Skip to main content

Advertisement

Log in

The Relationship Between Sleep and Sexual Function in Women

  • Female Sexual Dysfunction and Disorders (A Stanton, Section Editor)
  • Published:
Current Sexual Health Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Sleep and sexual problems in women are common. They often co-exist and may negatively impact women’s quality of life. The aim of this review is to present the current evidence on the associations of sleep and sexual problems in women.

Recent Findings

Despite the heterogeneity in the aims and methodologies, most of the research has supported an association between sleep disturbances and sexual problems in women. Some studies specifically demonstrated an association between obstructive sleep apnea and worse sexual function in women. Poor sleep quality was associated with worse sexual arousal and orgasm in women, as well as more sexual dissatisfaction and sexual distress. Furthermore, the treatment of sleep apnea and good sleep quality were linked with better sexual function in women. It is possible that other psychosocial or biological factors that impact both sleep and sexual function may be mediating the relationship between these outcomes.

Summary

The collective evidence presented supports an association between sleep and sexual problems in women. Specifically, both obstructive sleep apnea and poor sleep quality are associated with risk for sexual problems in women. Thus, clinicians should be aware of these associations and consider screening for sexual dysfunction in women with these sleep issues. Additional research utilizing tools that assess distress as part of the determination of sexual dysfunction and are followed longitudinally may provide further insights into the relationships identified.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance

  1. Bhaskar S, Hemavathy D, Prasad S. Prevalence of chronic insomnia in adult patients and its correlation with medical comorbidities. J Family Med Prim Care. 2016;5(4):780–4.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Mong JA, Cusmano DM. Sex differences in sleep: impact of biological sex and sex steroids. Philos Trans R Soc Lond B Biol Sci. 2016;371(1688):20150110.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Senaratna CV, Perret JL, Lodge CJ, Lowe AJ, Campbell BE, Matheson MC, et al. Prevalence of obstructive sleep apnea in the general population: a systematic review. Sleep Med Rev. 2017;34:70–81.

    Article  PubMed  Google Scholar 

  4. Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol. 2008;112(5):970–8.

    Article  PubMed  Google Scholar 

  5. McCabe MP, Sharlip ID, Lewis R, Atalla E, Balon R, Fisher AD, et al. Incidence and prevalence of sexual dysfunction in women and men: a consensus statement from the Fourth International Consultation on Sexual Medicine 2015. J Sex Med. 2016;13(2):144–52.

    Article  PubMed  Google Scholar 

  6. Kling JM, Kapoor E, Faubion SS. Interactions of sleep and female sexual function: a review. Curr Sex Health Rep. 2018;10:339–44.

    Article  Google Scholar 

  7. Pengo MF, Won CH, Bourjeily G. Sleep in women across the life span. Chest. 2018;154(1):196–206.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Panahi R, Anbari M, Javanmardi E, Ghoozlu KJ, Dehghankar L. The effect of women’s sexual functioning on quality of their sexual life. J Prev Med Hyg. 2021;62(3):E776–81.

    PubMed  PubMed Central  Google Scholar 

  9. Kingsberg SA. Attitudinal survey of women living with low sexual desire. J Womens Health (Larchmt). 2014;23(10):817–23.

    Article  PubMed  Google Scholar 

  10. Baker FC, et al. Sleep and sleep disorders in the menopausal transition. Sleep Med Clin. 2018;13(3):443–56. https://doi.org/10.1016/j.jsmc.2018.04.011.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Cappuccio FP, Stranges S, Kandala NB, Miller MA, Taggart FM, Kumari M, et al. Gender-specific associations of short sleep duration with prevalent and incident hypertension: the Whitehall II Study. Hypertension. 2007;50(4):693–700.

    Article  CAS  PubMed  Google Scholar 

  12. Shokri-Kojori E, Wang GJ, Wiers CE, Demiral SB, Guo M, Kim SW, et al. β-Amyloid accumulation in the human brain after one night of sleep deprivation. Proc Natl Acad Sci U S A. 2018;115(17):4483–8.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  13. Association AP. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition 2013 [Available from: https://doi.org/10.1176/appi.books.9780890425596.

  14. Liu L, Kang R, Zhao S, Zhang T, Zhu W, Li E, et al. Sexual dysfunction in patients with obstructive sleep apnea: a systematic review and meta-analysis. J Sex Med. 2015;12(10):1992–2003.

    Article  PubMed  Google Scholar 

  15. Stavaras C, Pastaka C, Papala M, Gravas S, Tzortzis V, Melekos M, et al. Sexual function in pre- and post-menopausal women with obstructive sleep apnea syndrome. Int J Impot Res. 2012;24(6):228–33.

    Article  CAS  PubMed  Google Scholar 

  16. Fanfulla F, Camera A, Fulgoni P, Chiovato L, Nappi RE. Sexual dysfunction in obese women: does obstructive sleep apnea play a role? Sleep Med. 2013;14(3):252–6.

