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Female sexual dysfunction: Facts and factors among gynecology outpatients
Author(s) -
Jahan Muna Shalima,
Billah Syed Muhammad Baqui,
Furuya Hiroyuki,
Watanabe Tetsu
Publication year - 2012
Publication title -
journal of obstetrics and gynaecology research
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.597
H-Index - 50
eISSN - 1447-0756
pISSN - 1341-8076
DOI - 10.1111/j.1447-0756.2011.01648.x
Subject(s) - medicine , sexual intercourse , outpatient clinic , odds ratio , sexual dysfunction , sexual desire , human sexuality , confidence interval , orgasm , marital status , cross sectional study , confounding , gynecology , obstetrics , psychiatry , population , gender studies , environmental health , pathology , sociology
Aim: This study was aimed at assessing the female sexual dysfunction of respondents at gynecology outpatient clinics. Materials and Methods: The cross‐sectional study involved interviewing 137 female respondents from the gynecology outpatient department of Dhaka Medical College Hospital and Shaheed Suhrawardy Hospital with a semi‐structured questionnaire during March–August 2007. The sociodemographic details and sexual history with sexual problems were recorded. Results: Half (51.8%) the respondents had one or more sexual problems. Pain during intercourse (71.8%) and reduced desire (54.9%) were highest among different complaints followed by orgasmic (43.66%) and arousal problems (32.39%). Age and education were significantly associated with reduced desire ( P = 0.03). Delivery mode was significantly associated with inhibited desire ( P = 0.01) and arousal problems ( P = 0.003), and not significantly with pain ( P = 0.06). After adjusting confounding factors, parity (odds ratio [OR] = 3.4, 95% confidence interval [CI]: 1.21–9.68), history of menstrual regulation (OR = 2.84, 95%CI: 1.31–6.22), mental stress (OR = 2.81, 95%CI: 1.05–7.50) and sexual problems of the husband (OR = 3.16, 95%CI: 1.19–8.44) became risk factors for increasing odds of having dysfunction while increased frequency of intercourse showed a marginally significant reducing effect (OR = 0.764, 95%CI: 0.95–1.00). Conclusions: This is a pioneer study in Bangladesh to postulate female sexuality, revealing pain disorder as most prevalent; the women with dysfunction were dissatisfied with their sexual life. In order to determine the cause of female sexual dysfunction, the topic needs further exploration involving intervention at regular medical investigations.