Female sexual dysfunction in a population-based study in Iran: prevalence and associated risk factors
Abstract
To explore the prevalence and risk factors of female sexual dysfunction (FSD) in Iran. A total of 2626 women aged 20-60 years old were interviewed by 41 female general practitioners and answered a self-administered questionnaire on several aspects of FSD including desire, arousal, pain and orgasmic disorders (OD). Criteria of sexual dysfunction followed classification by DSM-IV. The sexual function was evaluated by the Female Sexual Function Index (FSFI). The subjects were randomly identified from 28 counties of Iran. Data on medical history, toxic habits and current use of medication were also obtained. Of the women interviewed, 31.5% (759) reported FSD. The prevalence increased with age, from 26% in women aged 20-39 years to 39% in those >50 years (tested for trend P<0.001). Thirty-seven percent reported OD, 35% desire disorders (DD) and 30% arousal disorders (AD), all of which increased significantly with age. Pain disorders were reported by 26.7%, occurring most frequently in women aged 20-29 years. The educational level (P=0.01) and marriage age (<18 years) (P=0.04) were inversely correlated with the risk of DD, OD and AD. No significant differences were detected in smoking history (P=0.18), the presence of previous pelvic surgery (P=0.08) and contraception methods used (P=0.42). A history of psychological problems (P=0.04), married status (P=0.03), low physical activity (P=0.012), chronic disease (P<0.01), multiparity (P<0.05) menopause status (P<or=0.01) and spousal erectile dysfunction (P=0.01) were significantly associated with FSD. This study provides a quantitative estimate of the prevalence and the main risk factors for FSD in Iranian women.
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Safarinejad found lubrication dysfunction in 34% of Iranian women.
“Safarinejad 18 found lubrication dysfunction in 34% of Iranian women.”
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 [18]
In other studies, the prevalence of orgasmic dysfunction was much lower (11% to 16%).
“In other studies, 16,18,19,26,27,32 the prevalence of orgasmic dysfunction was much lower (11% e 16%)”
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 [18]
In Iran the prevalence of orgasmic dysfunction seems to be as high as 37%.
“and in Iran seems to be as high as 37%.”
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 [18]
Orgasmic dysfunction was higher for older women in the Iranian and U.S. samples.
“Orgasmic dysfunction also was higher for older women in the Iranian and U.S. samples.”
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 [18]
Other studies found that dyspareunia was present in as many as 14% to 27% of women.
“whereas other studies found that dyspareunia was present in as many as 14% to 27% of women.”
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 [18]
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- Authors
- Safarinejad, M. R.
- Affiliations
- Shahid Beheshti University (IR)
- Corresponding author
- Safarinejad, M R
- ORCID
- Safarinejad, M R
- Venue
- International Journal of Impotence Research
- Published
- 2006-01-05
- Volume
- 18
- Issue
- 4
- Pages
- 382-395
- ISSN
- 0955-9930 (ISSN-L)
- 1476-5489
- OpenAlex
- W2062709564
- Cited by
- 371
- References
- 35
- Citations by year
- 2026: 7 · 2025: 7 · 2024: 14 · 2023: 15 · 2022: 11 · 2021: 31 · 2020: 33 · 2019: 18 · 2018: 22 · 2017: 26 · 2016: 32 · 2015: 21 · 2014: 28 · 2013: 23 · 2012: 17
- FWCI
- 7.45
- 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, prevalence, risk factors, desire disorders, arousal disorders, orgasm disorders, dyspareunia, age, educational attainment, age at marriage, mental illness, multiparity, menopause, Iran
- MeSH terms
- Adult, Age Factors, Aged, Coitus, Cross-Sectional Studies, Educational Status, Female, Humans, Iran, Menopause, Middle Aged, Risk Factors, Sexual Dysfunction, Physiological, Prevalence, Sexual Dysfunctions, Psychological
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