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Assessing female sexual dysfunction in epidemiological studies: why is it necessary to measure both low sexual function and sexually-related distress?

Richard D. Hayes · Sexual Health · 2008

Cited by 58Open access

The journal of sexual medicine : basic research and clinical studies in male and female sexual function and dysfunction ; the official journal of the International Society for Sexual and Impotence Research

GSI Repository (German Federal Government)

Cited by 0

The Prognostic Factors of Sexual Dysfunction among Selected Pregnant Women in Tehran City, Iran

Tayebeh Darooneh, Zohreh Sheikhan, Marzieh Saei Ghare Naz et al. · SHILAP Revista de lepidopterología · 2019

Background: Pregnancy affects women’s sexual function. Although previous studies have introduced various factors affecting sexual function, but few studies have examined the prognostic factors on sexual dysfunction during pregnancy. These factors are influenced by cultural issues of each society. This study aimed to determine the prognostic factors of sexual dysfunction in selected pregnant women in Tehran City, Iran. Methods: This descriptive analytical study was conducted on 250 pregnant women in Tehran selected using convenience sampling method. The data collection instrument consisted of a questionnaire for individual and midwifery information, female sexual function index, Enrich marital satisfaction questionnaire (short version), female sexual distress scale, and prenatal distress questionnaire. The data were analyzed via SPSS software using Kolmogorov-Smirnov, one-way ANOVA, Pearson correlation, and linear regression (Enter method) statistical tests. The significance level was considered to be less than 0.05. Findings: The mean (standard deviation) of sexual function score was 22.27 (9.73), and the majority of pregnant women (72%) had sexual dysfunction. Among the areas of sexual function, women had the highest rates of sexual dysfunction in the area of “pain”. The duration of marriage, prenatal distress, and sexual distress were significantly predictive factors of sexual dysfunction in pregnant women (P < 0.05). Conclusion: The duration of marriage, prenatal distress, and sexual distress significantly predicted sexual dysfunction in pregnant women. Knowing these factors is an important achievement for better prenatal care and designing interventional studies to improve sexual health during pregnancy.

Cited by 1Open access

Sexual dysfunction in dermatological diseases

AT Ermertcan · Journal of the European Academy of Dermatology and Venereology · 2009

Decrease or loss of sexual function in many chronic diseases has recently attracted significant attention owing to its impact on quality of life. Generic and disease-specific quality-of-life questionnaires measure changes in work, school, social life and emotional status regarding the disease and its treatment. Specific questionnaires have been designed to evaluate changes in sexuality and sexual function. Sexual dysfunction, especially female sexual dysfunction, in different diseases became a popular and important health concern in recent years. There are a lot of studies about sexual dysfunction in the areas of other specialities of medicine, but there are only a few studies in dermatological diseases. In this paper, sexual dysfunction and the studies performed about this subject in dermatology will be reviewed.

Cited by 43

HP-5-6 Screening for Sexual Dysfunction Post-Breast Cancer: A Systematic Review

Zohreh Keshavarz, M. Masjoodi · The Journal of Sexual Medicine · 2020

Breast cancer patients are at an increased risk of sexual dysfunction. The consequences of estrogen deprivation and therapeutic interventions such as radiation, chemotherapy and surgery have a significant negative impact on libido, sexual arousal, orgasmic function and the ability to have pleasurable intercourse. Evaluation and treatment of female sexual dysfunction is a significant unmet need in the breast cancer survivors. Therefore, this research aimed to review studies on women's sexual function using the female sexual function index (FSFI). To this end, PubMed, Web of Science, Scopus, and ProQuest databases were considered and Iranian studies on sexual function in breast cancer, which were in Persian or English and used the FSFI tool, were selected. In addition, these studies were methodologically evaluated and the keywords included “breast cancer” and “sexual function”, along with their synonyms. A total of 128 studies were identified out of which five cases having the inclusion criteria were selected after reviewing the title, abstract, and quality assessment. The rate of sexual dysfunction in the survivors of breast cancer varied between 52.5% and 100%. Based on the domains of FSFI, the lack of desire and lubrication dysfunction were the most common disorders while satisfaction with sexual life scored the highest.

