraphilic Disorders,
Sexual Dysfunctions