Female sexual dysfunction in Lower Egypt
Article first published online: 9 JAN 2007
RCOG 2007 BJOG An International Journal of Obstetrics and Gynaecology
BJOG: An International Journal of Obstetrics & Gynaecology
Volume 114, Issue 2, pages 201–206, February 2007
How to Cite
Elnashar, A., EL-Dien Ibrahim, M., EL-Desoky, M., Ali, O. and El-Sayd Mohamed Hassan, M. (2007), Female sexual dysfunction in Lower Egypt. BJOG: An International Journal of Obstetrics & Gynaecology, 114: 201–206. doi: 10.1111/j.1471-0528.2006.01106.x
- Issue published online: 9 JAN 2007
- Article first published online: 9 JAN 2007
- Accepted 6 September 2006.
- female genital mutilation;
- sexual dysfunction
Objective The aim of this study was to assess the prevalence and associated factors of female sexual dysfunction (FSD) in Lower Egypt.
Design A cross-sectional clinic-/hospital-based survey.
Setting Five district medical centres in Dakahlia Governorate: Shirbin, Bilquas, Samblawen, Dekrinis and Mansoura City.
Population One thousand married women aged between 16 and 49 years.
Methods Data were collected by personal interview in a questionnaire format in addition to physical examination (when allowed).
Main outcome measures FSD and associated risk factors.
Results The response rate was 93.6%. 68.9% of women had one or more sexual problems; however, 23% of the women with sexual problems were not distressed by these issues. 31.5% of women suffered from dyspareunia. 49.6% of the women had decreased sexual desire, 36% had difficult arousal and 16.9% had anorgasmia (primary and secondary). Marital disharmony, ‘hate’ and unfavourable socio-economic circumstances were the most common aggravating factors (28.1%) for sexual dysfunction among the participants, followed by pregnancy-related events (15.7%). Most women (84.5%) received no help for their sexual problems. 90.3% of the women were circumcised. Only 7.1% (46 of 645) of women with sexual problems had received treatment, with no real improvement reported in 58.7% (27 of the 46 women).
Conclusions FSD is a highly prevalent problem within the scope of this study. Low reporting rates and very low treatment rates were identified in the sample from Lower Egypt.