Archives of Sexual Behavior

, Volume 19, Issue 4, pp 389–408 | Cite as

Incidence and prevalence of the sexual dysfunctions: A critical review of the empirical literature

  • Ilana P. Spector
  • Michael P. Carey


The research which has assessed the incidence and prevalence of sexual dysfunctions is reviewed. Twenty-three studies are evaluated. Studies completed with community samples indicate a current prevalence of 5–10% for inhibited female orgasm, 4–9% for male erectile disorder, 4–10% for inhibited male orgasm, and 36–38% for premature ejaculation. Stable community estimates with regard to the current prevalence of female sexual arousal disorder, vaginismus, and dyspareunia are not available. Recent studies completed with clinical samples suggest an increase in the frequency of orgasmic and erectile dysfunction and a decrease in premature ejaculation as presenting problems. Desire disorders have increased as presenting problems in sex clinics, with recent data indicating that males outnumber females. Methodological limitations of these studies are identified and suggestions for future research are offered.

Key words

sexual dysfunction prevalence incidence epidemiology sexuality 


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  1. American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders 3rd ed., rev., APA, Washington, DC.Google Scholar
  2. Ard, B. N., Jr. (1977). Sex in lasting marriages: A longitudinal study.J. Sex Res. 13: 274–285.Google Scholar
  3. Athanasiou, R., Shaver, P., and Tavris, C. (1970). Sex.Psychol. Today, July, pp. 39–51.Google Scholar
  4. Austin, D. F., and Werner, S. B. (1974).Epidemiology for the Health Sciences: A Primer on Epidemiologic Concepts and Their Uses Charles C Thomas, Springfield, IL.Google Scholar
  5. Bancroft, J., and Coles, L. (1976). Three years' experience in a sexual problems clinic.Br. Med. J. 1: 1575–1577.PubMedGoogle Scholar
  6. Bullard, D. G. (1988). The treatment of desire disorders in the medically ill and physically disabled. In Leiblum, S. R., and Rosen, R. C. (eds.),Sexual Desire Disorders, Guilford, New York.Google Scholar
  7. Burnap, D. W., and Golden, J. S. (1967). Sexually problems in medical practice.J. Med. Educ. 42: 673–680.PubMedGoogle Scholar
  8. Conte, H. R. (1983). Development and use of self-report techniques for assessing sexual functioning: A review and critique.Arch. Sex. Behav. 12: 555–576.PubMedGoogle Scholar
  9. Davis, C. M., Yarber, W. L., and Davis, S. L. (eds.). (1988).Sexuality-Related Measures: A Compendium Graphic Publishing, Lake Mills, IA.Google Scholar
  10. Derogatis, L. R., Fagan, P. J., Schmidt, C. W., Wise, T. N., and Gilden, K. S. (1986). Psychological subtypes of anorgasmia: A marker variable approach.J. Sex Marital Ther. 12: 197–210.PubMedGoogle Scholar
  11. Eysenck, H. (1960).Behaviour Therapy and the Neuroses Pergamon, Oxford.Google Scholar
  12. Filion, F. L. (1975–1976). Estimating bias due to nonresponse in mail surveys.Public Opinion Quart. 39: 482–492.Google Scholar
  13. Frank, E., Anderson, C., and Kupfer, D. J. (1976). Profiles of couples seeking sex therapy and marital therapy.Am. J. Psychiat. 133: 559–562.PubMedGoogle Scholar
  14. Frank, E., Anderson, C., and Rubenstein, D. (1978). Frequency of sexual dysfunction in “normal” couples.New Engl. J. Med. 299: 111–115.PubMedGoogle Scholar
  15. Garde, K., and Lunde, I. (1980a). Female sexual behavior, a study in a random sample of 40-year old women.Maturitas 2: 225–240.PubMedGoogle Scholar
  16. Garde, K., and Lunde, I. (1980b). Social background and social status: Influence on female sexual behavior, a random sample study of 40-year old Danish women.Maturitas 2: 241–246.Google Scholar
  17. Gebhard, P. H., and Johnson, A. B. (1979).The Kinsey Data: Marginal Tabulations of the 1938–1963 Interviews Conducted by the Institute for Sex Research W. B. Saunders, Philadelphia.Google Scholar
  18. Hawton, K. (1982). The behavioral treatment of sexual dysfunction.Br. J. Psychiat. 140: 94–101.Google Scholar
  19. Hawton, K. (1985).Sex therapy: A practical guide Jason Aronson, Northdale, NJ.Google Scholar
