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Sexual function in women: what is normal?

  • IUGA Female Sexual Dysfunction Roundtable 2008
  • Published:
International Urogynecology Journal Aims and scope Submit manuscript

Abstract

Sexual function in women has often been measured by clinicians using parameters which appear easier to assess (frequency and pain). Therefore, the range of normality is often broad and of limited value when investigating population groups. The most important features to explore are satisfaction and/or distress with sexual activity. Although female sexual activity decreases with age, dissatisfaction also declines, and rates of female sexual dysfunction may not change significantly. There are cultural differences in sexual behaviour across the world, but overall a satisfying sexual life is important for women’s quality of life.

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References

  1. Declaration of Alma-Ata (1978). International Conference of Primary Health Care, Alma-Ata, USSR. http://www.who.int/hpr/archive/docs/almaata.html

  2. Hart G, Wellings K (2002) Sexual behaviour and its medicalisation: in sickness and in health. Br Med J 324:896–900

    Article  Google Scholar 

  3. Glatt AE, Zinner SH, McCormack WM (1990) The prevalence of dyspareunia. Ob Gynecol 75(3Pt1):433–436

    CAS  Google Scholar 

  4. Beckman N, Waern M, Gustafson D, Skoog I (2008) Secular trends in self reported sexual activity and satisfaction in Swedish 70 year olds: cross sectional survey of four populations, 1971–2001. BMJ 337:151–154

    Article  Google Scholar 

  5. Lindau ST, Schumm LP, Laumann EO, Levinson W, O’Muircheartaigh CA, Waite LJ (2007) A study of sexuality and health among older adults in the United States. N Engl J Med 357:762–774

    Article  PubMed  CAS  Google Scholar 

  6. Masters WH, Johnson VE (1966) Human sexual response. Little Brown, Boston

    Google Scholar 

  7. Kaplan HS (1995) The sexual desire disorders. Brunner-Routledge, New York

    Google Scholar 

  8. Basson R, Berman J, Burnett A, Derogatis L, Ferguson D, Fourcroy J et al (2000) Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. Urology 163:888–893

    Article  CAS  Google Scholar 

  9. Bancroft J, Loftus J, Long JS (2003) Distress about sex: a national survey of women in heterosexual relationships. Arch Sex Behav 32(3):193–208

    Article  PubMed  Google Scholar 

  10. American Psychiatric Association (2000) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric association, Washington DC

    Google Scholar 

  11. Laumann EO, Paik A, Rosen RC (1999) Sexual dysfunction in the United States: prevalence and predictors. JAMA 281(6):537–544

    Article  PubMed  CAS  Google Scholar 

  12. Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, Wang T, GSSAB Investigators Group (2005) Sexual problems among women and men aged 40–80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 17(1):39–57

    Article  PubMed  CAS  Google Scholar 

  13. Graziottin A (2007) Prevalence and evaluation of sexual health problems—HSDD in Europe. J Sex Med 4(Suppl 3):211–219

    Article  PubMed  Google Scholar 

  14. Nazareth I, Boynton P, King M (2003) Problems with sexual function in people attending London general practitioners:cross sectional study. Br Med J 327(7412):423

    Article  Google Scholar 

  15. Signorello LB, Harlow BL, Chekos AK, Repke JT (2001) Postpartum sexual functioning and its relationship to perineal trauma: a retrospective cohort study of primiparous women. Am J Obstet Gynecol 184(5):881–890

    Article  PubMed  CAS  Google Scholar 

  16. Barrett G, Pendry E, Peacock J, Victor C, Thakar R, Manyonda I (2000) Women’s sexual health after childbirth. BJOG 107(2):186–195

    Article  PubMed  CAS  Google Scholar 

  17. Hayes RD, Dennerstein L (2005) The impact of aging on sexual function and sexual dysfunction in women: A Review of population-based studies. J Sex Med 2:317–330

    Article  PubMed  Google Scholar 

  18. Hayes RD, Dennerstein L, Bennett CM, Fairley CK (2008) What is the “true” prevalence of female sexual dysfunctions and does the way we assess these conditions have an impact? J Sex Med 5(4):777–787

