Thirty two women diagnosed PCOS, were included in the study. The questionnaire contains a general part concerning socio-demographic conditions, medical history, health problems, PCOS symptoms Sexual satisfaction was evaluated by “the Female Sexual Function Index” (FSFI).

The mean age of PCOS women was 28.9 ± 5.6 years, Sixty per cent of PCOS women had miscarriages and half of of the sample was treated for infertility.

Eighty five percent of patients with PCOS had a morbid obesity (BMI > 30 kg/m2). Ninety five per cent of PCOS women had an hirsutism Marital sexual dysfunctions were found in 50% of the sample (global score of FSFI < 26). Marital sexual disorders were significantly increased with presence of hirsutism (p < 0.01). BMI had no impact on the sexual satisfaction. Both obese and non obese women with PCOS reported being significantly less satisfied with their sex life in the past month (p < 0.001), finding themselves significantly less sexually attractive (p = 0.03), perceived their husbands as less satisfied with their sex life (p = 0.001), and reporting that excessive body hair affected their sexuality (p = 0.003). BMI also had no significant effect on the frequency of sexual intercourse or sexual thoughts and fantasies.

This study shows many sexual problems affecting patients with PCOS. A medical treatment which aimed to improving PCOS-related symptoms can reduce psychological distress and improve sexual self-worth.