Paucity of Female Sexual Dysfunction Training in Urology and Obstetrics and Gynecology Residencies

Introduction Despite its prevalence, female sexual dysfunction (FSD) is often overlooked in medicine, particularly when compared to male sexual dysfunction (MSD). Since both urologists and obstetricians and gynecologists manage FSD, their training curricula present a unique opportunity for comparison. This study aimed to evaluate the educational landscape by assessing the availability of FSD and MSD information on American Urological Association (AUA)- and American College of Obstetrics and Gynecology (ACOG)-accredited residency program websites, recognizing that website content may not fully represent actual curricular exposure. Methods The AUA and ACOG residency program lists were used to identify Urology (n=148) and Obstetrics and Gynecology (OBGYN) (n=228) residency program websites in 2024, respectively. Data was stratified by AUA section and ACOG district where appropriate. Chi-square and Fisher's Exact Test analyses were performed to compare content. Results Review of residency websites found that content on FSD was only present on 5.3% (n=12) of OBGYN and 1.4% (n=2) of Urology program sites, while MSD content was on 50% (n=74) of Urology sites. FSD and MSD content was readily accessible with a median of one click. Among programs with this content, 83% (10/12) of OBGYN residencies detailed FSD in their curriculum, compared to 45% (33/74) of Urology programs for MSD, and none (0/2) for FSD. The presence of a faculty member specializing in FSD was a significant predictor for the inclusion of FSD content on OBGYN residency websites (OR 4.06, 95% CI 1.29-12.76; p = 0.010). In contrast, faculty subspecialty in Andrology or Sexual Medicine did not significantly predict MSD content availability on Urology sites (p > 0.05). Conclusions Female sexual dysfunction content is lacking on Urology and OBGYN residency program websites compared to MSD content. Both Urology and OBGYN specialties should make stronger efforts to incorporate FSD education in their curricula to better address women's sexual health needs.