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Sexual dysfunction statistics worldwide

TherapyRoute

TherapyRoute

Clinical Editorial

Cape Town, South Africa

Reviewed by TherapyRoute
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❝How many women and men report sexual difficulties in national and multi-country surveys on every continent, how many are distressed by them, how few talk to a doctor, and how often antidepressants affect sexual function. Every figure names its measure, sample and years.❞

Updated October 2026

Sexual difficulties are common in adult life, for women and men, and many people never seek help, often out of embarrassment. Low desire, problems with arousal or erection, difficulty reaching orgasm and pain during sex are among the most frequent. The key figures below show how common they are, from Britain's national Natsal survey 1 and international studies.

A sexual difficulty is not always a disorder. Clinicians speak of a sexual dysfunction when a problem persists and causes the person real distress.

Key figures

  • In Britain's national Natsal survey of 2010-2012, 51.2% of sexually active women aged sixteen to seventy-four had a sexual problem lasting three months or more in the past year. (survey, past 12 months, 2010-2012 data) 1
  • In Britain's national Natsal survey of 2010-2012, 41.6% of sexually active men aged sixteen to seventy-four had a sexual problem lasting three months or more in the past year. (survey, past 12 months, 2010-2012 data) 1
  • In the German Health and Sexuality Survey of 2018-2019, 17.5% of sexually active women aged eighteen to seventy-five had a sexual dysfunction causing marked distress, by ICD-11 criteria. ICD-11 is the International Classification of Diseases. (survey, past 12 months, 2018-2019 data) 2
  • In the German Health and Sexuality Survey of 2018-2019, 13.3% of sexually active men aged eighteen to seventy-five had a sexual dysfunction causing marked distress, by ICD-11 criteria. (survey, past 12 months, 2018-2019 data) 2
  • Among sexually active women aged forty to eighty with a sexual problem, in the Global Study of Sexual Attitudes and Behaviors, 18.8% had tried to seek medical help. (survey, at one point in time, published 2005, fieldwork year not stated) 3
  • Among sexually active men aged forty to eighty with a sexual problem, in the Global Study of Sexual Attitudes and Behaviors, 18.0% had tried to seek medical help. (survey, at one point in time, published 2005, fieldwork year not stated) 3

Getting help

If something on this page reflects what you are going through, you do not have to manage it alone. Our guide to finding the right therapist explains how to choose someone qualified, and the TherapyRoute directory lists therapists in many countries.

If you are in crisis or thinking about suicide, our list of helplines and crisis lines worldwide gives free services by country. In an emergency, call your local emergency number.

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Sexual problems in national surveys

National and multi-country surveys ask about sexual problems in different ways: some count any difficulty lasting a month, others a problem lasting three months, others a score on a screening questionnaire. Several of the largest surveys are now decades old, and each row gives its fieldwork years. Prevalence means the share of people who have a problem. A probability sample is a group of people chosen at random to represent the country. The IIEF is the International Index of Erectile Function, a questionnaire that scores erectile function. An adjusted figure allows for other differences between the groups compared, such as age. A meta-analysis, or pooled estimate, combines the results of many studies into one figure.