Cited by 0

NEUROGENIC SEXUAL DYSFUNCTION

А. А. Белкин, R. V. Salyukov, Artem V. Bershadskii et al. · Bulletin of the Medical Institute of Continuing Education · 2024

This article is a systematic review on the topic of neurogenic sexual dysfunction. A systematic evaluation of the English-language literature up to 2024 was conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The literature review focused on the following areas: sexual function regulation, neurogenic sexual dysfunction, and neurogenic erectile dysfunction. The review demonstrated that in patients with central nervous system (CNS) disorders, neurological and urological diagnostics are recommended before initiating treatment for sexual dysfunction. The specific diagnostic methods for neurogenic sexual dysfunction were identified. The latest scientific data on sexual function regulation in both genders was summarized. The article listed the main therapeutic approaches to managing sexual dysfunction, including experimental techniques. The rehabilitation strategies for sexual function in patients with neurological pathology are discussed, with an emphasis on the key therapeutic methods. Despite the fact that sexual dysfunction is a significant issue for patients with CNS disorders, high-quality evidence-based studies are exceedingly rare and mostly limited to data on the efficacy of phosphodiesterase type 5 inhibitors (PDE5Is) for the treatment of erectile dysfunction. Well-designed prospective studies for both genders are urgently needed to provide a more comprehensive understanding and effective management of sexual dysfunction in this patient population.

Cited by 0Open access

Sexual Health After Different Modes of Delivery, Implications for Patient Education - A Narrative Review

Maria Fengier, Oliwia Grzelak, Jakub Trzaskowski et al. · Journal of Education Health and Sport · 2026

Background. Female sexual dysfunction is a common problem among women in the postpartum period. Changes in sexual satisfaction are often attributed to hormonal changes, perinatal trauma, anxiety and relational problems. In recent years, increasing attention has been paid to instrumental obstetric interventions during delivery, the mode of birth, and their potential impact on women’s sexual function. Postpartum sexual health is often neglected and disregarded as an unimportant part of human life. Although many women fear its decline in the postpartum, the impact of the mode of delivery on sexual health remains insufficiently addressed in educational programs. Aim. The aim of this narrative review was to investigate the relationship between the mode of delivery and postpartum sexual function. Materials and methods. A total of 18 studies were selected to analyze the possible correlation between the mode of delivery and sexual function. Various instruments assessing sexual function were used, including the FSFI, self-report questionnaires, SQOL, SHOW-Q. The primary database used for the literature search was PubMed for studies published between 2009 and 2025. Additionally, reference lists of relevant articles were screened. Results. The majority of studies included in this review demonstrated no long-term difference in overall sexual function between vaginal delivery and cesarean section. Some studies, however, reported transient sexual dysfunction in the early postpartum period. Conclusions. The analysis demonstrated that the mode of delivery has no long-term effect on women’s sexual function, although some studies reported transient dysfunction in the early postpartum period. Counseling and education of pregnant women are important in addressing concerns about postpartum sexual dysfunction.

Cited by 0Open access

Effects of Cannabis Use on Sexual Function in Adults Aged 18 and Over: A Systematic Review of Observational Studies.

Parra-Villarroel, Jaime Alejandro, Acuña-Silva, Romina, Amigo-Victoriano, Vania et al. · Open Science Framework · 2025

This systematic review of observational studies aims to examine the effects of cannabis use on the sexual function of individuals aged 18 and over, based on scientific evidence from the past ten years. It addresses general aspects of sexual function and analyzes specific domains such as desire, pleasure, orgasm, lubrication, erection, satisfaction, and pain associated with sexual activity. By conducting a comprehensive search and synthesis of relevant studies, this review seeks to provide a clearer and more comprehensive understanding of how cannabis use influences sexual function, especially within the contemporary context of its increasing normalization. The research question was formulated using the PECO framework: Participants, Exposure, Comparison, and Outcomes. Eligibility Criteria Included studies were those that assessed sexual function among male and/or female participants aged 18 years or older who used cannabis medicinally or recreationally and were sexually active. Exclusion criteria included non-original studies, those without abstracts and/or full-text access, duplicate publications, studies conducted on animals, and studies involving participants who used substances other than cannabis. Search Strategies Searches were conducted in Web of Science, PubMed, and Scopus databases, limited to studies published between 2014 and August 2024, with no restrictions on geographic location. The search strategy employed MeSH terms: "cannabis; marijuana use; marijuana abuse; endocannabinoids; sexual behavior; coitus; sexual health; sexual dysfunction." Terms were combined using Boolean operators (AND, OR), and advanced search techniques were applied. The database-specific strategies included: (cannabis OR "marijuana use") AND ("sexual behavior" OR coitus OR "sexual health" OR "sexual dysfunction") ("marijuana abuse") AND ("sexual behavior" OR coitus OR "sexual health" OR "sexual dysfunction") (endocannabinoids) AND ("sexual behavior" OR coitus OR "sexual health" OR "sexual dysfunction")

