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Advisor(s)
Abstract(s)
Introduction. Sexual medicine would benefit from large representative surveys examining the prevalence of genital
female sexual arousal disorder (FSAD) symptoms (with and without the increasingly controversial distress criterion),
as well as novel FSAD correlates and potential “protective” factors.
Aims. To examine the extent to which genital FSAD symptoms, with and without a distress criterion, are associated
with both historical and current aspects of sexual behavior.
Methods. In a representative sample of the Czech population (aged 15–88), 1,000 women were asked whether they
currently have impaired lubrication and vaginal swelling (and if so, if this produces marked distress or interpersonal
difficulty). They provided details of vaginal orgasm (induced by penile–vaginal intercourse [PVI] without clitoral
masturbation) consistency, feelings during their first PVI, estimates of their typical foreplay and PVI durations, their
degree of mental focus on vaginal sensations during PVI, among other factors.
Main Outcome Measures. The current prevalence of FSAD with and without a distress criterion and their
associations with current and antecedent sexual behaviors and responses.
Results. The current prevalence of FSAD was 10.3% without, plus 7.5% with a distress criterion (which tended to
be associated with more impairments than without distress). History of vaginal orgasm (odds ratio = 2.78), never
masturbating (odds ratio = 2.4), not having felt pain and discomfort on first PVI (odds ratio = 2.27), and not having
frequent anal intercourse are protective against FSAD with distress, but not without distress. Age (especially over 50)
and inadequate focusing of mental attention on vaginal sensations during PVI are associated with increased FSAD
risk both with and without distress.
Conclusions. FSAD with and without distress appear to be different entities to some extent, with the distressed group
showing more long-term signs of psychosexual impairment. We suggest that FSAD with and without distress be
considered two different disorders.
Description
Keywords
Female sexual arousal disorder Sexual intercourse Attention Vaginal orgasm Masturbation Epidemiology
Citation
Journal of Sexual Medicine, 5, 3385-3394
Publisher
John Wiley & Sons