title: Female sexual dysfunction in Lower Egypt.
abstract: OBJECTIVE
  The aim of this study was to assess the prevalence and associated factors of female sexual dysfunction (FSD) in Lower Egypt.
  
  
  METHODS
  A cross-sectional clinic-/hospital-based survey.
  
  
  METHODS
  Five district medical centres in Dakahlia Governorate: Shirbin, Bilquas, Samblawen, Dekrinis and Mansoura City.
  
  
  METHODS
  One thousand married women aged between 16 and 49 years.
  
  
  METHODS
  Data were collected by personal interview in a questionnaire format in addition to physical examination (when allowed).
  
  
  METHODS
  FSD and associated risk factors.
  
  
  RESULTS
  The response rate was 93.6%. 68.9% of women had one or more sexual problems; however, 23% of the women with sexual problems were not distressed by these issues. 31.5% of women suffered from dyspareunia. 49.6% of the women had decreased sexual desire, 36% had difficult arousal and 16.9% had anorgasmia (primary and secondary). Marital disharmony, 'hate' and unfavourable socio-economic circumstances were the most common aggravating factors (28.1%) for sexual dysfunction among the participants, followed by pregnancy-related events (15.7%). Most women (84.5%) received no help for their sexual problems. 90.3% of the women were circumcised. Only 7.1% (46 of 645) of women with sexual problems had received treatment, with no real improvement reported in 58.7% (27 of the 46 women).
  
  
  CONCLUSIONS
  FSD is a highly prevalent problem within the scope of this study. Low reporting rates and very low treatment rates were identified in the sample from Lower Egypt.
authors.affiliation: Department of Obstetrics and Gynaecology, Benha University Hospital, Benha, Egypt. elnashar53@hotmail.com
authors.forename: A M
authors.initials: AM
authors.lastname: Elnashar
authors.forename: M
authors.initials: M
authors.lastname: El-Dien Ibrahim
authors.forename: M M
authors.initials: MM
authors.lastname: El-Desoky
authors.forename: O M
authors.initials: OM
authors.lastname: Ali
authors.forename: M
authors.initials: M
authors.lastname: El-Sayd Mohamed Hassan
mesh_terms: D000293:Adolescent; D000328:Adult; D001143:Arousal; D003430:Cross-Sectional Studies; D004534:Egypt / Q000453:epidemiology; D005260:Female; D006801:Humans; D007989:Libido; D008875:Middle Aged; D010298:Parity; D011247:Pregnancy; D012307:Risk Factors; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology*; D020018:Sexual Dysfunctions, Psychological / Q000453:epidemiology*; D012959:Socioeconomic Factors