Prevalence and Predictive Factors of Female Sexual Dysfunction in a Sample of Saudi Women

Abstract

Introduction: Female sexual dysfunction (FSD) is a common health problem that is inadequately investigated in Saudi Arabia. Aim: To assess the prevalence and predictors of FSD in a sample of Saudi women attending the primary care and gynecology clinics. Methods: A cross-sectional clinic-based survey involved Saudi women attending primary care and gynecology clinics in a teaching hospital in Riyadh during the period from January to June 2019. Data were collected using a structured interview questionnaire. Female sexual function has been evaluated by the Arabic version of the Female Sexual Function Index. Main outcome measures: The main outcome measure of this study was female sexual function using the Arabic version of the Female Sexual Function Index. Results: 200 Saudi women were included in this study. Their age ranged from 18 to 50 years. Most of the participants (88.5%) were fairly satisfied or satisfied with their spouse's sexual ability and 120 (60%) had a risk of FSD. Participants with FSD reported the lowest scores for arousal and desire domains (3.03 ± 1.3 and 3.12 ± 1.1, respectively) followed by orgasm domain (3.48 ± 1.4). Predictive factors for risk of FSD in our participants were age greater than 40 years (P ¼ .012), unemployment (P ¼ .035), low/moderate family income (P ¼ .014), dissatisfaction with the spouse's sexual ability (P ¼ .005), and higher weight (P ¼ .010) and height (P ¼ .043). Only age greater than 40 years (P ¼ .041), low family income (P ¼ .007), and dissatisfaction with spouse's sexual ability (P ¼ .011) sustained independent significance in a multivariate logistic regression analysis. Conclusion: A high prevalence of FSD was encountered in our sample of Saudi women. Desire and arousal were the most significantly affected domains followed by orgasmic problems. Age greater than 40 years, low socioeconomic level, and dissatisfaction with the spouse's sexual ability are the most significant predictors. Madbouly K, Al-Anazi M, Al-Anazi H, et al. Prevalence and Predictive Factors of Female Sexual Dysfunction in a Sample of Saudi Women. Sex Med 2020;XX:XXXeXXX.

Prevalence of Female Sexual Dysfunction Among five hundred Women at the Childbearing Period in Upper Egypt: A Cross-Sectional Study

“…More than 40 years of age increased the risk of FSD by about five times. Many potential risk factors for FSD were suggested, including age, economic level, and satisfaction with a spouse's sexual ability were the only predictive factors [6,12] . Conversely to our results, Maaita et al reported desire problems in the majority [49.4%] of his participants, arousal problems in 31.9% and lubrication problems in 39.2%, orgasm problems in 39.57%, satisfaction problems in 43.82%, and pain problems during sexual relations in a minor proportion [19.2%] [12] .…”

“…Furthermore, the risk of FSD may improve with the therapy of male sexual dysfunction. In Saudi Arabia, dissatisfaction with a spouse's sexual ability elevated the chance of FSD by almost six times [6] .…”

“…Even though female sexual dysfunction is a prevalent health issue, it is still understudied, especially in Eastern countries where open conversation is considered a taboo. Furthermore, Arabic society is particularly conservative when it comes to sex and female sexuality [6] .…”

The risk of sexual dysfunction associated with alcohol consumption in women: a systematic review and meta-analysis

“…Female sexual dysfunction (FSD) is a common and uncomfortable condition that affects many women worldwide [ 4 ]. The prevalence of FSD and the factors contributing to its development vary across countries and regions [ 5 ]. According to most epidemiological studies, the prevalence of FSD ranges from 37 to 40% [ 2 ].…”

Insights from Assessment Type of Sexual Problems and Sexual Satisfaction in Women: A Pilot Study

“…Women's sexual problems are highly prevalent (1)(2)(3)(4)(5), with incidence estimates over 39% of women reporting sexual problems (2,6). In addition, female sexual dysfunction has a wellknown negative impact on quality of life (1), well-being (7), psychological adjustment (8,9), sexual health (10), sexual satisfaction (11)(12)(13)(14), and dyadic adjustment (15).…”