    Article  PubMed  Google Scholar 

  19. Diokno AC, Brown MB, Herzog AR (1990) Sexual function in the elderly. Arch Int Med 150(1):197–200

    Article  CAS  Google Scholar 

  20. Johnson AM, Mercer CH, Erens B, Copas AJ, McManus S, Wellings K, Kenton KA, Korovessis, MacDoweall W, Nanchahal K, Purdon S, Field J (2001) Sexual behaviour in Britain: partnership, practices, and HIV risk behaviors. Lancet 358;9296:1835–1842

    Article  Google Scholar 

  21. Sarrel PM, Whitehead MI (1985) Sex and menopause: defining the issues. Maturitas 1985 7(3):217–224

    Article  CAS  Google Scholar 

  22. Avis NE, Stellato R, Crawford S, Johannes C, Longcope C (2000) Is there an association between menopause status and sexual functioning? Menopause 7:286–288

    Article  Google Scholar 

  23. Ballinger SE (1985) Psychosocial stress and symptoms of the menopause: a comparative study of menopause clinic patients and non-patients. Maturitas 7:315–327

    Article  PubMed  CAS  Google Scholar 

  24. Cain VS, Johannes CB, Avis NE, Mohr B, Schocken M, Skurnick J et al (2003) Sexual functioning and practices in a multi-ethnic study of midlife women: baseline results from SWAN. J Sex Res 40(3):266–276

    Article  PubMed  Google Scholar 

  25. James WH (1983) Decline in coital rate with spouses’ ages and duration of marriage. J Biosoc Sci 15:83–87

    PubMed  CAS  Google Scholar 

  26. Pfeiffer E, Davies GC (1972) Determinants of sexual behaviour in middle and old age. J Am Geriatr Soc 20:151–158

    PubMed  CAS  Google Scholar 

  27. Hallstrom T, Samuelsson S (1990) Changes in women’s sexual desire in middle life: the longitudinal study of women in Gothenburg. Arch Sex Behav 19(3):259–268

    Article  PubMed  CAS  Google Scholar 

  28. Osborn M, Hawton K, Gath D (1988) Sexual dysfunction amongst middle aged women in the community. Br Med J 296(6627):959–962

    Article  CAS  Google Scholar 

  29. Hawton K, Gath D, Day A (1994) Sexual function in a community sample of middle-aged women with partners: effects of age, marital, socioeconomic, psychiatric, gynecological, and menopausal factors. Arch Sex Behav 23(4):375–395

    Article  PubMed  CAS  Google Scholar 

  30. Dennerstein L, Guthrie JR, Hayes RD, DeRogatis LR, Lehert P (2008) Sexual function, dysfunction and sexual dustress in a prospective, population based sample of mid-aged, Australian-born women. Int J Sex Med 5:2291–2299

    Article  Google Scholar 

  31. Hallstrom T (1977) Sexuality in the climacteric. Clin Obstet Gynecol 4(1):227–239

    CAS  Google Scholar 

  32. Dennerstein L, Smith AM, Morse AM, Burger H (1994) Sexuality and the menopause. J Psychosom Obstet Gynaecol 1994 15(1):59–66

    Article  CAS  Google Scholar 

  33. Dennerstein L, Randolph J, Taffe J, Dudley E, Burger H (2002) Hormones, mood, sexuality and the menopausal transition. Fertil Steril 77(Supp4):S42–48

    Article  PubMed  Google Scholar 

  34. Leiblum SR (2002) Menopausal women with HSDD report decreased sexual activity. Menopause 9:474

    Google Scholar 

  35. Sarrel PM (1990) Sexuality and menopause. Obstet Gynecol 75:26s–30

    PubMed  CAS  Google Scholar 

  36. Bachman GA, Leiblum SR (2004) The impact of hormones on menopausal sexuality. Menopause 11:120–130

    Article  Google Scholar 

  37. Cardozo L, Bachmann G, McClish D, Fonda D, Birgerson L (1998) Meta-analysis of estrogen therapy in the management of urogenital atrophy in postmenopausal women: second report of the Hormones and Urogenital Therapy Committee. Obstet Gynecol 92(4 Pt 2):722–727

    Article  PubMed  CAS  Google Scholar 

  38. Suckling J, Lethaby A, Kennedy R (2006) Local oestrogen for vaginal atrophy in postmenopausal women. Cochrane Database Syst Rev

