Female Sexual Dysfunction before and after Diagnosis of Infertility

Download Article

DOI: 10.21522/TIJPH.2013.09.04.Art019

Authors : Orji Ernest Okechukwu, Ogunjuyigbe Peter O


This study determined the prevalence, domain, and predictors of sexual dysfunction among 222 infertile women before and after Diagnosis of infertility in Ife East Senatorial district, Nigeria. They were interviewed using interviewer-administered questionnaire and Female Sexual Function Index assessment tool. Information about their sexual functions after marriage and before the couple started having difficulty in getting pregnant were obtained and compared with sexual functions after Diagnosis of infertility. Data management was done using SPSS Version22 and STATA 12. The Chi-square test was used to test associations. P-value of was set <0.05. Before infertility diagnosis, the prevalence of sexual dysfunction was 23.9%. After infertility diagnosis, this increased to 57.2%, P<0.001. The mean scores of female sexual function index for infertile patients were 29.57 ±5.10 before the infertility diagnosis but reduced to 24.42 ± 5.86 after infertility diagnosis P <0.001. The domain scores reduced after Diagnosis of infertility, and it shows statistical significance at P<0.001. Significant predictors at multivariate analysis include increasing maternal age, increasing duration of infertility, Hausa /Fulani tribe, and female genital mutilation. Infertility increases the prevalence of female sexual dysfunction and reduces the domain scores of sexual functions.

Keywords: Dysfunction, Female, Infertility, Sexual.


[1] Oberg, K., Fugl-Meyer, A. and Fugl-Meyer, K., 2004. On categorization and quantification of women’s sexual dysfunctions: An epidemiological approach. Int J Impot Res 16, 261–269 https://doi.org/10.1038/sj.ijir.3901151.

[2] Ljungman, L., Lampic, C., Wettergren, L., et al., 2020. Sexual Dysfunction Among Young Adults in Sweden—A Population-Based Observational Study. Sex Med; 8:631–642.

[3] Valadares, A, L., Pinto-Neto, A.M., Osis, M.J., et al., 2008 Prevalence of sexual dysfunction and its associated factors in women aged 40-65 years with 11years or more of formal education: a population-based household survey. Clinics (Sao Paulo); 63(6): 775-782.

[4] Alirezaei, S., Ozgoli, G., Alavi- Majd, H..2018 Evaluation of Factors Associated with Sexual Function in Infertile Women. International Journal of Fertility and Sterility.; J12(2):125-129.

[5] deMendonça, C.R., MatiasNo, J.T.,  Campol, P.M., do Amaral,  W.N.,.2017 Sexual dysfunction in infertile women: A systematic review and meta-analysis European Journal of Obstetrics Gynecology and Reproductive Biology 215(8):153-163.

[6] Millheiser, L.S., Helmer, A.E., Westphal, LM.; Millki, A.A., Lathii, R.B., 2010. Is an infertility risk factor for female sexual dysfunction? A case-control study. Fertility Sterility;94(6):2022-20025.

[7] Traeen, B., Stigum, H.,2010. Sexual problems in 18-67-year-old Norwegians. Scand J Public Health; 38:445-456.

[8] Gabr, A. A., Omran, E. F., Abdallah, A.A., Kotb, M. M., Farid, E.Z., Dieb, A. S., Belal, D. S.,2017. Prevalence of Sexual Dysfunction in Infertile versus Fertile Couples. European Journal of Obstetrics and Gynecology and Reproductive Biology; 2008.025.

[9] Vahid, R. F., Ayati, S., Mirzaeian, S., Shakeri, M.T., Akhtardel, H.,2009. Fertility Outcome After IVF And Related Factors. Journal of Gorgan University of Medical Sciences 11, 3 (31): 42 To 46.

[10]  Latif, E.Z. Diamond, M.P., 2013. Arriving at the Diagnosis of female sexual dysfunction. Fertile Sterile; Oct;100(4):898-904.

[11] Fajewonyomi, B. A., Orji, E. O., & Adeyemo, A. O., 2007. Sexual dysfunction among female patients of reproductive age in a hospital setting in Nigeria. Journal of Health, Population, And Nutrition 25(1), 101.

[12] Hayes, R., Dennerstein, L, M., 2005.The Impact of Aging on Sexual Function and Sexual Dysfunction in Women: A Review of Population-Based Studies. Journal Sexual Medicine;5(3):317-30.

[13] Mitchell, K.R., Mercer, C.H., Ploubidis, G.B., et al., 2013. Sexual function in Britain: Findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). Lancet; 382:1817-1829.

[14] Winkelman, W.D.,  Katz, P.P., Smith, J.F., Rowen, T.S., 2016. The Sexual impact of infertility among women seeking fertility care. Sex Med 4:190 197.

[15] Davari-TanhaM F., Mohseni, M., Gharjarzadeh, M., 2014. Sexual function in women with primary and secondary infertility in comparison with controls International Journal of Impotence Research; 26(4):132-4.

[16] Hendrick, L., Gijs, L., Enzlin, P., 2015.Age-related prevalence rates of sexual difficulties, sexual dysfunctions, and sexual distress in heterosexual women: Results from an online survey in Flanders. J Sex Med; 12:424-435.

[17] Abdullahi, H.M., Abdurrahman, A., Ahmed, Z.D., Tukur, J., 2019. Female sexual dysfunction among women attending the family planning clinic at Aminu Kano Teaching Hospital: A cross-sectional survey. Niger J Basic Clin Sci; 16:32-7.

[18] Okeke, T.C., Anyaehie, U.S.B., Ezenyeaku, C.C.K., 2012. An overview of female genital mutilation in Nigeria Annals of Medical Health Sciences Research; 2(1):70-73.

[19] Leye, E., Eekert, N., V,, Shamu, S., Esho, T., Barrett, H., and ANSER., 2019.Debating medicalization of Female Genital Mutilation/Cutting (FGM/C): learning from (policy)experiences across countries Reproductive Health;16:158 https://doi.org/10.1186/s12978-019-0817-3.