    Article  PubMed  Google Scholar 

  17. Steinke E, Palm Johansen P, Fridlund B, Broström A. Determinants of sexual dysfunction and interventions for patients with obstructive sleep apnoea: a systematic review. Int J Clin Pract. 2016;70(1):5–19.

    Article  CAS  PubMed  Google Scholar 

  18. Kabak M, Akbudak M. Obstructive sleep apnea syndrome as a potential cause of sexual dysfunction in women: sexual dysfunction in women. Sleep Breath. 2021;25(3):1511–7.

    Article  PubMed  Google Scholar 

  19. Skoczyński S, Nowosielski K, Minarowski Ł, Brożek G, Oraczewska A, Glinka K, et al. Sexual disorders and dyspnoea among women with obstructive sleep apnea. Adv Med Sci. 2020;65(1):189–96.

    Article  PubMed  Google Scholar 

  20. Jara SM, Hopp ML, Weaver EM. Association of continuous positive airway pressure treatment with sexual quality of life in patients with sleep apnea: follow-up study of a randomized clinical trial. JAMA Otolaryngol Head Neck Surg. 2018;144(7):587–93. This study showed improved sleep in women with OSA treated with CPAP for 12 months.

  21. Kling JM, Manson JE, Naughton MJ, Temkit M, Sullivan SD, Gower EW, et al. Association of sleep disturbance and sexual function in postmenopausal women. Menopause. 2017;24(6):604–12.

    Article  PubMed  PubMed Central  Google Scholar 

  22. Kalmbach DA, Arnedt JT, Pillai V, Ciesla JA. The impact of sleep on female sexual response and behavior: a pilot study. J Sex Med. 2015;12(5):1221–32.

    Article  PubMed  Google Scholar 

  23. Costa R, Costa D, Pestana J. Subjective sleep quality, unstimulated sexual arousal, and sexual frequency. Sleep Sci. 2017;10(4):147–53.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Costa RM, Oliveira TF. Poorer subjective sleep quality is related to higher fantasy-induced sexual arousal in women of reproductive age. J Sex Marital Ther. 2016;42(8):740–8.

    Article  PubMed  Google Scholar 

  25. Smith L, Grabovac I, Veronese N, Soysal P, Isik AT, Stubbs B, et al. Sleep quality, duration, and associated sexual function at older age: findings from the english longitudinal study of ageing. J Sex Med. 2019;16(3):427–33. This study evaluated the relationship between sleep disturbace and specific sexual functions including orgasm and arousal dysfunction.

  26. Lee DM, Tetley J. Sleep quality, sleep duration and sexual health among older people: findings from the English Longitudinal Study of Ageing. Arch Gerontol Geriatr. 2019;82:147–54. This study evaluated the relationship between sleep disturbace and specific sexual functions including orgasm and arousal dysfunction.

  27. Kling JM, Kapoor E, Mara K, Faubion SS. Associations of sleep and female sexual function: good sleep quality matters. Menopause. 2021;28(6):619–25. This study identified a relationship between poor sleep quality, but not duration, and sexual dysfunction.

  28. Seehuus M, Pigeon W. The sleep and sex survey: relationships between sexual function and sleep. J Psychosom Res. 2018;112:59–65.

    Article  PubMed  Google Scholar 

  29. Kalmbach DA, Kingsberg SA, Roth T, Cheng P, Fellman-Couture C, Drake CL. Sexual function and distress in postmenopausal women with chronic insomnia: exploring the role of stress dysregulation. Nat Sci Sleep. 2019;11:141–53.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Lastella et al. Sex and sleep: perceptions of sex as a sleep promoting behavior in the general adult population. Front Public Health. 2019;7:33. https://doi.org/10.3389/fpubh.2019.00033. eCollection 2019.

  31. Richters J, Badcock PB, Simpson JM, Shellard D, Rissel C, de Visser RO, et al. Design and methods of the second Australian study of health and relationships. Sex Health. 2014;11:383–96. https://doi.org/10.1071/SH14115.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

The authors would like to thank Lisa Marks at Mayo Clinic Library for her significant contribution in conducting this literature search.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Juliana M. Kling.

Ethics declarations

Competing Interests

Dr. Kling has consulted in the past for Proctor and Gamble and Triangle Insights Group. Dr. Kapoor reports personal fees from Astellas Pharmaceuticals, grants and personal fees from Mithra Pharmaceuticals, personal fees from Womaness, outside the submitted work. Otherwise, no other conflicts of interest exist to be reported.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Additional information

Publisher's Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

This article is part of the Topical Collection on Female Sexual Dysfunction and Disorders.

Rights and permissions

Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Al-Badri, M., Kapoor, E., Faubion, S.S. et al. The Relationship Between Sleep and Sexual Function in Women. Curr Sex Health Rep 14, 231–238 (2022). https://doi.org/10.1007/s11930-022-00347-6

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11930-022-00347-6

Keywords

Navigation