Female sexual dysfunction: lack of change in physician practice patterns over time

Area of Science:

• Urology
• Women's Health
• Sexual Medicine

Background:

• Female sexual dysfunction (FSD) evaluation and treatment progress is unclear.
• Previous surveys by the American Urogynecology Society (AUGS) in 2003 assessed FSD practice patterns.
• This study aimed to re-evaluate current FSD practice patterns.

Purpose of the Study:

• To assess current practice patterns for female sexual dysfunction (FSD) evaluation and treatment.
• To compare current FSD screening and treatment barriers with data from 2003.
• To identify potential improvements in FSD education and resources.

Main Methods:

• An electronic survey was distributed to members of AUGS and the Society of Urodynamics, Female Pelvic Medicine and Urogenital Reconstruction (SUFU).
• Survey responses were compared to results from a 2003 survey.
• Data analysis focused on screening importance, barriers, training satisfaction, and potential resources.

Main Results:

• Twenty percent of physicians consider FSD screening extremely important, up from 9% in 2003.
• Time constraints and lack of knowledge on "how/what to ask" are primary screening barriers.
• Physician satisfaction with FSD training improved, but 36% remain unsatisfied.
• Female physicians and those satisfied with training were more likely to screen for FSD.
• 87% of physicians would refer patients to an FSD phone application.

Conclusions:

• Screening for FSD has shown minimal improvement over two decades, with persistent barriers.
• Inadequate FSD education during residency remains an issue for many trainees.
• Interactive phone applications show promise as a future resource for FSD management.