Rethinking Sexual Aversion: Disgust Mechanisms and Clinical Pathways

Abstract Purpose of Review This review examines sexual aversion, emphasizing its emotional underpinnings, particularly the role of disgust, and explores therapeutic and diagnostic advancements. It addresses the omission of sexual aversion disorder from DSM-5 and its implications for clinical practice and future research. Recent Findings Disgust, as a primary emotional mechanism in sexual aversion, distinguishes itself from related sexual dysfunctions. Research highlights the effectiveness of hierarchical intensive exposure therapy and cognitive-behavioural interventions in reducing disgust-driven avoidance behaviours. Moreover, tools such as virtual reality therapy are emerging as an innovative tool in this field. Summary Recognizing disgust’s centrality in sexual aversion underscores the need for tailored interventions and diagnostic refinement. This review/report advocates for the reclassification of sexual aversion as a distinct disorder to enhance clinical attention and outcomes and foster further research.