What defines substance/medication-induced sexual dysfunction?

Substance/medication-induced sexual dysfunction is characterized by the emergence of sexual problems that occur in a temporal relationship with the use of substances, whether they are medications or illicit drugs. This type of dysfunction typically manifests shortly after the onset of intoxication or withdrawal from the substance.

The defining feature is that the sexual dysfunction is a direct result of the physiological effects of the substance, influencing sexual desire, arousal, or orgasm. This connection is essential, as it indicates that the symptoms are not due to pre-existing conditions or other factors unrelated to substance use.

In contrast, other options describe different scenarios. For instance, sexual dysfunction occurring before the use of a substance does not meet the criteria for this specific diagnosis. Additionally, sexual dysfunction that occurs without the use of substances would be classified under other types of sexual dysfunction, not substance/medication-induced. Finally, chronic sexual dysfunction that persists would point towards an ongoing psychological or medical issue rather than a direct consequence of substance use.

Thus, the correct answer highlights the critical relationship between substance use and the resulting sexual dysfunction, aligning with the criteria set out in the DSM-5-TR.