Low Sexual Desire Most Common Female Sexual Problem, Large Study
October 31, 2008.
www.medicalnewstoday.com Results from the PRESIDE* survey, the
largest study assessing the prevalence of female sexual problems, show
that low sexual desire is the most commonly reported sexual problem in
women aged 18 or older.1 In the new survey of more than 31,000 women,
published today in Obstetrics & Gynecology (the Green Journal),
nearly one in 10 women said they experience low desire with
sexually-related personal distress, a condition that is medically referred
to as Hypoactive Sexual Desire Disorder (HSDD).1
HSDD, is defined in the Diagnostic and Statistical Manual of Mental
Disorders (DSM-IV) of the American Psychiatric Association, as diminished
feelings of sexual interest or desire, absent sexual thoughts or fantasies
and lack of responsive desire that causes marked distress or interpersonal
difficulties and is not caused by a medical condition or drug.2 HSDD is a
medical condition that remains largely under-diagnosed.3
"Physicians who diagnose and treat women with sexual problems should make
sure to evaluate the patient's level of distress associated with her
problem," said Jan L. Shifren, M.D., the leading author and director of
The Menopause Programme, Vincent Obstetrics and Gynaecology Service at
Massachusetts General Hospital, Boston. "As distressing sexual problems
were identified in approximately 1 in 8 women, health care providers need
to ask their patients about sexual concerns, and whether they are causing
unhappiness, frustration or other distressing feelings that may be
impacting their quality of life."
PRESIDE Results
In the PRESIDE survey, 44.2% of women reported experiencing a sexual
problem of some kind.1 Low desire was most common, reported in 38.7% of
the respondents1; low arousal (26.1%) and orgasm difficulty (20.5%) were
less frequent.1 Of all the women surveyed, 22.8% said they had
sexually-related personal distress.1
Low desire was the most common distressing sexual problem, affecting 10%
of respondents. It is twice as common as distress associated with arousal
(5.4%) or orgasm problems (4.7%).1 Low desire with associated distress was
prevalent in women of all ages but particularly pronounced in mid-life.1
About PRESIDE
PRESIDE is a cross-sectional, population-based, nationally-representative
survey of 31,581 adult women in the United States.1
As female sexual dysfunction is characterised by sexual problems
associated with personal distress, two validated instruments were used.
The Changes in Sexual Functioning Questionnaire (CSFQ-14), a 14-item
validated tool, was used to capture a respondent's self-evaluation of
current sexual behaviors and problems using a five-point scale.1 The
Female Sexual Distress Scale (FSDS), a 12-item validated tool, measures a
woman's distress about her sex life, assesses guilt, frustration, stress,
worry, anger, embarrassment, and unhappiness during the past 30 days.1
About DSM-IV
The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition,
defines HSDD as the persistent lack (or absence) of sexual fantasies or
desire for any form of sexual activity marked by distress or interpersonal
difficulty and not better accounted for by another disorder (except
another sexual dysfunction), direct physiological effects of a substance
(including medications) or a general medical condition.2
* Prevalence of Female Sexual Problems Associated with Distress and
Determinants of Treatment Seeking.
References
1. Shifren, JL et al. Sexual Problems and Distress in United States
Women: Prevalence and Correlates. Obstet Gynecol 2008; 112(5)
2- Sexual and gender identity disorders. In: American Psychiatric
Association. Diagnostic and Statistical Manual of Mental Disorders. 4th
Ed. Washington, DC: American Psychiatric Association; 2000:493-538
3. Bachmann G. Female sexuality and sexual dysfunction: are we stuck on
the learning curve? <I< Sex>. 2006 Jul;3(4):639-45.
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