Female Sexual Dysfunction and Related Factors among Reproductive Age Women in Kaskan, Iran

Aim: Sexual function is influenced by different individual and environmental factors. Female sexual dysfunction (FSD) can lead to serious conditions for women and their family. The present study aimed to identify the prevalence and risk factors for FSD, in Kashan, Iran. Methods: In this cross-sectional study, a convenience sample of 200 women refering to educational gynecology clinics and meeting the inclusion criteria was selected in Kashan, Iran, 2014. Three anonymous self-administered questionnaires were completed by the participants: Demographic, the Female Sexual Function Index (FSFI), and the Depression, Anxiety and Stress Scale-21 (DASS-21). Chi-square, T-test, Mann Whitney's and Pearson's correlation coefficients were performed for the determination of factors associated with FSD. A score less than 28 out of a possible score of 36 suggests the presence of FSD based on FSFI. Findings: Of total participants, 119 (59.5%) had FSD. Thirty-nine percent reported desire disorders, 37% arousal disorders, 28.5% lubricant disorders, 24%5 orgasmic disorders, 19.5% pain disorders, and 22.5% satisfaction disorders. Sexual dysfunction was more common in depressed, anxious and stressed and low educated women with older age and longer duration of marriage. Conclusion: Sexual dysfunction is common among women and some demographic and emotional problems likely contribute to the experience of sexual dysfunction. This finding may have implications on the clinical evaluation of sexual function and identifying the effect of demographic and psychological factors on FSD in women.