In the DSM-5, this disorder describes an abnormally low level of desire for sexual activities in a man. For women, this disorder has been renamed Female Sexual Interest/Arousal Disorder.

To meet for this diagnosis, the male must show, “persistently or recurrently deficient (or absent) sexual/erotic thoughts or fantasies and desire for sexual activity” to a degree that causes distress or impairments in the man’s life or interpersonal relationships. The judgment of deficiency or absence is made by the clinician, taking into account factors that affect sexual functioning, such as age and the context of the person’s life.

The sexual dysfunction cannot be better explained by another mental disorder (except another sexual dysfunction), the direct physiological effects of a substance (e.g., a drug of abuse, a medication), or a general medical condition.