Sexual and reproductive health

Sexual health in the revised 11th version of the International Classification of Diseases (ICD)

Background

The International Classification of Diseases (ICD) is a key public health tool extensively used by countries, including for diagnosis, health monitoring and statistics. Since the last ICD revision in 1990, there have been substantial advances in health related knowledge as well as social understanding of sexual disorders and sexual health. This has implications for the related categories currently in the Mental and Behavioural Disorders section in the ICD-10.

Objective

To review the sexual disorders and sexual health categories in ICD 10 and make recommendations for the revision currently underway to develop ICD 11*.

* ICD-11 is scheduled to be presented to the 68th World Health Assembly in 2015

Methods

A Working Group on the Classification of Sexual Disorders and Sexual Health has been established jointly with the Department of Mental Health. It will report to the International Advisory Groups for the Revision of ICD-10 for Mental and Behavioural Disorders and for Reproductive Health.

Specific tasks of the Working Group include: a) reviewing available scientific evidence and clinical and policy information on use, clinical utility, and experience with the ICD-10 diagnostic categories for sexual disorders and health within various health-care settings; b) reviewing proposals for relevant diagnostic categories in DSM-5; c) preparing proposals for revision of ICD-10 and presentation to the Advisory Groups, including placement and organization of categories within the ICD system; and d) providing drafts of the content for diagnostic categories in line with ICD revision requirements. The proposals will be field tested and consulted with stakeholders as per overall ICD procedures.

Expected results

Sexual disorder and sexual health conditions are updated in the ICD11 by 2015.

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