INTRODUCTION: Sexual medicine would benefit from large representative surveys examining the prevalence of genital female @entity458 (FSAD) symptoms (with and without the increasingly controversial distress criterion), as well as novel FSAD correlates and potential "protective" factors. AIMS: To examine the extent to which genital FSAD symptoms, with and without a distress criterion, are associated with both historical and current aspects of sexual behavior. METHODS: In a representative sample of the Czech population (aged 15-88), 1,000 @entity1 were asked whether they currently have impaired lubrication and @entity4 (and if so, if this produces marked distress or interpersonal difficulty). They provided details of vaginal orgasm (induced by penile-vaginal intercourse [PVI] without clitoral masturbation) consistency, feelings during their first PVI, estimates of their typical foreplay and PVI durations, their degree of mental focus on vaginal sensations during PVI, among other factors. MAIN OUTCOME MEASURES: The current prevalence of FSAD with and without a distress criterion and their associations with current and antecedent sexual behaviors and responses. RESULTS: The current prevalence of FSAD was 10.3% without, plus 7.5% with a distress criterion (which tended to be associated with more @entity73 ). History of vaginal orgasm (odds ratio = 2.78), never masturbating (odds ratio = 2.4), not having felt @entity158 and discomfort on first PVI (odds ratio = 2.27), and not having frequent anal intercourse are protective against FSAD with distress, but not without distress. Age (especially over 50) and inadequate focusing of mental attention on vaginal sensations during PVI are associated with increased FSAD risk both with and without distress. CONCLUSIONS: FSAD with and without distress appear to be different entities to some extent, with the distressed group showing more long-term signs of @entity73 . We suggest that FSAD with and without distress be considered two different disorders.

XXXX with and without a distress criterion: prevalence and correlates in a representative Czech sample.

@entity1 :: ('9606', 'Species') :: ['women'] @entity4 :: ('MESH:D004487', 'Disease') :: ['vaginal swelling'] @entity73 :: ('MESH:D003072', 'Disease') :: ['psychosexual impairment', 'impairments than without distress'] @entity458 :: ('MESH:D020018', 'Disease') :: ['sexual arousal disorder'] @entity158 :: ('MESH:D010146', 'Disease') :: ['pain']
@entity458 :: (MESH:D020018,Disease) :: ['Female sexual arousal disorder']
