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ERRATUM, The Journal of Sexual Medicine, Volume 7, Issue 2_part_1, February 2010, Page 856, https://doi.org/10.1111/j.1743-6109.2010.01759.x
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Women’s Sexual Desire and Arousal Disorders
Lori A. Brotto, PhD, Johannes Bitzer, MD, PhD, Ellen Laan, PhD, Sandra Leiblum, PhD, and Mijal Luria, MD
Correction for The Journal of Sexual Medicine2008;7(1):586–614.
The last entry on Table 2 on page 590 was formatted incorrectly. Below is the table as it should have appeared:
Prevalence of sexual desire and arousal difficulties in cross-sectional representative studies
Study . | Sample characteristics . | Age . | In a sexual relationship . | Distress measured . | Prevalence of desire difficulties . | Prevalence of arousal difficulties . |
---|---|---|---|---|---|---|
Laumann et al. [36] | 1,749 American women (NHSLS) | 18–59 | Had to be sexually active over the past 12 months | No | 27–32% Critical symptom for diagnosis had to be present in the past 12 months | 20.6% trouble lubricating |
Fugl-Meyer and Fugl-Meyer [37] | 1,335 Swedish women | 18–74 | Not necessary | Indirectly with the question: “Has this been a problem in your sexual life during the last year?” | Sexual disability was defined as having low desire quite often/nearly all the time/all the time=34%. Among these, 43% viewed it as a problem. Symptom had to have occurred in the past 12 months | Sexual disability was defined as having insufficient vaginal lubrication during intercourse quite often/nearly all the time/all the time=12%. Among these, 63% viewed it as a problem. |
Mercer et al. [38] | 11,161 British men and women (NATSAL) | 16–44 | Must have had at least one partner in past year | No | Low desire lasting 1 month: 40%; lasting 6 months: 10% | Lubrication problems lasting 1 month: 9.2%; lasting 6 months: 2.6% |
Bancroft et al. [28] | 987 American women; half were African-American | 20–65 | Not necessary | Assessed distress over the relationship and distress to one’s own sexuality | Low desire: 7.2% Sexual experiences over the preceding month were assessed | Lubrication problems: 31.2%; Impaired arousal: 12.2% |
Oberg et al. [26] | 1,056 Swedish women recruited in 1996 | 19–65 | Must have had sexual intercourse once in past year | Manifest distress: experienced quite often, nearly all the time, or all of the time | Low desire: Manifest—29%; Mild—60% Symptoms were assessed over the previous 12 months | Insufficient lubrication: Manifest—12%; Mild—50% |
Laumann et al. [39] | 13,882 women recruited internationally. Analyses based on 9,000 sexually active women (GSSAB) | 40–80 | Must have had sexual intercourse once in past year | No | 26–43% across countries reported a lack of interest in sex lasting for a period of 2 months or more | 16.1–37.9% across countries |
Leiblum et al. [40] | 952 American surgically or naturally women (WISHeS) | 20–70 | Currently sexually active | Personal Distress Scale | 24–36% depending on age and menopausal status. Among those who also had distress, rates of HSDD ranged from 9% to 26%. Symptoms occurring in the past 30 days were assessed | n/a |
Dennerstein et al. [41] | 2,467 European women from France, Germany, Italy, UK, and United States (WISHeS) | 20–70 | Currently sexually active | Personal Distress Scale | 16–46% depending on age and menopausal status. Among those who also had distress, rates of HSDD ranged from 7% to 16%. Symptoms occurring in the past 30 days were assessed | n/a |
West et al. [42] | 755 American premenopausal, 552 naturally menopausal, and 637 surgically menopausal women | 30–70 | In stable relationships for at least 3 months | Personal Distress Scale | Overall rate of low desire 36.2%. Overall rate of HSDD 8.3%. Symptoms in the past 30 days were assessed | n/a |
Witting et al. [43] | 5,463 Finnish women | 18–49 | Must have engaged in sexual activity with a partner over the past 4 weeks. | Female Sexual Distress Scale (FSDS) | Using FSFI cut-off score of 3.16, 55% had low desire. Using FSDS cut-off score of 8.75, 23% had low desire and distress. Symptoms were assessed in the past 4 weeks | Using FSFI cut-off score of 4.31, 10.9% had lubrication difficulties. Using FSDS cut-off score, 7% had lubrication problem plus distress. |
Shifren et al. [27] | 13,581 women United States | 18–102 | Not necessary | Sexual desire assessed with one question: “How often do you desire to engage in sexual activity?” Distress assessed by FSDS | 38.7% had low desire, overall. Between 7.4%–12.3%, across ages, had low desire and distress. | 26.1% had low arousal, overall. Between 3.3%–7.5%, across ages, had low arousal and distress. |
