Subscribe to RSS
DOI: 10.1055/s-0037-1604455
Sexual Dysfunction in Lesbian Women: A Systematic Review of the Literature
Publication History
Publication Date:
26 October 2017 (online)
Abstract
Over the past two decades, a growing body of literature has demonstrated the prevalence of sexual dysfunction in heterosexual women. Few, if any, studies have investigated sexual problems specifically in women who identify as lesbian. The aim of this article is to systematically review data on sexual dysfunction in lesbian women. We performed a systematic review of the literature searching MEDLINE via Ovid, EMBASE, PsycINFO, Cochrane Database of Controlled Trials, SCI-EXPANDED, SSCI, CPCI-S, CPCI-SSH, and Web of Science from inception through March 2017. We included all studies assessing sexual dysfunction or sexual problems in lesbian women. Heterosexual, bisexual, and transsexual groups were excluded. Of the 1,822 articles identified, 20 articles met inclusion criteria, 1 of which was a population-based probability study. These studies included 16 cross-sectional studies, 1 case–control study, 1 qualitative interview study, and 1 review of the literature. Sexual dysfunction is prevalent in lesbian women and may differ from sexual dysfunction experienced by heterosexual women. Available data are limited by small convenience samples and varied outcome measures. Current validated surveys may be applicable to this subgroup. There is need for population-based studies with harmonized measures of sexual function to guide an evidence-based approach to sexual dysfunction in lesbian women.
-
References
- 1 Hill EK, Sandbo S, Abramsohn E. , et al. Assessing gynecologic and breast cancer survivors' sexual health care needs. Cancer 2011; 117 (12) 2643-2651
- 2 Yee L, Nakagawa S, Kaimal A, Kuppermann M. Postpartum sexual functioning and mode of delivery in a diverse population of women. Am J Obstet Gynecol 2012; 206 (01) S155
- 3 Florence E, Schrooten W, Dreezen C. , et al; Eurosupport Study Group. Prevalence and factors associated with sexual dysfunction among HIV-positive women in Europe. AIDS Care 2004; 16 (05) 550-557
- 4 Giraldi A, Kristensen E. Sexual dysfunction in women with diabetes mellitus. J Sex Res 2010; 47 (02) 199-211
- 5 Schwarz ER, Kapur V, Bionat S, Rastogi S, Gupta R, Rosanio S. The prevalence and clinical relevance of sexual dysfunction in women and men with chronic heart failure. Int J Impot Res 2008; 20 (01) 85-91
- 6 Twenge JM, Sherman RA, Wells BE. Changes in American adults' reported same-sex sexual experiences and attitudes, 1973-2014. Arch Sex Behav 2016; 45 (07) 1713-1730
- 7 van Rosmalen-Nooijens KA, Vergeer CM, Lagro-Janssen AL. Bed death and other Lesbian sexual problems unraveled: a qualitative study of the sexual health of Lesbian women involved in a relationship. Women Health 2008; 48 (03) 339-362
- 8 Laumann EO, Waite LJ, Das A. Sexual dysfunction among older adults: prevalence and risk factors from a nationally representative U.S. probability sample of men and women 57-85 years of age. J Sex Med 2008; 5 (10) 2300-2311
- 9 Flynn KE, Lin L, Weinfurt KP. Sexual function and satisfaction among heterosexual and sexual minority U.S. adults: a cross-sectional survey. PLoS One 2017; 12 (04) e0174981
- 10 American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders: DSM-5. Washington, DC: American Psychiatric Association;
- 11 Beaber TE, Werner PD. The relationship between anxiety and sexual functioning in lesbians and heterosexual women. J Homosex 2009; 56 (05) 639-654
- 12 Boehmer U, Potter J, Bowen DJ. Sexual functioning after cancer in sexual minority women. Cancer J 2009; 15 (01) 65-69
- 13 Boehmer U, Ozonoff A, Timm A, Winter M, Potter J. After breast cancer: sexual functioning of sexual minority survivors. J Sex Res 2014; 51 (06) 681-689
- 14 Peixoto MM, Nobre P. Prevalence of sexual problems and associated distress among lesbian and heterosexual women. J Sex Marital Ther 2015; 41 (04) 427-439
- 15 Breyer BN, Smith JF, Eisenberg ML, Ando KA, Rowen TS, Shindel AW. The impact of sexual orientation on sexuality and sexual practices in North American medical students. J Sex Med 2010; 7 (07) 2391-2400
