On categorization and quantification of women's sexual dysfunctions: An epidemiological approach
Abstract
The objectives of this study are to compare the two definitions of female sexual dysfunction, namely dysfunction per se (A category) and personal distress caused by dysfunction (B category), and to gauge their associations with some sociodemographic aspects and level of sexual well-being. The subjects were a nationally representative sample of sexually active Swedish women (n: 1056) aged 18-65 y, who participated in a combined structured interview/questionnaire investigation. The functions analysed were: self-reported sexual desire, interest, lubrication, orgasm, genital pain and vaginism, which were subclassified for the A and B categories into no, mild (sporadically occurring) and manifest dysfunction. Sexual well-being was reported along a six-grade scale ranging from very satisfied to very dissatisfied. The sociodemographic items registered were: education, occupation, financial situation, social group, immigrant status, location of domicile and church-going. Aggregated mild and manifest dysfunction per se of sexual interest, orgasm and vaginal lubrication were reported by about 60-90%. More than one-third had dyspareunia, but few reported vaginism. Mild dysfunctions were clearly more common than manifest dysfunctions. Not fully 45% of those with manifest low interest and orgasm perceived these dysfunctions as manifestly distressing, while in 60-70% lubricational insufficiency of dyspareunia led to manifest distress. Age and the included sociodemographic variables had marginal or no influence on sexual functions. A four-factor sexual function pattern was identified, closely linking A and B categories in a pairwise manner. Three factors, labelled sexual desire, orgasm and genital function were powerful classifiers (discriminant analysis) of level of sexual well-being. Hence, it is a matter of taste whether to use the A or the B category. Together, they can explain the gross level of satisfaction with sexual life to an adequate extent.
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Öberg et al found that 49% of Swedish women 18 to 65 years old had mild lubrication insufficiency.
“Öberg et al 24 found that 49% of Swedish women 18 to 65 years old had mild (sporadically occurring) lubrication insuf fi ciency.”
From Incidence and Prevalence of Sexual Dysfunction in Women and Men: A Consensus Statement from the Fourth International Consultation on Sexual Medicine 2015 (2016) · cites this paper as [24]
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Alizadeh, A., & Farnam, F. (2021) · Reproductive Health · doi:10.1186/s12978-021-01206-8 · Cited by 25 · see citing works
Öberg, K. G. (2012) · KARGER eBooks · doi:10.1159/000336453 · Cited by 23 · see citing works
Akyüz, M. D., Turfan, E. Ç., ÖNER, S. Ç., Sakar, T., & Aktay, D. M. (2018) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2018.1488164 · Cited by 22 · see citing works
Treating Women's Orgasmic Difficulties
Carpenter, K. M., Williams, K. C., & Worly, B. L. (2017) · Wiley eBooks · doi:10.1002/9781118510384.ch5 · Cited by 21 · see citing works
Prevalence of sexual dysfunctions and associated risk factors in Poland
Lew-Starowicz, Z., & Czajkowska, K. B. (2019) · Archives of Medical Science · doi:10.5114/aoms.2019.86794 · Cited by 21 · see citing works
Effect of delivery method on sexual dysfunction
Saydam, B. K., Akyüz, M. D., Soğukpınar, N., & Turfan, E. Ç. (2017) · The Journal of Maternal-Fetal & Neonatal Medicine · doi:10.1080/14767058.2017.1387243 · Cited by 20 · see citing works
Dang, S. S., Northey, L., Dunkley, C. R., Rigby, R. A., & Gorzalka, B. B. (2018) · The Canadian Journal of Human Sexuality · doi:10.3138/cjhs.2017-0025 · Cited by 20 · see citing works
