The consensus-based classification of female sexual dysfunction: barriers to universal acceptance.

Although the CCFSD attempts to clarify and modify the existing definitions of female sexual dysfunctions, the current authors (a sex therapist and a sex researcher) believe that the classification system has significant flaws that will prevent its widespread acceptance and application. The major concern is that the CCFSD is based on the triphasic model of sexual response. The triphasic model is based on male sexual response and does not take into account the documented variety of ways that women respond sexually. Instead, the parameters of male sexual response are extrapolated to women. The current authors suggest an alternative approach that considers a woman's subjective as well as physiological responses, and includes pleasure and satisfaction as characteristics of normal sexual function. A reconsideration of the CCFSD model is suggested and an alternative approach is offered.