HA20

ICD-11 MMS 2026-01

Sexual pain-penetration disorder

Description

Sexual pain-penetration disorder is characterised by at least one of the following: 1) marked and persistent or recurrent difficulties with penetration, including due to involuntary tightening or tautness of the pelvic floor muscles during attempted penetration; 2) marked and persistent or recurrent vulvovaginal or pelvic pain during penetration; 3) marked and persistent or recurrent fear or anxiety about vulvovaginal or pelvic pain in anticipation of, during, or as a result of penetration. The symptoms are recurrent during sexual interactions involving or potentially involving penetration, despite adequate sexual desire and stimulation, are not entirely attributable to a medical condition that adversely affects the pelvic area and results in genital and/or penetrative pain or to a mental disorder, are not entirely attributable to insufficient vaginal lubrication or post-menopausal/age-related changes, and are associated with clinically significant distress.

Excludes

  • GA12 – Female dyspareunia
  • GA34.0 – Pain related to vulva, vagina or pelvic floor

Child codes

  • HA20.0 – Sexual pain-penetration disorder, lifelong, generalised
  • HA20.1 – Sexual pain-penetration disorder, lifelong, situational
  • HA20.2 – Sexual pain-penetration disorder, acquired, generalised
  • HA20.3 – Sexual pain-penetration disorder, acquired, situational
  • HA20.Z – Sexual pain-penetration disorder, unspecified

Sibling codes

  • HA2Y – Other specified sexual pain disorders
  • HA2Z – Sexual pain disorders, unspecified

Foundation entity

Sexual pain-penetration disorder – http://id.who.int/icd/entity/1932194482

Allowed postcoordination axes

Part of: 17: Conditions related to sexual health