Frequency of Sexual Dysfunction in “Normal” Couples

Frank, Ellen; Anderson, Carol; Rubinstein, Debra

doi:10.1056/nejm197807202990302

Cited by 571 publications

(231 citation statements)

References 2 publications

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“…Sexual dysfunction occurs in 22-93% of women in different age populations. [7][8][9][10] This rate was reported as 43.1% in all age ranges in a current study involving 31 581 women aged 18 years or older. 3 Only limited evidence-based data are available for diagnosis and management.…”

Section: Introductionmentioning

confidence: 46%

“…15 The FSFI is a brief instrument for assessment of sexual function that consists of 19 questions. [9][10][11] The questions are grouped and scored for domains of desire (two questions), arousal (four questions), lubrication (four questions), orgasm (three questions), satisfaction (three questions) and pain (three questions). Each domain is scored on a scale of 0-6, with higher scores indicating better function for each domain.…”

Section: Methodsmentioning

confidence: 99%

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Sexual functions and quality of life in women with tubal sterilization

et al. 2010

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The aim of this study was to evaluate the sexual functions and quality of life of women who have undergone tubal sterilization after tubal surgery. In all, 90 active premenopausal women, who had undergone tubal sterilization at least 1 year ago and been admitted to four different hospitals, were included in the study group. A total of 100 women at a similar age range, admitted to the same four hospitals for routine health controls, were included in the control group. To obtain sexual function assessments, the patients were asked to fill out Female Sexual Function Index (FSFI) questionnaire. The participants were also asked to fill out Medical Outcomes Study Short Form (SF-36) questionnaire. All values were found to be lower in the tubal sterilization (TS) group and the differences between groups were statistically significant in domain except for pain and lubrication. Similarly, in the analysis of SF-36 scores, there were differences in comparison with the TS group in all domains. In the evaluation of the relationship of FSFI with educational level in the TS group, it was found that, while the educational level increased, all domain scores also increased, and this increase was statistically significant in all domains except pain. The termination of fertility, which is one of the important abilities of women, with tubal sterilization, may be a risk factor for female sexual dysfunction in people with low educational levels.

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Section: Introductionmentioning

confidence: 46%

Section: Methodsmentioning

confidence: 99%

Sexual functions and quality of life in women with tubal sterilization

et al. 2010

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“…51 Older data reveal that up to 76% of women had some type of sexual dysfunction. 52 Data from the National Health and Social Life Survey (NHSLS), a study of adult sexual behavior, showed that 43% of women in the United States had at least one of sexual problem, in relation with age, marital status, education, race or ethnicity. 53 These figures have recently been confirmed by the results of GSSAB (Global Study of Sexual Attitudes and Behaviors), an international survey of various aspects of sex and relationships among adults aged 40-80 years.…”

Section: Obesity Metabolic Syndrome and Female Sexual Functionmentioning

confidence: 99%

Obesity and sexual dysfunction, male and female

et al. 2008

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Obesity has become a worldwide public health problem of epidemic proportions, as it may decrease life expectancy by 7 years at the age of 40 years: excess bodyweight is now the sixth most important risk factor contributing to the overall burden of disease worldwide. Overweight and obesity may increase the risk of erectile dysfunction (ED) by 30-90% as compared with normal weight subjects. On the other hand, subjects with ED tend to be heavier and with a greater waist than subjects without ED, and also are more likely to be hypertensive and hypercholesterolemic. The metabolic syndrome, characterized by a clustering of risk factors associated with insulin resistance and abdominal obesity, associates with ED. Moreover, women with the metabolic syndrome have an increased prevalence of sexual dysfunctions as compared with matched control women. Lifestyle changes aimed at reducing body weight and increasing physical activity induce amelioration of both erectile and endothelial functions in obese men. Moreover, preliminary evidence suggests that a Mediterranean-style diet might be effective in ameliorating sexual function in women with the metabolic syndrome. Lifestyle changes, mainly focussing on regular physical activity and a healthy diet, are effective and safe ways to reduce cardiovascular diseases and premature mortality in all population groups; they may also prevent and treat sexual dysfunctions in both sexes.

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“…2 Older data reveal that up to 76% of women had some type of sexual dysfunction. 3 Data from the National Health and Social Life Survey (NHSLS), a study of adult sexual behavior, showed that 43% of women in the US had at least one of sexual problem, in relation with age, marital status, education, race or ethnicity. 4 These figures have recently been confirmed by the results of Global Study of Sexual Attitudes and Behaviors (GSSAB), an international survey of various aspects of sex and relationships among adults aged 40-80 years.…”

Section: Introductionmentioning

confidence: 99%

Association of body weight with sexual function in women

et al. 2007

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Sexual difficulties in women appear to be widespread in society; the relationship between female sexual function and obesity is unclear. This study aimed to investigate the relationship between body weight, the distribution of body fat and sexual function in women. Fifty-two, otherwise healthy women with abnormal values of female sexual function index (FSFI) score (p23) were compared with 66 control women (FSFI 423), matched for age and menopausal status. All women were free from diseases known to affect sexual function. FSFI strongly correlated with body mass index (BMI) (r ¼ -0.72, P ¼ 0.0001), but not with waist-to-hip ratio (r ¼ -0.09, P ¼ 0.48), in women with sexual dysfunction. Of the six sexual function parameters, desire and pain did not correlate with BMI, while arousal (r ¼ -0.75), lubrication (r ¼ -0.66), orgasm (r ¼ -0.56) and satisfaction (r ¼ -0.56, all Po0.001) did. FSFI score was significantly lower in overweight women as compared with normal weight women, while cholesterol and triglyceride levels were higher. On multivariate analysis, both age and BMI explained about 68% of FSFI variance, with a primacy of BMI over age (ratio 4:1). In conclusion, obesity affects several aspects of sexuality in otherwise healthy women with sexual dysfunction.

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Frequency of Sexual Dysfunction in “Normal” Couples

Cited by 571 publications

References 2 publications

Sexual functions and quality of life in women with tubal sterilization

Sexual functions and quality of life in women with tubal sterilization

Obesity and sexual dysfunction, male and female

Association of body weight with sexual function in women

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