title: Female sexual dysfunction in a healthy Austrian cohort: prevalence and risk factors.
abstract: OBJECTIVE
  Data on prevalence and risk factors for female sexual dysfunction (FSD) are rare, particularly from Europe. Aim of our study was therefore to investigate this issue in a cohort of women undergoing a health investigation.
  
  
  METHODS
  A consecutive series of women aged 20-80 years participating in a health-screening project in Vienna underwent a detailed health investigation and completed a 23-item questionnaire on several aspects of FSD including desire, arousal, pain and orgasmic disorders. Prevalence of FSD in different age groups and risk factors for FSD were calculated.
  
  
  RESULTS
  A total of 703 women aged 43+/-15 years entered this study. Within the total study population, 22% reported on desire disorders, 35% on arousal disorders, and 39% on orgasmic problems, all of which increased significantly with age. Pain disorders were reported by 12.8% being most frequently in the women aged 20-39 years. In women aged 60-69 years, still 50% reported having at least "occasionally" sexual desire and 30% had more than two sexual intercourses per month. In this age group, 50% stated that a healthy sexual life is at least moderately important to them. Apart from age few risk factors for FSD were identified. Sportive activity was the only correlate to desire- and arousal disorders, psychological stress for orgasmic disorders.
  
  
  CONCLUSIONS
  This study provides insights into age-specific changes of FSD in apparently healthy women. The importance of this subject is underlined by the high prevalence of FSD particularly in the elderly paralleled by a persisting interest in sexual activity.
authors.affiliation: Department of Urology and Andrology, Donauspital, Langobardenstrasse 122, A-1220 Vienna, Austria.
authors.forename: Anton
authors.initials: A
authors.lastname: Ponholzer
authors.forename: Michaela
authors.initials: M
authors.lastname: Roehlich
authors.forename: Ursula
authors.initials: U
authors.lastname: Racz
authors.forename: Christian
authors.initials: C
authors.lastname: Temml
authors.forename: Stephan
authors.initials: S
authors.lastname: Madersbacher
mesh_terms: D000328:Adult; D017677:Age Distribution; D000368:Aged; D000428:Alcohol Drinking / Q000453:epidemiology; D001317:Austria / Q000453:epidemiology; D015331:Cohort Studies; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology; D004414:Dyspareunia / Q000453:epidemiology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007989:Libido; D008875:Middle Aged; D009043:Motor Activity; D015999:Multivariate Analysis; D016017:Odds Ratio; D015995:Prevalence; D012307:Risk Factors; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology*; D012959:Socioeconomic Factors; D013315:Stress, Psychological / Q000453:epidemiology