Prevalence, Risk Factors, and Predictors of Female Sexual Dysfunction in a Primary Care Setting: A Survey Finding

Abstract

Introduction Female sexual dysfunction (FSD) is a highly prevalent sexual health problem but poorly investigated at the primary care level. Aim This article examines the prevalence of sexual dysfunction and its possible risk factors associated with women at high risk of FSD in a hospital-based primary practice. Methods A validated Malay version of the Female Sexual Function Index (MVFSFI) was utilized to determine FSD in a cross-sectional study design, involving 163 married women, aged 18–65 years, in a tertiary hospital-based primary care clinic in Kuala Lumpur, Malaysia. Sociodemographic, marital profile, health, and lifestyle for women at high risk of FSD and those who were not at high risk were compared and their risk factors were determined. Main Outcome Measures Prevalence of FSD in Malaysian women based on the MVFSFI, and its risk factors for developing FSD. Results Some 42 (25.8%) out of 163 women had sexual dysfunction. Prevalence of sexual dysfunction increased significantly with age. Sexual dysfunctions were detected as desire problem (39.3%), arousal problem (25.8%), lubrication problem (21.5%), orgasm problem (16.6%), satisfaction problem (21.5%) and pain problems (16.6%). Women at high risk of FSD were significantly associated with age (OR 4.1, 95% CI 1.9 to 9.0), husband’s age (OR 4.3 95% C.I 1.9 to 9.3), duration of marriage (OR 3.3, 95% CI 1.6 to 6.8), medical problems (OR 8.5, 95% CI 3.3 to 21.7), menopausal status (OR 6.6, 95% CI 3.1 to 14.3), and frequency of sexual intercourse (OR 10.7, 95% CI 3.6 to 31.7). Multivariate analysis showed that medical problem (adjusted OR 4.6, 95% CI 1.6 to 14.0) and frequency of sexual intercourse (adjusted OR 7.2, 95% CI 2.1 to 24.0) were associated with increased risk of having FSD. Those who practiced contraception were less likely to have FSD. Conclusion Sexual health problems are prevalent in women attending primary care clinic where one in four women were at high risk of FSD. Thus, primary care physician should be trained and prepared to address this issue.

Sexuality in Older Adults (65+)—An Overview of the Literature, Part 1: Sexual Function and its Difficulties

“…Although age is a significant predictor of most female sexual problems (Lutfey, Link, Rosen, Wiegel, et al, 2009;Peixoto & Nobre, 2015), some studies have reported either a ACCEPTED MANUSCRIPT ACCEPTED MANUSCRIPT 8 negative association (Ishak, Low, & Othman, 2010;Sidi, Puteh, Abdulla, & Midin, 2007) or a Ushaped relationship (Hendrickx, Gijs & Enzlin, 2015) between age and pain-related problems.…”

Prevalencia y factores de riesgo de la disfunción sexual femenina: revisión sistemática

“…Factores de riesgo de disfunción sexual: En los estudios incluidos en esta revisión, cada uno evaluó diferentes factores de riesgo, los más frecuentes fueron: la baja frecuencia de relaciones sexuales, este demostró ser un factor de riesgo significativo en varios de los estudios incluidos (16,17); con un OR 10,67 (IC95% 3,58-31,74) (Tabla IV) en el estudio de Ishak y cols (18); pero en el estudio de Grewal y cols (14), no se encontró asociación entre éste y la presencia de disfunción sexual femenina OR 6,74 (IC95% 0,66-68,54).…”

“…La presencia de enfermedad médica de base (6,11,18), la presencia de bajo nivel educativo (6), tener solo educación primaria (16) y secundaria (13,15), demostraron ser un factor de riesgo significativo para presentar DS, mientras que ésta no se encontró asociación con las personas que habían recibido algún tipo de educación adicional (11) (Tabla V).…”

“…Tener mayor edad representa un factor de riesgo para presentar una DS, la mayoría de estudios que toman como corte para la edad 40 años, mostraron la existencia de asociación significativa entre tener mayor edad y presentar una DS (1,16,18,19,20), exceptuando el estudio de Hayes y cols (11) en el cual esta variable no es significativa OR 0,4 (0,1-1,9) (Tabla IV). En el estudio de Song y cols (17), se observó que tener entre 20-29 años representa un factor de riesgo de presentar una disfunción sexual (OR 3,49; IC95% 1,48-8,41).…”

“…En el estudio realizado por Choi y cols (1), la presencia de una actitud negativa por parte de la mujer hacia el sexo, no constituye una variable significativa para presentar una DS (OR 1,26; IC95% 0,780-2,062), en caso contrario, Song y cols (17) identificaron que el factor de riesgo más fuerte para el desarrollo de una DS es la actitud negativa de la mujer hacia el sexo (OR 19,06; IC95% 5,67-64,06). La menopausia demostró ser un factor de riesgo en todos los estudios en los cuales se evaluó esta variable (18,19,20), excepto en el de Hayes y cols (11) (OR 0,9; IC95% 0,1-5,6). Se encontró en dos de los estudios de la revisión (13,20), que el uso de terapia de reemplazo hormonal constituye un factor protector para la presencia de DSF, pero Hayes y cols (11) no observó una asociación significativa (OR 3.4; IC95% 0,5-20,7) (Tabla V).…”