Study . | Sample characteristics . | Age . | In a sexual relationship . | Distress measured . | Prevalence of desire difficulties . | Prevalence of arousal difficulties . |
---|---|---|---|---|---|---|
Laumann et al. [36] | 1,749 American women (NHSLS) | 18–59 | Had to be sexually active over the past 12 months | No | 27–32% Critical symptom for diagnosis had to be present in the past 12 months | 20.6% trouble lubricating |
Fugl-Meyer and Fugl-Meyer [37] | 1,335 Swedish women | 18–74 | Not necessary | Indirectly with the question: “Has this been a problem in your sexual life during the last year?” | Sexual disability was defined as having low desire quite often/nearly all the time/all the time=34%. Among these, 43% viewed it as a problem. Symptom had to have occurred in the past 12 months | Sexual disability was defined as having insufficient vaginal lubrication during intercourse quite often/nearly all the time/all the time=12%. Among these, 63% viewed it as a problem. |
Mercer et al. [38] | 11,161 British men and women (NATSAL) | 16–44 | Must have had at least one partner in past year | No | Low desire lasting 1 month: 40%; lasting 6 months: 10% | Lubrication problems lasting 1 month: 9.2%; lasting 6 months: 2.6% |
Bancroft et al. [28] | 987 American women; half were African-American | 20–65 | Not necessary | Assessed distress over the relationship and distress to one’s own sexuality | Low desire: 7.2% Sexual experiences over the preceding month were assessed | Lubrication problems: 31.2%; Impaired arousal: 12.2% |
Oberg et al. [26] | 1,056 Swedish women recruited in 1996 | 19–65 | Must have had sexual intercourse once in past year | Manifest distress: experienced quite often, nearly all the time, or all of the time | Low desire: Manifest—29%; Mild—60% Symptoms were assessed over the previous 12 months | Insufficient lubrication: Manifest—12%; Mild—50% |
Laumann et al. [39] | 13,882 women recruited internationally. Analyses based on 9,000 sexually active women (GSSAB) | 40–80 | Must have had sexual intercourse once in past year | No | 26–43% across countries reported a lack of interest in sex lasting for a period of 2 months or more | 16.1–37.9% across countries |
Leiblum et al. [40] | 952 American surgically or naturally women (WISHeS) | 20–70 | Currently sexually active | Personal Distress Scale | 24–36% depending on age and menopausal status. Among those who also had distress, rates of HSDD ranged from 9% to 26%. Symptoms occurring in the past 30 days were assessed | n/a |
Dennerstein et al. [41] | 2,467 European women from France, Germany, Italy, UK, and United States (WISHeS) | 20–70 | Currently sexually active | Personal Distress Scale | 16–46% depending on age and menopausal status. Among those who also had distress, rates of HSDD ranged from 7% to 16%. Symptoms occurring in the past 30 days were assessed | n/a |
West et al. [42] | 755 American premenopausal, 552 naturally menopausal, and 637 surgically menopausal women | 30–70 | In stable relationships for at least 3 months | Personal Distress Scale | Overall rate of low desire 36.2%. Overall rate of HSDD 8.3%. Symptoms in the past 30 days were assessed | n/a |
Witting et al. [43] | 5,463 Finnish women | 18–49 | Must have engaged in sexual activity with a partner over the past 4 weeks. | Female Sexual Distress Scale (FSDS) | Using FSFI cut-off score of 3.16, 55% had low desire. Using FSDS cut-off score of 8.75, 23% had low desire and distress. Symptoms were assessed in the past 4 weeks | Using FSFI cut-off score of 4.31, 10.9% had lubrication difficulties. Using FSDS cut-off score, 7% had lubrication problem plus distress. |
Shifren et al. [27] | 13,581 women United States | 18–102 | Not necessary | Sexual desire assessed with one question: “How often do you desire to engage in sexual activity?” Distress assessed by FSDS | 38.7% had low desire, overall. Between 7.4%–12.3%, across ages, had low desire and distress. | 26.1% had low arousal, overall. Between 3.3%–7.5%, across ages, had low arousal and distress. |
NHSLS=National Health and Social Life Survey; NATSAL=National Survey of Sexual Attitudes and Lifestyle; n/a=not applicable; GSSAB=Global Study of Sexual Attitudes and Behaviors; WISHeS=Women’s International Study of Health and Sexuality; HSDD=hypoactive sexual desire disorder.
