According to our results there is a high prevalence of sexual dysfunction among Polycystic Ovary Syndrome (PCOS) patients associated with lower education levels, and hirsutism. BMI levels higher than normal had decreased desire and satisfaction. However, higher education levels improved sexual functioning in different domains.

The frequency of sexual dysfunction was verified 57.7% in PCOS patients with the domains of desire and arousal being commonly affected in 99.2% and 98.5%of cases respectively. BMI had a significant effect on sexual desire and arousal (p=0.02) while the effect of hirsutism was significant on all domains except for dyspareunia. In normal Indian women, Female Sexual Function Index (FSFI) domain scores suggested difficulties with desire in 77.2%; arousal in 91.3%; lubrication in 96.6%; orgasm in 86.6%, satisfaction in 81.2%, and pain in 64.4% (42). In Indian women FSFI total scores suggested FSD in two-thirds of the 149 women (73.2%; 95% CI: 65.5-79.6%) (43). Infertility is one of the most stressing factors in women`s life and it may influence their satisfaction and quality of life (44, 45). In our study all the patients were infertile which may have impaired their sexual function that could justify the high prevalence we found. The majority of our patients had menstrual irregularities which reveals their hormonal disturbances.

PCOS patients markedly suffer from sexual dysfunction as comorbidity. It seems appropriate to screen all PCOS patients for sexual function with a simple short questionnaire such as FSFI. Targeted interventions could be considered to help improve their quality of life along with other treatments.

PCOS patients have been found to “markedly suffer from sexual dysfunction.” This is especially true in terms of orgasming. Doctors aren’t sure exactly why this is the case, it might be tied to hormonal imbalances, since excess androgens can throw a woman’s hormones out of whack, which can affect sexual function.

Consulting a lady Sexologist would markedly improve their sexual dysfunction.

Make an Appointment with Dr. Sharmila Majumdar at the Sexual & Mental Health Clinic, Avis Hospital, Hyderabad