title: Factors associated with sexual dysfunction; a population based study in Iranian reproductive age women.
abstract: BACKGROUND
  Sexual function results from complex interactions of neurovascular and endocrine factors. The prevalence of sexual dysfunction varies in different countries. This study aimed to determine the prevalence of sexual dysfunction and the related factors among reproductive age women in Iran.
  
  
  METHODS
  A community-based cross-sectional descriptive study was carried out on 784 married women living in urban areas of 4 provinces of Iran. Participants were recruited using a stratified, multistage probability cluster sampling method. Female sexual function was assessed using the Female sexual function index questionnaire. Data was analyzed using Spearman and logistic regression tests.
  
  
  RESULTS
  The results demonstrated 27.3% prevalence of sexual dysfunction including 0.8% severe, 20.3% moderate, and 6.3% mild sexual dysfunction. Among women with sexual dysfunction, the frequency of desire, arousal, lubrication, and orgasmic disorders were 35.6%, 39.9%, 18.9%, and 27.3%, respectively. Dyspareunia was reported by 56.1% of women. Among the participants, 15.2% were unsatisfied with their sexual life. There was a statistically significant relationship between sexual dysfunction and duration of married life, perceived attraction of spouse, overall satisfaction with routine life and the women's ability to express their sexual desires.
  
  
  CONCLUSIONS
  Sexual dysfunction is prevalent among Iranian women. A comprehensive service including counseling programs for sexual dysfunction at primary health care is highly recommended.
authors.affiliation: Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.msimbar@sbmu.ac.ir.
authors.forename: Fahimeh
authors.initials: F
authors.lastname: Ramezani Tehrani
authors.affiliation: Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Maryam
authors.initials: M
authors.lastname: Farahmand
authors.affiliation: The Research Center for Safe Motherhood, Department of Midwifery and Reproductive Health, Faculty of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
authors.forename: Masoumeh
authors.initials: M
authors.lastname: Simbar
authors.affiliation: School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
authors.forename: Hosein
authors.initials: H
authors.lastname: Malek Afzali
mesh_terms: D000293:Adolescent; D000328:Adult; D003430:Cross-Sectional Studies; D004414:Dyspareunia / Q000453:epidemiology / Q000209:etiology; D005260:Female; D006801:Humans; D007492:Iran / Q000453:epidemiology; D008875:Middle Aged; D015995:Prevalence; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology* / Q000209:etiology; D011795:Surveys and Questionnaires; D055815:Young Adult