  20. Hite, S. (1976).The Hite Report: A Nationwide Study of Female Sexuality Dell, New York.Google Scholar
  21. Hunt, M. (1974).Sexual Behavior in the 70's Playboy, Chicago.Google Scholar
  22. Kaplan, H. S. (1974).The New Sex Therapy Brunner/Mazel, New York.Google Scholar
  23. Kaplan, H. S. (1979).Disorders of Sexual Desire Brunner/Mazel, New York.Google Scholar
  24. Kinsey, A. C., Pomeroy, W. B., and Martin, C. (1948).Sexual Behavior in the Human Male W. B. Saunders, Philadelphia.Google Scholar
  25. Kinsey, A. C., Pomeroy, W. B., Martin, C., and Gebhard, P. (1953).Sexual Behavior in the Human Female W. B. Saunders, Philadelphia.Google Scholar
  26. Leiblum, S. R., and Rosen, R. C. (1988).Sexual Desire Disorders, Guilford, New York.Google Scholar
  27. Levine, S. B., and Yost, M. A. (1976). Frequency of sexual dysfunction in a general gynecological clinic: An epidemiological approach.Arch. Sex. Behav. 5: 229–238.PubMedGoogle Scholar
  28. LoPiccolo, J., and Friedman, J. M. (1988). Broad-spectrum treatment of low sexual desire: Integration of cognitive, behavioral, and systematic therapy. In Leiblum, S. R., and Rosen, R. C. (eds.),Sexual Desire Disorders, Guilford, New York, pp. 107–144.Google Scholar
  29. Masters, W., and Johnson, V. (1970).Human Sexual Inadequacy Little, Brown, Boston.Google Scholar
  30. Myers, J. K., Weissman, M. M., Tischler, G. L., Holzer, C. E., Leaf, P. J., Orvaschel, H., Anthony, J. C., Boyd, J. H., Burke, J. D., Kramer, M., and Stoltzman, R. (1984). Sixmonth prevalence of psychiatric disorders in three communities: 1980–1982.Arch. Gen. Psychiat. 41: 959–970.PubMedGoogle Scholar
  31. Nettelbladt, P., and Uddenberg, N. (1979). Sexual dysfunction and sexual satisfaction in 58 married Swedish men.J. Psychosom. Res. 23: 141–147.PubMedGoogle Scholar
  32. Reading, A. E., and Wiest, W. M. (1984). An analysis of self-reported sexual behavior in a sample of normal males.Arch. Sex. Behav. 13: 69–83.PubMedGoogle Scholar
  33. Regier, D. A., Boyd, J. H., Burke, J. D., Jr., Rae, D. S., Myers, J. K., Kramer, M., Robins, L. N., George, L. K., Karno, M., and Locke, B. Z. (1988). One-month prevalence of mental disorders in the United States: Based on five epidemiologic catchment area sites.Arch. Gen. Psychiat. 45: 977–986.PubMedGoogle Scholar
  34. Renshaw, D. C. (1988). Profile of 2376 patients treated at Loyola Sex Clinic between 1972 and 1987.Sex. Marital Ther. 3: 111–117.Google Scholar
  35. Robins, L. N., Helzer, J. E., Weissman, M. M., Orvaschel, H., Gruenberg, E., Burke, J. D., and Regier, D. A. (1984). Lifetime prevalence of specific pyschiatric disorders in three sites.Arch. Gen. Psychiat. 41: 949–958.PubMedGoogle Scholar
  36. Rosenthal, R., and Rosnow, R. L. (1984).Essentials of Behavioral Research: Methods and Data Analysis McGraw-Hill, New York.Google Scholar
  37. Schover, L. R. (1981). Unpublished research. Cited by Schover, L. R. and Jensen, S. B. (1988).Sexuality Problems and Chronic Disease: A Comprehensive Approach Guilford Press, New York, pp. 59–60; 126–135.Google Scholar
  38. Schover, L. R., Evans, R. B., and von Eschenbach, A. C. (1987). Sexual rehabilitation in a cancer center: Diagnosis and outcome in 384 consultations.Arch. Sex. Behav. 16: 445–461.PubMedGoogle Scholar
  39. Schover, L. R., Friedman, J., Weiler, S., Heiman, J., and LoPiccolo, J. (1982). The multiaxial problem-oriented diagnostic system for the sexual dysfunctions: An alternative to DSM-III.Arch. Gen. Psychiat. 39: 614–619.PubMedGoogle Scholar
  40. Schover, L. R., and Jensen, S. B. (1988).Sexuality Problems and Chronic Disease: A Comprehensive Approach Guilford Press, New York.Google Scholar
  41. Schuman, S. H. (1986).Practice Based Epidemiology: An Introduction Gordon and Breach Science, New York.Google Scholar
  42. Swan, M., and Wilson, L. J. (1979). Sexual and marital problems in a psychiatric population.Br. J. Psychiat. 135: 310–314.Google Scholar

Copyright information

© Plenum Publishing Corporation 1990

Authors and Affiliations

  • Ilana P. Spector
    • 1
  • Michael P. Carey
    • 1
  1. 1.Department of PsychologySyracuse UniversitySyracuseUSA

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