Cited by 0Open access

Attention Bias for Sexual Words in Female Sexual Dysfunction

Courtney Beard, Nader Amir · Journal of Sex & Marital Therapy · 2010

Cognitive models suggest that attention processes maintain sexual dysfunction. However, few published studies have examined attention bias, and even fewer have studied female participants with sexual dysfunction. Using the Female Sexual Function Index, the authors classified undergraduates as experiencing sexual dysfunction (n = 28) or not (n = 28). The authors assessed whether participants showed attention bias for sexual words using a modified dot-probe task. As expected, female participants with sexual dysfunction showed an attention bias to sexual words, whereas control participants did not. The authors discuss implications for models of sexual dysfunction and clinical intervention.

Cited by 16Open access

Evaluation of Sexual Function in Breast Cancer Survivors Using Female Sexual Function Index: A Systematic Review

Marzieh Masjoudi, Zohre Keshavarz, Mohammad Esmaeil Akbari et al. · International Journal of Women s Health and Reproduction Sciences · 2018

Objectives: Breast cancer is known as one of the most common women’s neoplasms and the Diagnosis and Treatment of cancer has a great effect on women’s sexual function. Considering the high survival rates of breast cancer, attention to sexual function is very important as a domain in the quality of life. Therefore, this research aimed to review studies on women’s sexual function using the female sexual function index (FSFI). Materials and Methods: To this end, PubMed, Web of Science, Scopus, and ProQuest databases were considered and Iranian studies on sexual function in breast cancer, which were in Persian or English and used the FSFI tool, were selected in this regard. In addition, these studies were methodologically evaluated and the keywords included "breast cancer" and "sexual function", along with their synonyms. Results: A total of 128 studies were identified out of which 5 cases having the inclusion criteria were selected after reviewing the title, abstract, and quality assessment. The rate of sexual dysfunction in the survivors of breast cancer varied between 52.5% and 100%. Based on the domains of FSFI, the lack of desire and lubrication dysfunction were the most common disorders while satisfaction with sexual life obtained the highest score. Conclusions: Overall, it is necessary to systemically measure sexual dysfunction after cancer diagnosis and treatment employing an appropriate tool. Finally, effective interventions are required to improve sexual function.

Cited by 9Open access

Sexual Function After Treatment for Rectal Cancer: A Review

Vanessa P. Ho, Yoori Lee, Sharon L. Stein et al. · Diseases of the Colon & Rectum · 2011

Sexual function is one element of QOL that may be significantly altered following treatment for rectal cancer, but the incidence and contributing risk factors are generally poorly understood. Nevertheless, the impact of rectal cancer therapy on sexual function should be conveyed to patients preoperatively. In addition to helping patients evolve realistic expectations, it will help clinicians identify those for whom interventions may be appropriate. In the past 10 years, there has been an increase in the number of studies reporting sexual dysfunction following rectal cancer treatment. However, these studies are difficult to interpret collectively for a variety of reasons. Most importantly, sexual dysfunction lacks a standardized definition, which leads to poor comparability between studies. The best inclusive definitions describe sexual dysfunction as a collection of distinct symptoms, which differ for men and women. The absence of sexual activity is sometimes used as a surrogate for sexual dysfunction, but this is confounded by an individual's desire and opportunity for sexual activity, and may not be an accurate reflection of physiologic functionality. Additional factors complicating assimilation of studies include the absence of baseline data, missing data, small sample sizes, and heterogeneity in use of validated and nonvalidated instruments. The purpose of this article is to systematically review the contemporary literature reporting sexual function after rectal surgery to determine the overall risk of sexual dysfunction, evaluate possible contributing factors, and identify questions that should be addressed in future studies.

Cited by 151

Sexual dysfunction in Parkinson's disease.

D. L. Lambert, Cheryl Waters · PubMed · 1998

Sexual dysfunction is seen in a number of neurologic diseases. In this article we review normal human sexual response, some neurologic diseases in which sexual dysfunction is seen, and Parkinson's disease (PD). With PD there is often a reduction in sexual interest and function. The studies documenting these problems are detailed. In addition, we focus on the syndrome of hyper- or aberrant sexual function seen with pharmacotherapy of PD.

