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Diagnosis depends on the sexual history and pelvic examination to rule out physical disorders. The sexual history must include early childhood experiences and family attitudes toward sex, previous and current sexual responses, contraceptive practices and reproductive goals, feelings about her sexual partner, and specific details about pain on insertion of any object into the vagina.
When the disorder causes marked distress or interpersonal difficulty, it may fulfill diagnostic criteria from the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision.
Source: Professional Guide to Diseases (Eighth Edition), 2005
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