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 Where to Buy Tribulus to Help Female Sexual Probems
 Sexual Problems In Women Prevalent But Not Always Associated
 With Distress

 November 3, 2008   
 The largest such study ever published finds that, while about 40 percent of women
 surveyed report having sexual problems, only 12 percent indicate that those issues are
 a source of significant personal distress. The report led by a Massachusetts General
 Hospital (MGH) physician appears in the November issue of Obstetrics &

 "Sexual problems are common in women, but problems associated with personal
 distress, those which are truly bothersome and affect a woman's quality of life, are
 much less frequent." says Jan Shifren, MD, of the MGH Obstetrics and Gynecology
 Service, who led the study. "For a sexual concern to be considered a medical
 problem, it must be associated with distress, so it's important to assess this in both
 research studies and patient care."

 Several studies and surveys of sexual problems in women have found problems with
 low desire, diminished arousal or difficulties with orgasm in approximately 40 percent
 of women, but few of those have asked about levels of distress associated with those
 problems. The current study surveyed 32,000 women aged 18 to over 100 from
 across the U.S. using a well-established survey of sexual function supplemented by a
 validated measure of a woman's distress related to her sex life - including feelings of
 anger, guilt, frustration, and worry.

 Some level of sexual problem was reported in 43 percent of the female respondents -
 with 39 percent reporting low levels of desire, 26 percent problems with arousal and
 21 percent difficulties with orgasm. But distress related to any of these problems was
 reported by only 12 percent of study participants. Although the prevalence of sexual
 problems was highest in women over 65, that group reported the lowest levels of
 distress, while distress was reported most frequently in women aged 45 to 64. The
 youngest group - those from 18 to 44 - had lower levels of both problems and
 distress. Women with depression were more than twice as likely to report distress
 over any type of sexual problem as those not suffering from depression.

 "Although sexual problems were very common in women over age 65, these
 problems often weren't associated with distress," Shifren says. "Several factors could
 be behind the lower levels of distress in the oldest group. If their partners also have
 low desire, it may not be looked on as a problem, or additional health issues could be
 of greater concern.

 "While distressing sexual problems are much less common in women than sexual
 problems overall, they still affect approximately one in eight adult women," she adds.
 "As part of a thorough health assessment, it's important that health care providers ask
 their female patients if they have sexual concerns and if those problems are associated
 with distress. Although this study did not examine treatments for sexual problems,
 effective options are available - including relationship counseling, treatment of
 associated medical conditions and sex therapy." Shifren is an associate professor of
 Obstetrics, Gynecology and Reproductive Biology at Harvard Medical School.

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