Update on female sexual function

Meston, Cindy M.; Frohlich, Penny F.

doi:10.1097/00042307-200111000-00008

Cited by 38 publications

(23 citation statements)

References 47 publications

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“…This questionnaire requires less explicit sexual descriptions than other questionnaires and helps subjects reveal their sex life without being provoked. 14,15 In addition, the FSFI has a verified numeric rating scale system, enabling investigators to easily determine any improvement in sexual function.…”

Section: Discussionmentioning

confidence: 99%

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Influence of weight reduction by sibutramine on female sexual function

et al. 2006

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Background: It is well known that selective serotonin reuptake inhibitors (SSRIs) can cause sexual dysfunction, so it is possible that sibutramine, a serotonin and norepinephrine reuptake inhibitor, could induce sexual dysfunction. Design and subjects: The effect of sibutramine on sexual function was evaluated in 46 overweight and obese (body mass index (BMI) X23 kg/m 2 ) but otherwise healthy married women (28-44 years). Participants were randomly assigned at baseline to either the sibutramine or control group. The Female Sexual Function Index (FSFI) questionnaire was used to assess sexual function at baseline and after treatment with behavioral therapy plus sibutramine 10 mg once daily or behavioral therapy alone (control) for 8 weeks.Results: Mean weight loss from baseline to week 8 was À6.03% in sibutramine group and À0.38% in the control group. There was significant improvement of FSFI total score, arousal domain score and lubrication domain score in the sibutramine group (Po0.05), and significant differences in arousal, orgasm, satisfaction domain score and total score (Po0.05) in favor of sibutramine. Decreases in body weight and BMI were correlated with the improvement of arousal (r ¼ À0.44 and r ¼ À0.48, respectively) and orgasm (r ¼ À0.45 and r ¼ À0.46, respectively) domains. Conclusion: Treatment with sibutramine plus behavioral therapy did not induce sexual dysfunction and sibutramine-induced weight reduction appeared to have a positive impact on sexual function in this small group of overweight and moderately obese women. The degree of improvement in sexual function was correlated with the degree of weight reduction.

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Section: Discussionmentioning

confidence: 99%

“…[23][24][25] Androgen insufficiency is related to hypoactive sexual desire disorder 14,26 and androgen, in contrast, can increase sexual desire, arousal, orgasm and satisfaction. 27,28 Weight reduction, therefore, can reduce the score in each of these domains.…”

Section: Discussionmentioning

confidence: 99%

Influence of weight reduction by sibutramine on female sexual function

et al. 2006

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“…8,9 SD has also been attributed to other physical, clinical factors and psychological factors. 5,[10][11][12][13][14][15][16][17][18][19] Research on erectile dysfunction patients indicate that SD has significant adverse effects on both physical and mental health dimensions of quality of life (QOL). [20][21][22][23][24] Sexual dysfunction data for Asian populations are scant and primarily clinic-based.…”

Section: Introductionmentioning

confidence: 99%

Prevalence of male and female sexual problems, perceptions related to sex and association with quality of life in a Chinese population: a population-based study

2005

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The prevalence of sexual problems (SP) and sexual satisfaction and their associations with sexrelated perceptions and quality of life (QOL) were investigated by interviewing 3257 and 1568 Chinese adults in Hong Kong by a specially designed computerized telephone-interviewing method. SP was prevalent among male (50.9%) and female (54%) respondents; approximately 50% were dissatisfied with their sexual life. Of respondents, 23.9% of men and 5.9% of women perceived sex as important and 52.5% for men and 33.8% of women reported adequate sexual knowledge. The prevalence of SP ranged from 3.4% (pain) to 29.7% (premature orgasm) for men and 6.9% (anxiety) to 24.7% (lack of interest) for women. Prevalence of erectile and lubrication problems were 9.6 and 23.6%, respectively. Sex-related knowledge, perceived importance of sex, perceived physical health status, sexual satisfaction were predictors of SP. Gender differences and strong cultural influences appear to exist. Moreover, SP and sexual satisfaction were associated with mental health and vitality QOL and overall life satisfaction. IntroductionRecent studies have showed that sexual dysfunctions are common in both sexes. [1][2][3][4] A study in the US estimated the prevalence of sexual dysfunction (SD) to be 43% among women and 31% among men. 5 An analysis of 22 general population surveys conducted in western countries summarized estimates of SD prevalence for men (inability to achieve orgasm: 5%, premature ejaculation: 35%, inhibited sexual excitement: 10-20% and inhibited sexual desire: 1-15%) and for women (inability to achieve orgasm: 5-30% and inhibited sexual desire: 1-35%). 6 Similarly, a large-scale international collaboration of multidisciplinary experts reported that 40-45% of adult women and 20-30% of adult men suffer from at least one SD. 7 It also reported the following prevalence rates among women: low levels of sexual interest at 17-55%, lubrication difficulties about 8-15%, orgasmic dysfunction at 25% and vaginismus at approximately 6%. The prevalence of erectile dysfunction was reported to be 1-9% among young males under 40 y old and rapidly increased with age to 20-40% among males between the ages of 60-69 y. 7 Age, lower education, socioeconomic status, perceived health, diabetes, heart disease and hypertension were found to be important determinants of erectile dysfunction in men. 8,9 SD has also been attributed to other physical, clinical factors and psychological factors. 5,[10][11][12][13][14][15][16][17][18][19] Research on erectile dysfunction patients indicate that SD has significant adverse effects on both physical and mental health dimensions of quality of life (QOL). [20][21][22][23][24] Sexual dysfunction data for Asian populations are scant and primarily clinic-based. [25][26][27][28][29][30] Moreover, little is known about the prevailing attitudes and perceptions of sexual problems (SP) or its effects on QOL in Asian populations. Few large-scale, population-based studies on SP have been reported in Chinese population study. The study i...

