Zakhour Stephanie, Gonçalves Walter, Sardinha Aline, Levitan Michelle, Nardi Antonio Egidio
Sexuality and its Disorders Unit, Institute of Psychiatry, Federal University of Rio de Janeiro, Rio de Janeiro, 22290-140, Brazil.
Pain Clinics, Sheba Medical Center, Tel Aviv, 03-5305000, Israel.
Sex Med Rev. 2025 Jan 31;13(1):62-78. doi: 10.1093/sxmrev/qeae070.
Female sexual dysfunction (FSD) remains a silent problem, especially in Arabic-speaking countries and the Middle East and most of the data are from Western countries. Sociocultural determinants haven't been getting the same attention as biological and psychological factors when studying sexual health.
To assess the prevalence of FSD in the Arab and Middle Eastern world and understand the sociocultural determinants related.
On January 13, 2024, we searched electronic databases including Pubmed, Scielo, PsycArticles, Scopus, Cochrane Library and Google Scholar, Middle East Current Psychiatry, and Journal of Middle East Women's Studies, following PRISMA guidelines. Female participants, aged at least 16 years old from Middle East or Arabic-speaking countries, including North Africa, and cross-sectional studies in Arabic, English, and/or French were included. After careful screening of titles, abstracts, and full texts, ineligible articles were excluded.
A total of 19 papers were included in the present review. The most common FSD in each country were as follows: in Egypt, Turkey, Morocco, and Jordan, desire problems. In Iran, orgasm problems, and pain. In Palestine, pain. In Saudi Arabia, arousal. Sociocultural determinants such as language, poor sexual education, poor sexual self-awareness-and of partners-, lack of training, and help-seeking were related to FSD.
FSD is prevalent in Arabic-speaking countries and the Middle East, yet little to no attention is given to this matter. Causes for FSD are mainly cultural, and Arab and Middle Eastern healthcare professionals lack training. Culturally sensitive, evidence-based studies regarding sexual health need to be conducted.
女性性功能障碍（FSD）仍然是一个不为人知的问题，尤其是在阿拉伯语国家以及中东地区，并且大多数数据来自西方国家。在研究性健康时，社会文化决定因素并未得到与生物和心理因素同等的关注。
评估阿拉伯和中东地区女性性功能障碍的患病率，并了解相关的社会文化决定因素。
2024年1月13日，我们按照PRISMA指南搜索了电子数据库，包括PubMed、Scielo、PsycArticles、Scopus、Cochrane图书馆和谷歌学术、《中东当代精神病学》以及《中东妇女研究杂志》。纳入了年龄至少16岁、来自中东或阿拉伯语国家（包括北非）的女性参与者，以及用阿拉伯语、英语和/或法语发表的横断面研究。在仔细筛选标题、摘要和全文后，排除了不合格的文章。
本综述共纳入19篇论文。每个国家最常见的女性性功能障碍如下：在埃及、土耳其、摩洛哥和约旦，是性欲问题。在伊朗，是性高潮问题和疼痛。在巴勒斯坦，是疼痛。在沙特阿拉伯，是性唤起问题。语言、性教育匮乏、性自我意识差（包括伴侣的）、缺乏培训以及寻求帮助等社会文化决定因素与女性性功能障碍有关。
女性性功能障碍在阿拉伯语国家和中东地区普遍存在，但对此问题几乎没有得到关注。女性性功能障碍的原因主要是文化方面的，并且阿拉伯和中东地区的医疗保健专业人员缺乏培训。需要开展关于性健康的具有文化敏感性且基于证据的研究。
