{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T01:23:36Z","timestamp":1777339416820,"version":"3.51.4"},"reference-count":18,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2007,1,9]],"date-time":"2007-01-09T00:00:00Z","timestamp":1168300800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2007,2]]},"abstract":"<jats:p><jats:bold>Objective\u2002<\/jats:bold> The aim of this study was to assess the prevalence and associated factors of female sexual dysfunction (FSD) in Lower Egypt.<\/jats:p><jats:p><jats:bold>Design\u2002<\/jats:bold> A cross\u2010sectional clinic\u2010\/hospital\u2010based survey.<\/jats:p><jats:p><jats:bold>Setting\u2002<\/jats:bold> Five district medical centres in Dakahlia Governorate: Shirbin, Bilquas, Samblawen, Dekrinis and Mansoura City.<\/jats:p><jats:p><jats:bold>Population\u2002<\/jats:bold> One thousand married women aged between 16 and 49 years.<\/jats:p><jats:p><jats:bold>Methods\u2002<\/jats:bold> Data were collected by personal interview in a questionnaire format in addition to physical examination (when allowed).<\/jats:p><jats:p><jats:bold>Main outcome measures\u2002<\/jats:bold> FSD and associated risk factors.<\/jats:p><jats:p><jats:bold>Results\u2002<\/jats:bold> The response rate was 93.6%. 68.9% of women had one or more sexual problems; however, 23% of the women with sexual problems were not distressed by these issues. 31.5% of women suffered from dyspareunia. 49.6% of the women had decreased sexual desire, 36% had difficult arousal and 16.9% had anorgasmia (primary and secondary). Marital disharmony, \u2018hate\u2019 and unfavourable socio\u2010economic circumstances were the most common aggravating factors (28.1%) for sexual dysfunction among the participants, followed by pregnancy\u2010related events (15.7%). Most women (84.5%) received no help for their sexual problems. 90.3% of the women were circumcised. Only 7.1% (46 of 645) of women with sexual problems had received treatment, with no real improvement reported in 58.7% (27 of the 46 women).<\/jats:p><jats:p><jats:bold>Conclusions\u2002<\/jats:bold> FSD is a highly prevalent problem within the scope of this study. Low reporting rates and very low treatment rates were identified in the sample from Lower Egypt.<\/jats:p>","DOI":"10.1111\/j.1471-0528.2006.01106.x","type":"journal-article","created":{"date-parts":[[2007,1,9]],"date-time":"2007-01-09T23:25:24Z","timestamp":1168385124000},"page":"201-206","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":98,"title":["Female sexual dysfunction in Lower Egypt"],"prefix":"10.1111","volume":"114","author":[{"given":"AM","family":"Elnashar","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"EL\u2010Dien Ibrahim","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"MM","family":"EL\u2010Desoky","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"OM","family":"Ali","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M","family":"El\u2010Sayd Mohamed Hassan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,1,9]]},"reference":[{"key":"e_1_2_5_2_2","doi-asserted-by":"publisher","DOI":"10.2165\/00002512-200421100-00004"},{"key":"e_1_2_5_3_2","volume-title":"Diagnostic and Statistical Manual of Mental Disorders","author":"American Psychiatric Association","year":"1994"},{"key":"e_1_2_5_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.281.6.537"},{"key":"e_1_2_5_5_2","doi-asserted-by":"publisher","DOI":"10.1023\/A:1023224516753"},{"key":"e_1_2_5_6_2","first-page":"713","article-title":"Urogenital symptoms and their resulting discomfort in non\u2010institutionalized 50\u2010to\u201075\u2010years\u2010old Dutch women","volume":"140","author":"Van Gleen JM","year":"1996","journal-title":"Ned Tijschr Geneeskd"},{"key":"e_1_2_5_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0015-0282(02)04695-2"},{"key":"e_1_2_5_8_2","volume-title":"Female Genital Mutilation","author":"World Health Organization","year":"1996"},{"key":"e_1_2_5_9_2","first-page":"839","article-title":"Long term impact of circumcision on health of newly married females in Benha city","volume":"6","author":"Abd EL\u2010Hady RM","year":"1998","journal-title":"Zagazig University Med J"},{"key":"e_1_2_5_10_2","doi-asserted-by":"publisher","DOI":"10.1023\/B:ASEB.0000007462.97961.5a"},{"key":"e_1_2_5_11_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3901151"},{"key":"e_1_2_5_12_2","doi-asserted-by":"publisher","DOI":"10.1038\/sj.ijir.3901198"},{"key":"e_1_2_5_13_2","doi-asserted-by":"publisher","DOI":"10.1080\/00926239908403995"},{"key":"e_1_2_5_14_2","doi-asserted-by":"publisher","DOI":"10.1159\/000010152"},{"key":"e_1_2_5_15_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1479-828X.1999.tb03443.x"},{"key":"e_1_2_5_16_2","volume-title":"Principles and practices of sex therapy","author":"Leiblum SR","year":"2000"},{"key":"e_1_2_5_17_2","doi-asserted-by":"publisher","DOI":"10.1080\/02674659808406554"},{"key":"e_1_2_5_18_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00345-002-0272-5"},{"key":"e_1_2_5_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11920-996-0006-2"}],"container-title":["BJOG: An International Journal of Obstetrics &amp; Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1471-0528.2006.01106.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1471-0528.2006.01106.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,11]],"date-time":"2023-10-11T13:52:52Z","timestamp":1697032372000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1471-0528.2006.01106.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,1,9]]},"references-count":18,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2007,2]]}},"alternative-id":["10.1111\/j.1471-0528.2006.01106.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1471-0528.2006.01106.x","archive":["Portico"],"relation":{},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,1,9]]},"assertion":[{"value":"2007-01-09","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}