Prevalence of sexual desire and arousal difficulties in cross-sectional representative studies
Study . | Sample characteristics . | Age . | In a sexual relationship . | Distress measured . | Prevalence of desire difficulties . | Prevalence of arousal difficulties . |
---|---|---|---|---|---|---|
Laumann et al. [36] | 1,749 American women (NHSLS) | 18–59 | Had to be sexually active over the past 12 months | No | 27–32% Critical symptom for diagnosis had to be present in the past 12 months | 20.6% trouble lubricating |
Fugl-Meyer and Fugl-Meyer [37] | 1,335 Swedish women | 18–74 | Not necessary | Indirectly with the question: “Has this been a problem in your sexual life during the last year?” | Sexual disability was defined as having low desire quite often/nearly all the time/all the time=34%. Among these, 43% viewed it as a problem. Symptom had to have occurred in the past 12 months | Sexual disability was defined as having insufficient vaginal lubrication during intercourse quite often/nearly all the time/all the time=12%. Among these, 63% viewed it as a problem. |
Mercer et al. [38] | 11,161 British men and women (NATSAL) | 16–44 | Must have had at least one partner in past year | No | Low desire lasting 1 month: 40%; lasting 6 months: 10% | Lubrication problems lasting 1 month: 9.2%; lasting 6 months: 2.6% |
Bancroft et al. [28] | 987 American women; half were African-American | 20–65 | Not necessary | Assessed distress over the relationship and distress to one’s own sexuality | Low desire: 7.2% Sexual experiences over the preceding month were assessed | Lubrication problems: 31.2%; Impaired arousal: 12.2% |
Oberg et al. [26] | 1,056 Swedish women recruited in 1996 | 19–65 | Must have had sexual intercourse once in past year | Manifest distress: experienced quite often, nearly all the time, or all of the time | Low desire: Manifest—29%; Mild—60% Symptoms were assessed over the previous 12 months | Insufficient lubrication: Manifest—12%; Mild—50% |
Laumann et al. [39] | 13,882 women recruited internationally. Analyses based on 9,000 sexually active women (GSSAB) | 40–80 | Must have had sexual intercourse once in past year | No | 26–43% across countries reported a lack of interest in sex lasting for a period of 2 months or more | 16.1–37.9% across countries |
Leiblum et al. [40] | 952 American surgically or naturally women (WISHeS) | 20–70 | Currently sexually active | Personal Distress Scale | 24–36% depending on age and menopausal status. Among those who also had distress, rates of HSDD ranged from 9% to 26%. Symptoms occurring in the past 30 days were assessed | n/a |
Dennerstein et al. [41] | 2,467 European women from France, Germany, Italy, UK, and United States (WISHeS) | 20–70 | Currently sexually active | Personal Distress Scale | 16–46% depending on age and menopausal status. Among those who also had distress, rates of HSDD ranged from 7% to 16%. Symptoms occurring in the past 30 days were assessed | n/a |
West et al. [42] | 755 American premenopausal, 552 naturally menopausal, and 637 surgically menopausal women | 30–70 | In stable relationships for at least 3 months | Personal Distress Scale | Overall rate of low desire 36.2%. Overall rate of HSDD 8.3%. Symptoms in the past 30 days were assessed | n/a |
Witting et al. [43] | 5,463 Finnish women | 18–49 | Must have engaged in sexual activity with a partner over the past 4 weeks. | Female Sexual Distress Scale (FSDS) | Using FSFI cut-off score of 3.16, 55% had low desire. Using FSDS cut-off score of 8.75, 23% had low desire and distress. Symptoms were assessed in the past 4 weeks | Using FSFI cut-off score of 4.31, 10.9% had lubrication difficulties. Using FSDS cut-off score, 7% had lubrication problem plus distress. |
Shifren et al. [27] | 13,581 women United States | 18–102 | Not necessary | Sexual desire assessed with one question: “How often do you desire to engage in sexual activity?” Distress assessed by FSDS | 38.7% had low desire, overall. Between 7.4%–12.3%, across ages, had low desire and distress. | 26.1% had low arousal, overall. Between 3.3%–7.5%, across ages, had low arousal and distress. |
Study . | Sample characteristics . | Age . | In a sexual relationship . | Distress measured . | Prevalence of desire difficulties . | Prevalence of arousal difficulties . |
