Female sexual dysfunction in Lower Egypt

BJOG. 2007 Feb;114(2):201-6. doi: 10.1111/j.1471-0528.2006.01106.x.


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.

Publication types

  • Multicenter Study

MeSH terms

  • Adolescent
  • Adult
  • Arousal
  • Cross-Sectional Studies
  • Egypt / epidemiology
  • Female
  • Humans
  • Libido
  • Middle Aged
  • Parity
  • Pregnancy
  • Risk Factors
  • Sexual Dysfunction, Physiological / epidemiology*
  • Sexual Dysfunctions, Psychological / epidemiology*
  • Socioeconomic Factors