- 16 Lau JT, Kim JH, Tsui HY. Prevalence and factors of sexual problems in Chinese males and females having sex with the same-sex partner in Hong Kong: a population-based study. Int J Impot Res 2006; 18 (02) 130-140
- 17 Lindau ST, Schumm LP, Laumann EO, Levinson W, O'Muircheartaigh CA, Waite LJ. A study of sexuality and health among older adults in the United States. N Engl J Med 2007; 357 (08) 762-774
- 18 Leiblum SR, Koochaki PE, Rodenberg CA, Barton IP, Rosen RC. Hypoactive sexual desire disorder in postmenopausal women: US results from the Women's International Study of Health and Sexuality (WISHeS). Menopause 2006; 13 (01) 46-56
- 19 Tracy JK, Junginger J. Correlates of lesbian sexual functioning. J Womens Health (Larchmt) 2007; 16 (04) 499-509
- 20 Burri A, Rahman Q, Santtila P, Jern P, Spector T, Sandnabba K. The relationship between same-sex sexual experience, sexual distress, and female sexual dysfunction. J Sex Med 2012; 9 (01) 198-206
- 21 Diamant AL, Lever J, Schuster MA. Lesbians' sexual activities and efforts to reduce risks for sexually transmitted diseases. J Gay Lesbian Med Assoc 2000; 4 (02) 41-48
- 22 Schick V, Herbenick D, Rosenberger JG, Reece M. Prevalence and characteristics of vibrator use among women who have sex with women. J Sex Med 2011; 8 (12) 3306-3315
- 23 Blair KL, Pukall CF, Smith KB, Cappell J. Differential associations of communication and love in heterosexual, lesbian, and bisexual women's perceptions and experiences of chronic vulvar and pelvic pain. J Sex Marital Ther 2015; 41 (05) 498-524
- 24 Clayton AH, Valladares Juarez EM. Female sexual dysfunction. Psychiatr Clin North Am 2017; 40 (02) 267-284
- 25 Johnson SD, Phelps DL, Cottler LB. The association of sexual dysfunction and substance use among a community epidemiological sample. Arch Sex Behav 2004; 33 (01) 55-63
- 26 Plöderl M, Tremblay P. Mental health of sexual minorities. A systematic review. Int Rev Psychiatry 2015; 27 (05) 367-385
- 27 Lacefield K, Negy C, Velezmoro R. Anxiety related to nonerotic cognitive distractions during sexual activity in lesbian, bisexual, and heterosexual women. J Bisex 2013; 13 (03) 390-408
- 28 Peixoto MM, Nobre P. Automatic thoughts during sexual activity, distressing sexual symptoms, and sexual orientation: findings from a web survey. J Sex Marital Ther 2016; 42 (07) 616-634
- 29 Peixoto MM, Nobre P. Dysfunctional sexual beliefs: a comparative study of heterosexual men and women, gay men, and lesbian women with and without sexual problems. J Sex Med 2014; 11 (11) 2690-2700
- 30 Peixoto MM, Nobre P. Personality traits, sexual problems, and sexual orientation: an empirical study. J Sex Marital Ther 2016; 42 (03) 199-213
- 31 Peixoto MM, Nobre P. Incompetence schemas and sexual functioning in heterosexual and lesbian women: the mediator role of automatic thoughts and affective states during sexual activity. Cognit Ther Res 2016; 2 (41) 304-312
- 32 Cohen JN, Byers ES. Minority stress, protective factors, and sexual functioning of women in same-sex relationship. Psychology of Sexual Orientation and Gender Diversity 2015; 2 (04) 391-403
- 33 Shindel AW, Rowen TS, Lin TC, Li CS, Robertson PA, Breyer BN. An Internet survey of demographic and health factors associated with risk of sexual dysfunction in women who have sex with women. J Sex Med 2012; 9 (05) 1261-1271
- 34 Rosen R, Brown C, Heiman J. , et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000; 26 (02) 191-208
- 35 Stoffel C, Carpenter E, Everett B, Higgins J, Haider S. Family planning for sexual minority women. Semin Reprod Med 2017; 35: 460-468
- 36 Lindau ST, Laumann EO, Levinson W, Waite LJ. Synthesis of scientific disciplines in pursuit of health: the Interactive Biopsychosocial Model. Perspect Biol Med 2003; 46 (3, Suppl): S74-S86
- 37 Mark KP, Garcia JR, Fisher HE. Perceived emotional and sexual satisfaction across sexual relationship contexts: gender and sexual orientation differences and similarities. Canadian Journal of Human Sexuality 2015; 24 (02) 120-130