Large?Scale Survey Reveals Low Sexual Desire Most Common Distressing Female Sexual Problem
Posted Nov 30 2008 12:20pm
Large‐Scale Survey Reveals Low Sexual Desire Most Common Distressing Female Sexual Problem, Affecting Up to One in 10 Women
Ridgefield, CT, October 31, 2008 – Results from PRESIDE (Prevalence of Female Sexual Problems Associated with Distress and Determinants of Treatment Seeking), the largest survey assessing the prevalence of female sexual problems, show that low sexual desire is the most commonly reported sexual problem in women age 18 or older.1 In this new national survey of more than 31,000 women in the United States, published today in Obstetrics & Gynecology (the Green Journal), nearly one in 10 women reported low desire with sexually‐related personal distress1, a problem that can be a primary medical condition known as Hypoactive Sexual Desire Disorder (HSDD) or secondary to other chronic medical conditions (e.g., depression, thyroid conditions) or medication use. Participants in this survey were not clinically evaluated by a healthcare professional to determine the underlying causes of the reported sexual problems.
HSDD remains largely under‐diagnosed in the United States.2 The Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, defines HSDD as the persistent lack (or absence) of sexual fantasies or desire for any form of sexual activity marked by distress or interpersonal difficulty and not better accounted for by another disorder (except another sexual dysfunction), direct physiological effects of a substance (including medications) or a general medical condition.3
“Physicians who diagnose and treat women with sexual problems should also make sure to evaluate the patient’s level of distress associated with her problem,” said Jan L. Shifren, M.D., lead author of the study and director, Menopause Program, Vincent Obstetrics and Gynecology Service at Massachusetts General Hospital, Boston. “As distressing sexual problems were identified in approximately one in eight women, healthcare providers need to ask their patients about sexual concerns, and whether they are causing unhappiness, frustration or other distressing feelings that may be impacting their quality of life.”
In the PRESIDE survey, 44.2 percent of women reported experiencing any sexual problem.1 Low desire was most common, reported in 38.7 percent of all respondents; low arousal (26.1%) and orgasm difficulty (20.5%) were less frequent. Of all the women surveyed, 22.8 percent said they had sexually‐related personal distress.1
One in eight women (12%) said they had either low desire, low arousal or orgasm difficulty plus personal distress, meaning that, for example, the sexual issue caused the woman to feel frustrated, stressed, angry, embarrassed or unhappy.1 Low desire was the most common distressing sexual problem, affecting 10 percent of respondents, followed by arousal plus distress (5.4%) and orgasm difficulty plus distress (4.7%).1 Younger women (ages 18‐44; 10.8%) and middle‐aged women (45‐64; 14.8%) were more likely to suffer a distressing sexual problem than older women (65+; 8.9%).1 In addition, these women tended to have poor self‐assessed health and a low level of education as well as other health issues such as depression, anxiety, thyroid conditions and urinary incontinence.1
About PRESIDE PRESIDE is a cross‐sectional, population‐based, nationally‐representative survey of 31,581 adult women in the United States.1
As female sexual dysfunction is characterized by sexual problems associated with personal distress, two validated instruments were used. The Changes in Sexual Functioning Questionnaire (CSFQ‐14), a 14‐item validated tool, was used to capture a respondent’s self‐evaluation of current sexual behaviors and problems using a five‐point scale.1 The Female Sexual Distress Scale (FSDS), a 12‐item validated tool, measures a woman’s distress about her sex life, assesses guilt, frustration, stress, worry, anger, embarrassment and unhappiness during the past 30 days.1
Funding for PRESIDE was provided by Boehringer Ingelheim.
Boehringer Ingelheim Pharmaceuticals, Inc. Boehringer Ingelheim Pharmaceuticals, Inc., based in Ridgefield, CT, is the largest U.S. subsidiary of Boehringer Ingelheim Corporation (Ridgefield, CT) and a member of the Boehringer Ingelheim group of companies.
The Boehringer Ingelheim group is one of the world’s 20 leading pharmaceutical companies. Headquartered in Ingelheim, Germany, it operates globally with 135 affiliates in 47 countries and approximately 39,800 employees. Since it was founded in 1885, the family‐owned company has been committed to researching, developing, manufacturing and marketing novel products of high therapeutic value for human and veterinary medicine.
In 2007, Boehringer Ingelheim posted net sales of US $15.0 billion (10.9 billion euro) while spending approximately one‐fifth of net sales in its largest business segment, Prescription Medicines, on research and development. For more information, please visit http://us.boehringer‐ingelheim.com.
References 1 Shifren, JL. Sexual Problems and Distress in United States Women: Prevalence and Correlates. Expecting publication in the November issue of Obstetrics and Gynecology.
2 Bachmann G. Female sexuality and sexual dysfunction: are we stuck on the learning curve? J Sex Med. 2006 Jul;3(4):639‐45. Page 640.
3 American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Sexual and gender identity disorder. Fourth edition, Washington, DC: American Psychiatric Association; 2000:493‐538.