[Reproductive correlates of female sexual dysfunctions in Kohgilouyeh-Boyerahmad province: a population-based study]

ABSTRACT

This study aimed to determine the prevalence of female sexual dysfunction [FSD] and its relationship with reproductive variables in married women in urban areas of Kohgilouyeh-Boyerahmad Province. This cross-sectional study covered urban areas of Kohgilouyeh-Boyerahmad Province. Using a quota sampling method, an ad hoc questionnaire containing items on demographic and reproductive variables, was administered to women attending primary health care delivery centers. Sexual dysfunctions were defined by the DSM-IV criteria. Data were analyzed using binary logistic regression. A total of 1540 married women residing in urban areas were studied. The mean age of the respondents was 33.2 [SD=9.4] years and most were housewives [84.5%]. The self-reported frequencies of different FSDs were as follows loss of desire [35.1%], dyspareunia [34.9%, anorgasmia [34.5%] and loss of arousal [31.6%]. Binary logistic regression analysis showed the following risk factors for various FSDs loss of desire "age" [46 >/= y OR=3.07 [1.58-5.99]], "pelvic surgery' [Cesarean Section OR=1.57 [1.13-2.18]]. Loss of arousal "age" [36-45y" OR=2.20 [1.27-3.79]], "contraceptive method" [depoprovera/norplant/withdrawal OR = 1.81 [1.15-2.85]] anorgasmia "age at marriage" [7-15y OR =2.93 [1.33-6.42]], "contraceptive method" [depoprovera/norplant/withdrawal OR = 1.62 [1.06-2.49]], dyspareunia "age" [31-35y OR 0.48 [0.29-0.77]], "education" [high school OR =1.84 [1.10-3.07]], "contraceptive method" [condom OR= 1.80 [1.02-3.18]]. The findings indicate that FSD is prevalent in the study population. The effects of demographic and reproductive variables should be considered in management of these disorders