Cited by 14

Sexual Dysfunction in Women with Cancer: A Systematic Review of Longitudinal Studies

Thais Sousa Rodrigues Guedes, Marcello Barbosa Otoni Gonçalves Guedes, Rebeca de Castro Santana et al. · RePEc: Research Papers in Economics

Background: Several factors affect sexual function, including cancer development and treatment. This study summarized the risk of women with cancer of developing sexual dysfunctions. Methods: This systematic review was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). We searched the EMBASE, PubMed, LILACS, SciELO, CINAHL, Scopus, and Web of Science databases using the descriptors cancer, neoplasms, sexual dysfunction, sexual function, and women. The Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies assessed the quality of studies. Results: Sixteen studies were included in this review. Women with cancer presented sexual dysfunctions in 14 out of 16 included studies. The incidence of sexual dysfunctions ranged from 30% to 80%, while the risk of developing sexual dysfunction increased 2.7- and 3.5-fold in women with cervical and breast cancer, respectively. Conclusion: Different cancer treatments increase the risk of developing sexual dysfunction in women, especially desire, arousal, and orgasm, leading to biopsychosocial changes in the health of this population.

Cited by 0

[Animal models in sexual dysfunction].

Shizhou Deng, Wen-Jun Bai, Xiaofeng Wang · PubMed · 2007

Animal models in sexual dysfunction were reviewed to further improve the modeling methods and to promote the effectiveness of drug evaluation translation from animal models to humans. A MEDLINE search was performed to retrieve articles relating to animal models in sexual dysfunction. Researches on a variety of animal models in sexual dysfunction, with their own merits, has to a certain extent contributed to the understanding of sexual function. However, no models could give a fully accurate assessment of sexual function. The existing sexual function studies on animal models of interpretive function, the development mechanisms, the effects of drugs on sexual function and the clinical translation still have some deficiencies, but with their basic principles and ideas for the improvement of the models and the preservation of the valuable data of drugs and clinical trials.

Cited by 0

Sex Life after Surviving Breast Cancer: Factors Influencing Sexual Dysfunction among Young Women

Nilsson, Marianne, Wisting, Nicole · DiVA at Umeå University (Umeå University) · 2022

Few studies focus on sexual dysfunction among young women diagnosed with breast cancer. The aim of this study was to examine prevalence of sexual dysfunction over time among this group and to identify factors associated with sexual dysfunction. The specific research questions were 1) How does sexual function in young women with breast cancer change from 1.5 years to 3 years after diagnosis? 2) What factors are associated with sexual dysfunction in young women 3 years after receiving a breast cancer diagnosis? This study investigated several biopsychosocial factors such as current cancer treatment, sexual self-efficacy (SSE), body image, emotional distress, having children and relationship status and their associations with sexual dysfunction. Sexual dysfunction was assessed with the scale PROMIS® SexFS. Participants consisted of 260 women, who responded to a survey 1,5 respectively 3 years after being diagnosed with breast cancer at age 18-39. Dependent t-test and McNemar tests wereconducted to identify differences in sexual function over time. Multiple logistic regression analysis was conducted to identify factors associated with sexual dysfunction. Results showed that sexual dysfunction remained a common problem 3 years after diagnosis. Sexual dysfunction was more common among women who did not have children, was currently undergoing treatment, reported lower SSE, and more depressive symptoms. Future research should focus on developing interventions to improve SSE in order to improve sexual function for breast cancer survivors. Clinical implications include following up sexual function through dialogue with patients and offering medical aid and treatment.

Cited by 0Open access

Female sexual dysfunctionand digital era: To listen to voice of a female

Mohapatra, D, Mishra, Suvendu Narayan, Samantaray, Swayanka · Zenodo (CERN European Organization for Nuclear Research) · 2020

Abstract<br> Sexual function is a complex process involving interaction<br> between neural system, vascular system, endocrinological<br> and psychological system. Sexual dysfunction has it's<br> separate position in the classificatory system like DSM 5,<br> showing increasing importance. Although studies are less<br> showing the incidence and prevalence of sexual<br> dysfunction in females, it can be stated that in females it is<br> 43% as compared to males (31%). Among the various<br> types of sexual dysfunction most common type is low<br> sexual interest (26%). Less than one-third of females seek<br> medical attention for their sexual problems. Since the use<br> of digital technology is increasing now, it impacts on sexual<br> life is of great concern. Studies show that it has various<br> negative impacts where as some studies also show some<br> positive impacts. Adequate knowledge about sexual<br> function and dysfunction is essential for managing this<br> unreached area. The use of digital technology can be of<br> much help in not only providing education to the patient<br> but also help in managing some aspects of female sexual<br> dysfunction.

