FEMALE SEXUAL DYSFUNCTION. UNSPOKEN TRUTH? HYDERABAD SINDH BASED STUDY
DOI:
https://doi.org/10.47672/ejhs.405Keywords:
Sexual Dysfunction, Hyderabad, Orgasm, FemaleAbstract
Background: Sexual cycle is complex and have so many phases. There are desires that initiates sex , which occur with or without stimulus. Sexual dysfunction is a problem that occurs during the sexual response cycle that inhibits person from sexual satisfaction .It is difficult to estimate the prevalence of sexual dysfunction in women because of religious grounds, natural shyness, illiteracy, and unawareness of sexual education.
Objective: To determine female sexual dysfunction in non-diabetic young female of Hyderabad, and to enhance awareness of this taboo problem in women.
Material and methods: This cross-sectional questionnaire based study includes 276 married non diabetic females, enrolled by non-probability convenience sampling from OPD of private clinics of sadder Hyderabad. Study was conducted in l accordance with the guidelines for Declaration of Helsinki and data was collected after obtaining participants consents. All women were interviewed according to questionnaire designed in local aspects by modifying female sexual scale which contained 19 different questions, most of them having score from 1 to 5 or -1 to -5. This scale has been modified in local languages in Urdu and Sindhi. All data was entered and analyzed using statistical package for social sciences version 22.0.
Results: The mean age was 23±9.5 years, mean BMI was 24±5.5, mean duration of marriage was5.6±4.3 years, (24%) didn’t conceived after 2 years of marriage.(55%) had 2 or more children, Contraceptives user were 24±5.6 Pain was experienced during coitus by (15%), decreased desire in (20%),decreased secretion during foreplay in (15%) lack of orgasm in (30%) and arousal failure in (10% )and only (10%) had mixed disorder.(30%) had orgasm failure score of 25 and p value adjusted with age 0.03, arousal failure was in 10% but score was very low -10, p value was0.04.
Conclusion: Awareness and decreasing shyness barriers of sexuality are increasing among the women. Women are seeking a sexual solution, which is the first step toward proper treatment plan.Downloads
References
-Hayes RD. Circular and linear modeling of female sexual desire and arousal. J Sex Res. 2011;48(2–3):130–141.
-2-Rogalski MJ, Kellogg-Spadt S, Hoffmann AR, et al. Retrospective chart review of vaginal diazepam suppository use in high-tone pelvic floor dysfunction. Int Urogynecol J. 2010;21:895–9.
-Hayes RD, Bennett CM, Fairley CK, Dennerstein L. What can prevalence studies tell us about female sexual difficulty and dysfunction? J Sex Med. 2006;3(4):589–595.
- Potter, J.E. A 60-year-old woman with sexual difficulties. JAMA. 2007; 297: 620–63
- American Psychiatric Association. Sexual dysfunctions. In: American Psychiatric Association, editor. Diagnostic and Statistical Manual of Mental Disorders (DSM-5). 5th ed. Washington, DC: American Psychiatric Publishing; 2013
- Faubion SS, Rullo JE. Sexual dysfunction in women: a practical approach. Am Fam Physician. 2015;92(4):281–288.
- Sharma JB, Kalra B. Female sexual dysfunction: assessment. J Pak Med Assoc. 2016;66(5):623–626
- Hatzichristou, D., Rosen, R.C., Derogatis, L.R., Low, W.Y., Meuleman, E.J.H., Sadovsky, R. et al. Recommendations for the clinical evaluation of men and women with sexual dysfunction. J Sex Med. 2010; 7: 337–348
- Frank, F.E., Mistretta, P.M., and Will, J. Diagnosis and treatment of female sexual dysfunction. Am Fam Phys. 2008; 77: 635–642
- Roy P, Manohar S, Raman R, Rao TS, Darshan MS. Female sexual dysfunction: A comparative study in drug naive 1st episode of depression in a general hospital of South Asia. Indian J Psychiatry. 2015; 57:242.
- Adhi M, Hasan R, Shoaib S, Tauheed S. Age and symptomatology of menopause in Karachi, Pakistan. Pak J Physiol. 2007; 3:41
- Elnashar A, El-Dien Ibrahim M, El-Desoky M, Ali O, El-Sayd Mohamed Hassan M. Female sexual dysfunction in Lower Egypt. BJOG. 2007;114:201–206. doi:10.1111/j.1471-0528.2006.01106
- Shrifen, J.L., Monz, B.U., Russo, P.A., Segreti, A., and Johannes, C.B. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008; 112: 970–978
- Kingsberg SA, Woodard T. Female sexual dysfunction: focus on low desire. Obstet Gynecol. 2015;125(2):477–486.
- Rosen R, Brown C, Heiman J, et al. The female sexual function index (FSFI): a multidimensional self-report instrument for the assessment of female sexual dysfunction. J Sex Marital Ther. 2000;26(2):191–208
-Omaima Ezzat Mahmoud Amal RoshdiAhmed. Patterns of female sexual dysfunction in premenopausal women with moderate to severe depression in Beni-Suef, Egypt Middle East Fertility Society Journal. vol 23, 12 2018 ; 501-504.
- Shifren J, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008;112(5):968–969.
- Basirnia A, Izadian ES, Arbabi M, Bayay Z, Vahdat SV, Noorbala AA, et al. Systematic review of prevalence of sexual disorders in Iran. Iran JPsychaitry 2007; 2: 151-56.
- S.H. Kennedy, S.E. Dickens, B.S. Eisfeld, R.M. Bagby, Sexual dysfunction before antidepressant therapy in major depression, J. Affect Disorders 56 (1999) 201– 208.
- Maryam Naim,Erum Bhutto .Sexuality during Pregnancy in Pakistani Women ( Final Year Medical Students, The Aga Khan University Hospital, Karachi(JPMA 50:38, 2000
- Wallwiener CW, Wallwiener LM, Seeger H, Muck AO, Bitzer J, Wallwiener M. Prevalence of sexual dysfunction and impact of contraception in female German medical students. J Sex Med. 2010;7:2139–2148
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