---|---|---|---|---|---|---|
Laumann et al. [36] | 1,749 American women (NHSLS) | 18–59 | Had to be sexually active over the past 12 months | No | 27–32% Critical symptom for diagnosis had to be present in the past 12 months | 20.6% trouble lubricating |
Fugl-Meyer and Fugl-Meyer [37] | 1,335 Swedish women | 18–74 | Not necessary | Indirectly with the question: “Has this been a problem in your sexual life during the last year?” | Sexual disability was defined as having low desire quite often/nearly all the time/all the time=34%. Among these, 43% viewed it as a problem. Symptom had to have occurred in the past 12 months | Sexual disability was defined as having insufficient vaginal lubrication during intercourse quite often/nearly all the time/all the time=12%. Among these, 63% viewed it as a problem. |
Mercer et al. [38] | 11,161 British men and women (NATSAL) | 16–44 | Must have had at least one partner in past year | No | Low desire lasting 1 month: 40%; lasting 6 months: 10% | Lubrication problems lasting 1 month: 9.2%; lasting 6 months: 2.6% |
Bancroft et al. [28] | 987 American women; half were African-American | 20–65 | Not necessary | Assessed distress over the relationship and distress to one’s own sexuality | Low desire: 7.2% Sexual experiences over the preceding month were assessed | Lubrication problems: 31.2%; Impaired arousal: 12.2% |
Oberg et al. [26] | 1,056 Swedish women recruited in 1996 | 19–65 | Must have had sexual intercourse once in past year | Manifest distress: experienced quite often, nearly all the time, or all of the time | Low desire: Manifest—29%; Mild—60% Symptoms were assessed over the previous 12 months | Insufficient lubrication: Manifest—12%; Mild—50% |
Laumann et al. [39] | 13,882 women recruited internationally. Analyses based on 9,000 sexually active women (GSSAB) | 40–80 | Must have had sexual intercourse once in past year | No | 26–43% across countries reported a lack of interest in sex lasting for a period of 2 months or more | 16.1–37.9% across countries |
Leiblum et al. [40] | 952 American surgically or naturally women (WISHeS) | 20–70 | Currently sexually active | Personal Distress Scale | 24–36% depending on age and menopausal status. Among those who also had distress, rates of HSDD ranged from 9% to 26%. Symptoms occurring in the past 30 days were assessed | n/a |
Dennerstein et al. [41] | 2,467 European women from France, Germany, Italy, UK, and United States (WISHeS) | 20–70 | Currently sexually active | Personal Distress Scale | 16–46% depending on age and menopausal status. Among those who also had distress, rates of HSDD ranged from 7% to 16%. Symptoms occurring in the past 30 days were assessed | n/a |
West et al. [42] | 755 American premenopausal, 552 naturally menopausal, and 637 surgically menopausal women | 30–70 | In stable relationships for at least 3 months | Personal Distress Scale | Overall rate of low desire 36.2%. Overall rate of HSDD 8.3%. Symptoms in the past 30 days were assessed | n/a |
Witting et al. [43] | 5,463 Finnish women | 18–49 | Must have engaged in sexual activity with a partner over the past 4 weeks. | Female Sexual Distress Scale (FSDS) | Using FSFI cut-off score of 3.16, 55% had low desire. Using FSDS cut-off score of 8.75, 23% had low desire and distress. Symptoms were assessed in the past 4 weeks | Using FSFI cut-off score of 4.31, 10.9% had lubrication difficulties. Using FSDS cut-off score, 7% had lubrication problem plus distress. |
Shifren et al. [27] | 13,581 women United States | 18–102 | Not necessary | Sexual desire assessed with one question: “How often do you desire to engage in sexual activity?” Distress assessed by FSDS | 38.7% had low desire, overall. Between 7.4%–12.3%, across ages, had low desire and distress. | 26.1% had low arousal, overall. Between 3.3%–7.5%, across ages, had low arousal and distress. |
NHSLS=National Health and Social Life Survey; NATSAL=National Survey of Sexual Attitudes and Lifestyle; n/a=not applicable; GSSAB=Global Study of Sexual Attitudes and Behaviors; WISHeS=Women’s International Study of Health and Sexuality; HSDD=hypoactive sexual desire disorder.