title: Female sexual dysfunction: prevalence and risk factors.
abstract: OBJECTIVE
  Sexual dysfunction adversely affects quality of life, self esteem and interpersonal relationships and it may often be responsible for psychopathological disturbances. The purpose of this study was to explore the prevalence and associated risk factors for Female Sexual Dysfunction (FSD) in women with Kurdish culture from western Iran .
  
  
  METHODS
  This was a cross-sectional descriptive survey which included 400 women aged 18-50 years old, married, from Ilam-IR, who were interviewed as per the Iranian version of Female Sexual Function Index (FSFI). The subjects were randomly selected from 4 primary health centres.
  
  
  RESULTS
  According to the findings, 185 (46.2%) women reported FSD. Prevalence of FSD increased with age, from 22% in women aged <20 years to 75.7% in women aged 40-50 years. FSD was detected as a desire problem in 45.3% of women, an arousal problem in 37.5%, a lubrication problem in 41.2%, an orgasm problem in 42.0%, a satisfaction problem in 44.5% and a pain problem in 42.5%. The educational level was inversely correlated with the risk of FSD (OR: 1.54 ,95% CI: 1.09-2.13). Patients with FSD were significantly more likely to be older than 40 years (OR: 2.23, 95% CI: 1.12-2.68), who had sexual intercourse fewer than 3 times a week (OR:1.85, 95% CI: 1.23-1.99), who had been married for 10 years or more (OR:1.76, 95% CI: 1.04-1.97), who had 3 children or more (OR: 1.48, 95% CI: 0.97-1.24), who had husbands aged 40 years or more (OR: 2.11, 95% CI: 1.35-2.37) and who were unemployed (OR: 1.34, 95% CI: 1.06-1.63). No significant differences were detected in smoking history, residences and contraception methods used (p>0.05).
  
  
  CONCLUSIONS
  FSD needs to be recognized as a significant public health problem in Kurd women. Further research, particularly studies on awareness and competency of physicians in the management of FSD, is required.
authors.affiliation: Faculty (Nursing & Midwifery), Department of Midwifery, Ilam University of Medical Science , Ilam, IR-Iran. PO Box : 69318-47150 Ilam Iran .
authors.forename: Molouk
authors.initials: M
authors.lastname: Jaafarpour
authors.affiliation: Faculty (Nursing & Midwifery), Department of Midwifery, Ilam University of Medical Science , Ilam, IR-Iran. PO Box : 69318-47150 Ilam Iran .
authors.forename: Ali
authors.initials: A
authors.lastname: Khani
authors.affiliation: Faculty (Nursing & Midwifery), Department of Midwifery, Ilam University of Medical Science , Ilam, IR-Iran. PO Box : 69318-47150 Ilam Iran .
authors.forename: Javaher
authors.initials: J
authors.lastname: Khajavikhan
authors.affiliation: Faculty (Nursing & Midwifery), Department of Midwifery, Ilam University of Medical Science , Ilam, IR-Iran. PO Box : 69318-47150 Ilam Iran .
authors.forename: Zeinab
authors.initials: Z
authors.lastname: Suhrabi
keywords: Iranian; Risk factors; Sexuality; Women