Sexual functions and quality of life in women with tubal sterilization
Gülüm, M., Yeni, E., Sahin, M. A., Savaş, M., & Çiftçi, H. (2010) · International Journal of Impotence Research · doi:10.1038/ijir.2010.14 · Cited by 19 · see citing works
BOARDMAN, L. A., & Stockdale, C. K. (2009) · Clinical Obstetrics & Gynecology · doi:10.1097/grf.0b013e3181bf4a7e · Cited by 19 · see citing works
On the Link Between Benevolent Sexism and Orgasm Frequency in Heterosexual Women
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Petersen, M., Kristensen, E., Berg, S., & Midgren, B. (2013) · Sexual Medicine · doi:10.1002/sm2.18 · Cited by 16 · see citing works
A New Beginning: Young Women’s Experiences and Sexual Function 18 Months After Bariatric Surgery
Nilsson-Condori, E., Järvholm, S., Thurin‐Kjellberg, A., Hedenbro, J., & Friberg, B. (2020) · Sexual Medicine · doi:10.1016/j.esxm.2020.08.007 · Cited by 15 · see citing works
Typologies of Women with Orgasmic Difficulty and Their Relationship to Sexual Distress
Hevesi, K., Miklós, E., Horváth, Z., Sal, D., & Rowland, D. L. (2020) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2020.02.008 · Cited by 14 · see citing works
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Fugl‐Meyer, A. R., & Fugl-Meyer, K. S. (2005) · CRC Press eBooks · doi:10.1201/b14618-8 · Cited by 14 · see citing works
Hamzehgardeshi, Z., Sabetghadam, S., Pourasghar, M., Khani, S., Moosazadeh, M., & Malary, M. (2023) · Health Science Reports · doi:10.1002/hsr2.1513 · Cited by 20 · see citing works
A literature review on vulvodynia and distress
Bond, K. S., Weerakoon, P. K., & Shuttleworth, R. (2012) · Sexual & Relationship Therapy · doi:10.1080/14681994.2012.664272 · Cited by 11 · see citing works
Psychological factors involved in women’s sexual dysfunctions
Brotto, L. A., & Klein, C. (2009) · Expert Review of Obstetrics & Gynecology · doi:10.1586/eog.09.67 · Cited by 12 · see citing works
Orri, M., Abraham, L., & Giraldi, A. G. E. (2013) · The Journal of Sexual Medicine · doi:10.1111/jsm.12071 · Cited by 11 · see citing works
Disorders of sexual desire and arousal.
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- Authors
- Öberg, K., Fugl-Meyer, A. R., & Fugl-Meyer, K. S.
- Affiliations
- Uppsala University Hospital (SE)
- Corresponding author
- Fugl-Meyer, K S
- ORCID
- Fugl-Meyer, K S
- Venue
- International Journal of Impotence Research
- Published
- 2004-06-01
- Volume
- 16
- Issue
- 3
- Pages
- 261-269
- ISSN
- 0955-9930 (ISSN-L)
- 1476-5489
- OpenAlex
- W2025672408
- Cited by
- 157
- References
- 23
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 1 · 2023: 4 · 2022: 6 · 2021: 7 · 2020: 11 · 2019: 6 · 2018: 7 · 2017: 9 · 2016: 7 · 2015: 3 · 2014: 6 · 2013: 7 · 2012: 11
- FWCI
- 5.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- International Journal of Impotence Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Social Sciences › Psychology › Clinical Psychology › Sexuality, Behavior, and Technology
- Social Sciences › Sociology and Political Science › Sex work and related issues
- Keywords
- female sexual dysfunction, sexual well-being, sexual desire, sexual interest, orgasm, vaginal lubrication, dyspareunia, vaginismus, personal distress, sociodemographic factors, women's sexual health
- MeSH terms
- Adolescent, Adult, Aged, Dyspareunia, Educational Status, Emigration and Immigration, Female, Genitalia, Female, Humans, Libido, Lubrication, Middle Aged, Occupations, Orgasm, Pain, Surveys and Questionnaires, Religion, Sexual Behavior, Sexual Dysfunction, Physiological, Socioeconomic Factors, Sweden
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