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“…Diabetic women are prone to experience decreased sexual desire, dyspareunia, decreased sexual arousal, and inadequate lubrication (8). There are few studies of sexual dysfunction in normal and diabetic women in Arab countries, and Jordan is no exception.…”

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confidence: 99%

Sexual Dysfunction in Jordanian Diabetic Women

Ali¹,

Hajeri²,

Khader³

et al. 2008

Diabetes Care

113

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OBJECTIVE -To estimate the prevalence of female sexual dysfunction (FSD) in diabetic and nondiabetic Jordanian women.RESEARCH DESIGN AND METHODS -Data were collected from 1,137 married women using the Arabic translation of the Female Sexual Function Index questionnaire.RESULTS -Prevalence of sexual dysfunction in diabetic women 50 years of age or older was 59.6 vs. 45.6% in nondiabetic women (P ϭ 0.003). Diabetic women had more dysfunction of desire, arousal, lubrication, and orgasm than nondiabetic women. Glycemic control, smoking, dyslipidemia, hypertension, autonomic neuropathy, and peripheral neuropathy did not have a significant effect on FSD. Age, BMI, duration of diabetes, and the presence of coronary artery disease, nephropathy, and retinopathy had negative effects on FSD.CONCLUSIONS -Prevalence of FSD among Jordanian women was found to be significantly higher in diabetic compared with nondiabetic women. Diabetes Care 31:1580-1581, 2008F emale sexual dysfunction (FSD) is a common problem, affecting 30 -78% of women (1). The prevalence in diabetic women is estimated to be 20 -80% (2). In Arab countries, there has only been one report that addresses this issue (1). Islam, the religion of the vast majority of Arab countries, is a very open religion regarding sexual relations, but tribal and social attitudes toward sex are widely different and sometimes reach the level of taboo. In Jordan, talking about sex openly is not easy. However, when talking about sex in a professional setting, women are very self-aware (3).FSD is defined as disorders of libido, arousal, orgasm, and sexual pain that lead to personal distress or interpersonal difficulties. It is multifactorial in etiology with physiological and psychological roots (4). In the 1950s, sexual dysfunction in diabetic men caught attention, but sexual dysfunction in women remained entirely neglected until Kolodny's article in 1971 (5).Diabetic women are prone to experience decreased sexual desire, dyspareunia, decreased sexual arousal, and inadequate lubrication (8). There are few studies of sexual dysfunction in normal and diabetic women in Arab countries, and Jordan is no exception. The purpose of this study was to address this issue in Jordan. RESEARCH DESIGN AND METHODS -Between October 2006and August 2007, 1,137 married women were studied at the National Center for Diabetes, Endocrinology and Genetics (NCDEG) in Amman, Jordan. Women were grouped into a diabetic married group (n ϭ 613) and a nondiabetic married group (n ϭ 524). Diabetic women were those attending the Diabetes and Endocrinology clinics at the NCDEG, and nondiabetic women were their female companions and health workers at the center. Divorced, widowed, seriously ill, pregnant, or lactating women and those on contraceptive pills were excluded. The study was approved by the ethics committee at the NCDEG. All women were invited to attend a face-to-face interview with one of our female authors. Privacy and confidentiality were assured. The structured interviews were based on the19-item Female ...

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Update on female sexual function

Cited by 38 publications

References 47 publications

Influence of weight reduction by sibutramine on female sexual function

Influence of weight reduction by sibutramine on female sexual function

Prevalence of male and female sexual problems, perceptions related to sex and association with quality of life in a Chinese population: a population-based study

Sexual Dysfunction in Jordanian Diabetic Women

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