Low
Female Sexual Desire and Female Arousal and Orgasmic Difficulties
are
Common
November 3,
2008. The largest such study ever published finds that, while
about 40 percent
of women surveyed report having sexual problems, only 12
percent indicate that those issues
are a source of significant personal distress.
The report led by a Massachusetts General
Hospital (MGH) physician appears in the November issue of Obstetrics & Gynecology.
"Sexual problems are common in women, but problems associated
with personal distress,
those which are truly bothersome and affect a woman's quality of
life, are much less frequent."
says Jan Shifren, MD, of the MGH Obstetrics and Gynecology Service, who led the study.
"For a sexual concern to be
considered a medical problem, it must be associated with distress,
so it's important to
assess this in both research studies and patient care."
Several studies and surveys of sexual problems in women have
found problems with low
desire, diminished arousal or difficulties with orgasm in
approximately 40 percent of women,
but few of those have asked about levels of distress
associated with those problems. The
current study surveyed 32,000 women aged 18 to
over 100 from across the U.S. using a well-
established survey of sexual
function supplemented by a validated measure of a woman's
distress related to her
sex life -
including feelings of anger, guilt, frustration, and worry.
Some level of sexual problem was reported in 43 percent of
respondents - with 39 percent
reporting low levels of desire, 26 percent problems with arousal
and 21 percent difficulties with
orgasm. But distress related to any of these
problems was reported by only 12 percent of
study participants. Although the prevalence
of sexual problems was highest in women over 65,
that group reported the
lowest levels of distress, while distress was reported most frequently in
women
aged 45 to 64. The youngest group - those from 18 to 44 - had lower levels of both
problems and distress. Women with depression were more than twice as likely to
report
distress over any type of sexual problem as those not suffering from
depression.
"Although sexual problems were very common in women over age
65, these problems often
weren't associated with distress," Shifren says. "Several
factors could be behind the lower
levels of distress in the oldest group. If their
partners also have low desire, it may not be looked
on as a problem, or additional
health issues could be of greater concern.
"While distressing sexual problems are much less common in
women than sexual problems
overall, they still affect approximately one in eight adult
women," she adds. "As part of a
thorough health assessment, it's important that health
care providers ask their female patients if
they have sexual concerns and if
those problems are associated with distress. Although this
study did not examine treatments for sexual problems, effective options are available -
including
relationship counseling, treatment of associated medical conditions and
sex therapy." Shifren is
an associate professor of Obstetrics, Gynecology and Reproductive Biology at Harvard
Medical School.
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