Cited by 0Open access

How Should We Approach the Diagnosis and Evaluation of Sexual Dysfunction in Patients With IBD?

Punyanganie S. de Silva, Sonia Friedman · 2024

Inflammatory bowel disease (IBD) often affects both men and women during their peak reproductive years,1 and it is not uncommon for patients to develop complications and concerns regarding sexual function. Previous studies have shown that about 40% to 66% of women and up to 44% of men with IBD report sexual dysfunction.2,3 In women, sexual dysfunction can occur at any of the 3 phases of sexual response, namely desire, arousal, and orgasm. In men, sexual dysfunction consists of erectile dysfunction, decreased libido, and abnormal ejaculation.

Cited by 0

Prevalence of Sexual Dysfunction in Women With Depressive Disorder at a Tertiary Hospital

Lila Devkota, Sagun Ballav Pant, Saroj Prasad Ojha et al. · Journal of Psychosexual Health · 2022

Background: Sexual dysfunction in female with depressive disorder is highly prevalent and strikingly understudied. Epidemiological and clinical studies have shown association between depression and impairments of sexual function. Despite high prevalence, there are limited studies regarding the prevalence of sexual dysfunction among female with depressive disorder in Nepal. Aims: This study was conducted to find out the prevalence of sexual dysfunction in female with depressive disorder in Nepal, their association with treatment status, and the level of psychological distress caused by it. Methods: A descriptive cross-sectional study was carried out among female with depression at Tribhuvan University Teaching Hospital, Nepal. The participants were grouped as drug naïve and under medication. Data were collected using semi-structured proforma, Beck Depression Inventory, Kessler 6+ Psychological Distress Scale, and Female Sexual Function Index. Data were tabulated and analyzed using Statistical Package for Social Sciences version 23. Results: The prevalence of sexual dysfunction was 58.82%, being 60.78% in drug-naïve cases and 56.86% in females suffering from depression and receiving medications. This study showed statistically significant association between sexual dysfunction and psychological distress but not with age, duration of marriage, number of children, occupational, and financial status. Conclusions: The study reported high prevalence of sexual dysfunction among female with depression. All domains of sexual function were affected and showed significant association with psychological distress. Therefore, assessment of sexual dysfunction in every female with depression is required to address the problem timely and efficiently.

Cited by 3Open access

Translational Perspective on the Role of Testosterone in Sexual Function and Dysfunction

Carol A. Podlasek, John P. Mulhall, Kelvin P. Davies et al. · The Journal of Sexual Medicine · 2016

Despite controversies concerning testosterone with regard to sexual function, basic science studies provide incontrovertible evidence for a significant role of testosterone in sexual function and suggest that properly administered testosterone therapy is potentially advantageous for treating male sexual dysfunction.

Cited by 69Open access

Effect of Mindfulness-based Intervention on the Treatment of Women’s Sexual Dysfunction: A Literature Scoping Review

Fatemeh Alahverdi, Naghmeh Shahbaztabari, Reza Dehghan Nayeri et al. · JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH · 2022

Introduction: The significance and role of sexual function in quality of life is an undeniable fact that should be taken into account in the care provided for individuals. The use of modern non pharmacological methods in the treatment of sexual dysfunction, especially in women, is required to be investigated. Aim: To review the effect of mindfulness-based interventions in the treatment of women’s sexual dysfunction in the previous studies. Materials and Methods: This literature scoping review was conducted on all observational and experimental studies published in Persian and English languages, from 2008 to 2021.The databases that were searched for relevant studies were Google Scholar, Web of Sciences, PubMed and Scopus. The keywords used for the search included, mindfulness, mindfulness-based interventions, sexual dysfunction, women. Data related to the study year of publication, place, type of study, sample population, and the effect of mindfulness-based interventions in the treatment of women’s sexual dysfunction were recorded. Results: A total of 742 studies were found, of which 23 studies were extracted. Among the reviewed articles, five articles (21.74%) are published in Persian and 18 articles (78.26%) in English. In total, 22 articles confirmed positive effects and one article found no effects on mindfulness-based interventions in improving sexual function in women suffering sexual dysfunction. Conclusion: Mindfulness-based interventions, though it is implemented based on different approaches (stress reduction, cognitive-behavioral and sex therapy), are effective in treating all types of sexual dysfunction in women.

Cited by 7Open access