CountryFindingStudy typeYearSource
United StatesIn the National Health and Social Life Survey, a national probability sample from 1992, 43% of women aged eighteen to fifty-nine in the United States reported a sexual problem.Survey, at one point in time19924
United StatesIn the National Health and Social Life Survey, a national probability sample from 1992, 31% of men aged eighteen to fifty-nine in the United States reported a sexual problem.Survey, at one point in time19924
United StatesIn the nationally representative NHANES survey of 2001-2002, 18.4% of men aged twenty and over in the United States reported erectile dysfunction when asked a single self-report question.Survey, at one point in time2001-20025
United StatesAmong thirty-one thousand five hundred and eighty-one women aged eighteen and over in a United States national research panel, the age-adjusted prevalence of any self-reported sexual problem was 43.1%.Survey, at one point in timenot stated (published 2008)6
CanadaIn a national sample of two thousand four hundred Canadians aged forty to fifty-nine, 40% of women reported low sexual desire in the last six months.Survey, at one point in timenot stated (published 2018)7
United KingdomIn the British national Natsal survey of 2010-2012, 34.2% of sexually active women aged sixteen to seventy-four reported a lack of interest in sex lasting three months or more in the past year.Survey, past 12 months2010-20121
United KingdomIn the British national Natsal survey of 2010-2012, 12.9% of sexually active men aged sixteen to seventy-four reported difficulty getting or keeping an erection for three months or more in the past year.Survey, past 12 months2010-20121
GermanyIn the German Health and Sexuality Survey of 2018-2019, a national random sample with thirty point two percent participation, 33.4% of men aged eighteen to seventy-five reported a sexual problem in the past year.Survey, past 12 months2018-20192
GermanyIn the German Health and Sexuality Survey of 2018-2019, a national random sample with thirty point two percent participation, 45.7% of women aged eighteen to seventy-five reported a sexual problem in the past year.Survey, past 12 months2018-20192
AustraliaIn the Second Australian Study of Health and Relationships (2012-2013), 48% of men aged sixteen to sixty-nine with partnered sex in the past year reported a sexual difficulty lasting a month or more.Survey, at one point in time2012-20138
AustraliaIn the Second Australian Study of Health and Relationships (2012-2013), 68% of women aged sixteen to sixty-nine with partnered sex in the past year reported a sexual difficulty lasting a month or more.Survey, at one point in time2012-20138
AustraliaIn the Second Australian Study of Health and Relationships (2012-2013), 52% of women aged sixteen to sixty-nine with partnered sex in the past year reported lacking interest in sex for a month or more.Survey, at one point in time2012-20138
ChinaAmong five thousand two hundred and ten men aged forty and over in a community survey across thirty provinces of mainland China, 40.6% had erectile dysfunction on the IIEF questionnaire.Survey, at one point in timenot stated (published 2017)9
ChinaIn a national random sample of twenty-five thousand four hundred and forty-six women aged twenty to seventy in mainland China (2014-2016), 29.7% scored in the sexual dysfunction range on the Female Sexual Function Index.Survey, at one point in time2014-201610
TürkiyeAmong two thousand seven hundred and sixty randomly selected men aged forty and over in nineteen Turkish provinces, the median prevalence of erectile dysfunction on the IIEF questionnaire was 33%.Survey, at one point in timenot stated (published 2017)11
Colombia, Ecuador and VenezuelaIn a population-based survey of one thousand nine hundred and forty-six men aged forty and over in Colombia, Ecuador and Venezuela, the age-adjusted prevalence of erectile dysfunction of any degree was 53.4%.Survey, at one point in timenot stated (published 2002)12
Colombia, Ecuador and VenezuelaIn a population-based survey of men aged forty and over in Colombia, Ecuador and Venezuela, 19.8% reported moderate to complete erectile dysfunction.Survey, at one point in timenot stated (published 2002)12
EgyptIn a community-based random sample of eight hundred and five married men in Ismailia province, Egypt, 13.2% had complete erectile dysfunction.Survey, at one point in timenot stated (published 2003)13
EthiopiaA meta-analysis of eleven Ethiopian studies, including women with medical or mental health conditions, found that 53.8% of women screened positive for female sexual dysfunction, with wide variation between studies.Pooled from prevalence studiespublished 202614
WorldwideIn a twenty-nine-country survey of people aged forty to eighty, 28% of men who had had sex in the past year reported at least one frequent and persistent sexual problem.Survey, at one point in timenot stated (published 2004)15
WorldwideIn a twenty-nine-country survey of people aged forty to eighty, 39% of women who had had sex in the past year reported at least one frequent and persistent sexual problem.Survey, at one point in timenot stated (published 2004)15
WorldwideA meta-analysis of ninety-five observational studies estimated that 40.9% of premenopausal women reported a sexual problem, though estimates varied very widely between studies.Pooled from prevalence studiespublished 201616

When problems cause distress

Many people with a sexual difficulty do not find it distressing. Surveys that ask about distress find far fewer people with a problem that troubles them than with any problem at all.

