Abstract

Female Sexual Dysfunction in Subfertility Patients vs. Those Seeking Fertility Control

Background: Female Sexual Dysfunction (FSD) and subfertility are common problems affecting approximately 43% and 20% of women respectively. Studies on the association of female sexual dysfunction and infertility are not much. The presented study compares the prevalence of female sexual dysfunction in patients on assessment for sub-fertility and those either seeking or already on fertility control services at a private sonolive clinic in Benha.

Methods: This was an analytical cross-sectional study. Eligible women of reproductive age (20-43years), attending the private sonolive infertility clinic in Benha Egypt in the period from January 2019 to July 2020 with complaints of subfertility, and those seeking fertility control services (as controls) were requested to fill a general demographic tool containing personal data and the Female Sexual Function Index (FSFI) questionnaire after informed consent. Sexual dysfunction was calculated as a percentage of patients not achieving an overall FSFI score of 26.55.

Results: The prevalence of female sexual dysfunction was 45% in the sub-fertile group and 35% in the fertility control group. The difference was statistically significant (p=0.006). The important affected items were desire and lubrication also infrequent coitus in the fertility window. Conclusion: The present study demonstrated a significant association between fertility status and the prevalence of female sexual dysfunction. Subfertility type was associated with sexual dysfunction especially the desire and lubrication which affect the whole score of sexual dysfunction.

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