ArticleAfrican journal of primary health care & family medicine2019
Prevalence of and factors associated with female sexual dysfunction among women using hormonal and non-hormonal contraception at the AGA Khan University Hospital Nairobi.
Article in African journal of primary health care & family medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.
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Who cites it
5 citing papers in PubMed, 1 synthesis or guideline pooled it, 13 citations in OpenAlex.
- Prevalence and correlates of female sexual dysfunction and sexual distress in reproductive-aged women: a systematic review and meta-analysis.BMC women's health · 2025Pooled it
- Period Prevalence of and Biopsychosocial Factors Associated With Sexual Dysfunction in Self-Identified Females in Gauteng, South Africa, During 2013-2023.International journal of sexual health : official journal of the World Association for Sexual Health · 2026Article
- Sexual dysfunction and associated factors among HIV positive women attending ART in South Gondar Hospital, Northwest, Ethiopia.BMC infectious diseases · 2025Article
- Female Sexual Dysfunction and Associated Factors Among Married Women in Bahir Dar, Northwest Ethiopia: A Cross-Sectional Study.Health science reports · 2025Article
- Women's health, hormonal balance, and personal autonomy.Frontiers in medicine · 2023Review
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundFemale sexual function (FSD) is a complex phenomenon. It integrates all body systems and is influenced by a variety of factors. Contraceptives have shown to have variable effects on FSD. In Kenya, the majority of women use hormonal contraception with high rates of discontinuation of use, attributed to related side effects such as weight loss and loss of libido.
aimTo determine the prevalence of and the factors affecting FSD among women using contraception in our setting.
settingThe study was carried out at the Aga Khan University Hospital, Nairobi, at various clinical sites.
methodsA cross-sectional study was conducted. Consecutive sampling of women of reproductive age using either hormonal or non-hormonal contraception was conducted. Two questionnaires were completed after obtaining informed consent. Independent associations of factors with the outcome variables were assessed using the chi-square test of association, and variables with a p 0.25 were used in the multivariate analysis. Factors associated with FSD were determined using binary logistic regression.
resultsA total of 566 participants were included. The prevalence of FSD among those using hormonal and those using non-hormonal contraception was 51.5% and 29.6%, respectively (p 0.0001). We found that the factors associated with FSD were presence of chronic illness and use of chronic medication, being self-employed or unemployed, alcohol intake and history of miscarriage(s).
conclusionThere was a high prevalence of and a strong association between hormonal contraception and FSD. More studies on this topic in different settings are recommended to investigate the effect of each type of hormonal method on FSD.
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