  • In the British national Natsal survey of 2010-2012, 9.9% of sexually active men aged sixteen to seventy-four said they felt distressed or worried about their sex life in the past year. (survey, past 12 months, 2010-2012 data) 1
  • In the British national Natsal survey of 2010-2012, 10.9% of sexually active women aged sixteen to seventy-four said they felt distressed or worried about their sex life in the past year. (survey, past 12 months, 2010-2012 data) 1
  • Among women aged eighteen and over in a United States national research panel, 12.0% reported a sexual problem that caused them personal distress. (survey, at one point in time, published 2008, fieldwork year not stated) 6

Talking to a doctor and seeking help

Only a minority of people with sexual difficulties seek help, and doctors rarely ask. Sex therapy, couples therapy and medical care can all help, and talking about the problem is often the first step. In an intercept survey, researchers approach people in public places and ask them to take part.

  • In the British national Natsal survey of 2010-2012, 16.6% of sexually active women aged sixteen to seventy-four had sought help or advice about their sex life from any source in the preceding year. (survey, past 12 months, 2010-2012 data) 1
  • In the British national Natsal survey of 2010-2012, 14.4% of sexually active men aged sixteen to seventy-four had sought help or advice about their sex life from any source in the preceding year. (survey, past 12 months, 2010-2012 data) 1
  • The Global Study of Sexual Attitudes and Behaviors surveyed men and women aged forty to eighty in many countries. Only 9% said a doctor had asked about their sexual health at a routine visit in the past three years. (survey published 2005, fieldwork year not stated) 3
  • In a Korean intercept survey of 2001-2002 with a thirty-two point five percent response rate, only 2% of men and women aged forty to eighty had talked to a medical doctor about their sexual problems. (survey, at one point in time, 2001-2002 data) 17
  • In Brazil's five largest cities, 44.0% of sexually active women aged forty to eighty with a sexual problem had talked to a medical doctor about it (survey response rate eighteen point four percent). (survey, at one point in time, 2001-2002 data) 18
  • In Brazil's five largest cities, 21.2% of sexually active men aged forty to eighty with a sexual problem had talked to a medical doctor about it (survey response rate eighteen point four percent). (survey, at one point in time, 2001-2002 data) 18

Antidepressants and sexual side effects

Some antidepressants commonly affect desire, arousal and orgasm. These figures describe patterns across populations and are not advice about any person's treatment. Anyone concerned about side effects should talk with their prescriber rather than stop or change a medicine on their own. An SSRI, or selective serotonin reuptake inhibitor, is a common type of antidepressant. A placebo is a dummy pill with no active medicine, used for comparison. In an open-label study, patients know which medicine they are taking.

  • In a meta-analysis of three randomised trials, adults with depression taking an SSRI had 3.28 times the risk of orgasmic dysfunction of those taking a placebo. (meta-analysis of trials, published 2026) 19
  • A meta-analysis of studies that asked people directly about sexual function found new sexual dysfunction in 25.8% to eighty point three percent of patients, across ten antidepressants that differed from placebo. Its authors note it included open-label studies. (meta-analysis of studies, published 2009) 20

How to read these figures

Measures differ from survey to survey: a difficulty lasting a month, a problem lasting three months in the past year, a score on a screening questionnaire, or a diagnosis that requires marked distress. Figures from different measures are not directly comparable.

Many of the largest surveys are decades old. Newer national data exist for Britain, Germany, Australia and China.

Most surveys outside Europe, North America and Australia counted only men, and only erectile problems. Figures for Africa come from a province sample in Egypt and a meta-analysis of Ethiopian studies, not from national surveys.

Response rates matter. Some multi-country and online surveys reached only a small share of the people they invited, so their figures may not represent everyone.

Sexual difficulties are treatable. Sex therapy and couples therapy help with many of them, often alongside medical care, and a first conversation with a doctor or therapist can make a real difference.

Cite this page: TherapyRoute. Sexual dysfunction statistics worldwide. https://www.therapyroute.com/article/sexual-dysfunction-statistics-worldwide-by-therapyroute. Last updated 25 October 2026.