  39. Leiblum S, Bachmann G, Kenmann E, Colburn D, Swatzman L. (1983) Vaginal atrophy in the postmenopausal woman. The importance of sexual activity and hormones. JAMA 249(16):195–198

    Article  Google Scholar 

  40. Burger HG, Dudley EC, Cui J, Dennerstein L, Hopper JL (2000) A prospective longitudinal study of serum testosterone, dehydroepiandrosterone sulfate, and sex hormone-binding globulin levels through the menopause transition. J Clin Endocrinol Metab 85:2032–2838

    Article  Google Scholar 

  41. Brown GW, Harris T (1978) Social origins of depression: a reply. Psychol Med 8(4):577–588

    Article  PubMed  CAS  Google Scholar 

  42. Hallstrom T (1977) Sexuality in the climacteric. Clin Obstet Gynaecol 4(1):227–239

    PubMed  CAS  Google Scholar 

  43. Gracia CR, Sammel MD, Freeman EW, Liu L, Hollander L, Nelson DB (2004) Predictors of decreased libido in women during the late reproductive years. Menopause 4;11(2):144–150

    Article  Google Scholar 

  44. Jaszmann L (1973) Epidemiology of climacteric and climacteric complaints. Front Hormone Res 2:22–34

    Google Scholar 

  45. Bachmann GA, Leiblum SR, Grill J (1989) 1989 Brief sexual inquiry in gynecologic practice. Obstet Gynecol 73(3 Pt 1):425–427

    PubMed  CAS  Google Scholar 

  46. Plouffe L (1985) Screening for sexual problems through a simple questionnaire. Am J Obstet Gynecol 151(2):166–169

    PubMed  Google Scholar 

  47. Berman L, Berman J, Felder S, Pollets D, Chhabra S, Miles M, Powell JA (2003) Seeking help for sexual function complaints: what gynecologists need to know about the female patient’s experience. Fertil Steril 79(3):572–576

    Article  PubMed  Google Scholar 

  48. Nusbaum MM, Helton MR, Ray N (2004) The changing nature of women’s sexual health concerns through the midlife years. Maturitas 49(4):283–291

    Article  PubMed  Google Scholar 

  49. Nusbaum MM, Braxton L, Strayhom G (2005) The sexual concerns of African American, Asian American, and white women seeking routine gynecological care. J Am Board Fam Pract 18(3):173–179

    Article  PubMed  Google Scholar 

  50. www.research.aarp.org/health/mmsexsurvey

  51. Bancroft J, Loftus J, Long JS (2003) Distress about sex: a national survey of women in heterosexual relationships. Arch Sex Behav 32(3):193–208

    Article  PubMed  Google Scholar 

  52. Dennerstein L, Lehert P (2004) Women’s sexual functioning, lifestyle, mid-age, and menopause in 12 European countries. Menopause 11(6 Pt 2):778–785

    Article  PubMed  Google Scholar 

  53. Fugl-Meyer AR, Fugl-Meyer K (1999) Sexual disabilities, problems and satisfaction in 18–74 year old Swedes. Scand J Sex 2:79–105

    Google Scholar 

  54. Nappi NE, Nijland EA (2008) Women’s perception of sexuality around the menopause: outcomes of a European telephone survey. Eur J Obstet Gynecol Reprod Biol 137(1):10–16

    Article  PubMed  Google Scholar 

  55. Nicolosi A, Laumann EO, Glasser DB, Moreira ED Jr, Paik A, Gingell C (2004) Global Study of Sexual Attitudes and Behaviors Investigators’ Group. Sexual behavior and sexual dysfunctions after age 40: the global study of sexual attitudes and behaviors. Urology 64(5):991–997

    Article  PubMed  Google Scholar 

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  1. Department of Academic Obstetrics and Gynecology, Chelsea and Westminster Hospital, London, UK

    Claudine Domoney

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  1. Claudine Domoney
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Correspondence to Claudine Domoney.

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Domoney, C. Sexual function in women: what is normal?. Int Urogynecol J 20 (Suppl 1), 9–17 (2009). https://doi.org/10.1007/s00192-009-0841-x

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  • DOI: https://doi.org/10.1007/s00192-009-0841-x

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