Prevalence of Women’s Sexual Desire Problems: What Criteria Do We Use?
The sample consisted of 741 women from Australia, the Americas, Europe, and Asia. Participants were aged between 18 and 71 years, and were involved in a heterosexual relationship spanning between three months and 49 years duration. Sexual desire problems were defined using a variety of criteria, including (i) meeting DSM-IV-TR criteria for Hypoactive Sexual Desire Disorder (HSDD), (ii) meeting DSM-1V-TR criteria for HSDD, removing the sexual thoughts/fantasy requirement, (iii) self-identified a lack of sexual interest, and (iv) low average ratings of sexual desire levels, as assessed using the Female Sexual Desire Questionnaire (FSDQ).
The prevalence of sexual desire problems varied from 3.0% to 31.0% depending upon the criteria used to define such problems. It is important to reach a consensus with regard to the criteria used to define sexual desire problems, in order to standardize and compare studies investigating these problems. How women’s sexual desire problems are conceptualized has implications for their treatment. Therapists may or may not need to address absent sexual thoughts/fantasies, and may be working with low normative levels of desire versus subjective evaluations of low desire.