References
  1. [1] Sexual function in Britain: findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). The Lancet (Mitchell et al.), 2013 pmc.ncbi.nlm.nih.gov.
  2. [2] Estimating the Prevalence of Sexual Dysfunction Using the New ICD-11 Guidelines. Deutsches Arzteblatt International (Briken et al., GeSiD), 2020 pmc.ncbi.nlm.nih.gov.
  3. [3] Help-seeking behaviour for sexual problems: the Global Study of Sexual Attitudes and Behaviors. International Journal of Clinical Practice (Moreira et al.), 2005 europepmc.org.
  4. [4] Sexual dysfunction in the United States: prevalence and predictors. JAMA (Laumann, Paik and Rosen), 1999 europepmc.org.
  5. [5] Prevalence and risk factors for erectile dysfunction in the US. American Journal of Medicine (Selvin, Burnett and Platz), 2007 europepmc.org.
  6. [6] Sexual problems and distress in United States women: prevalence and correlates. Obstetrics and Gynecology (Shifren et al., PRESIDE), 2008 europepmc.org.
  7. [7] Prevalence and Predictors of Sexual Problems Among Midlife Canadian Adults: Results from a National Survey. Journal of Sexual Medicine (Quinn-Nilas et al.), 2018 europepmc.org.
  8. [8] Sexual Difficulties, Problems, and Help-Seeking in a National Representative Sample: The Second Australian Study of Health and Relationships. Archives of Sexual Behavior (Richters et al., ASHR2), 2022 europepmc.org.
  9. [9] Prevalence and Risk Factors for Erectile Dysfunction in Chinese Adult Males. Journal of Sexual Medicine (Zhang X et al.), 2017 europepmc.org.
  10. [10] A Population-Based Epidemiologic Study of Female Sexual Dysfunction Risk in Mainland China: Prevalence and Predictors. Journal of Sexual Medicine (Zhang C et al.), 2017 europepmc.org.
  11. [11] Prevalence of erectile dysfunction in men over 40 years of age in Turkey: Results from the Turkish Society of Andrology Male Sexual Health Study Group. Turkish Journal of Urology (Çayan et al.), 2017 pmc.ncbi.nlm.nih.gov.
  12. [12] Prevalence of erectile dysfunction in Colombia, Ecuador, and Venezuela: a population-based study (DENSA). International Journal of Impotence Research (Morillo et al.), 2002 europepmc.org.
  13. [13] Prevalence of erectile dysfunction and its correlates in Egypt: a community-based study. International Journal of Impotence Research (Seyam et al.), 2003 europepmc.org.
  14. [14] Prevalence of female sexual dysfunction and associated factors among women in Ethiopia: a systematic review and meta-analysis. BMC Women's Health (Haile et al.), 2026 pmc.ncbi.nlm.nih.gov.
  15. [15] Sexual behavior and sexual dysfunctions after age 40: the global study of sexual attitudes and behaviors. Urology (Nicolosi et al., GSSAB), 2004 europepmc.org.
  16. [16] Prevalence of Female Sexual Dysfunction Among Premenopausal Women: A Systematic Review and Meta-Analysis of Observational Studies. Sexual Medicine Reviews (McCool et al.), 2016 europepmc.org.
  17. [17] Sexual activity, prevalence of sexual problems, and associated help-seeking patterns in men and women aged 40-80 years in Korea: data from the Global Study of Sexual Attitudes and Behaviors (GSSAB). Journal of Sexual Medicine (Moreira et al.), 2006 europepmc.org.
  18. [18] Prevalence of sexual problems and related help-seeking behaviors among mature adults in Brazil: data from the Global Study of Sexual Attitudes and Behaviors. Sao Paulo Medical Journal (Moreira Junior et al.), 2005 pmc.ncbi.nlm.nih.gov.
  19. [19] Sexual dysfunction associated with selective serotonin reuptake inhibitors in adults with depression: a systematic review and meta-analysis. European Journal of Clinical Pharmacology (Dagostin Ferraz et al.), 2026 pmc.ncbi.nlm.nih.gov.
  20. [20] Treatment-emergent sexual dysfunction related to antidepressants: a meta-analysis. Journal of Clinical Psychopharmacology (Serretti and Chiesa), 2009 europepmc.org.

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Cape Town, South Africa

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