Sexual function is an essential component of life, and its dysfunction can impose a negative impact on the well-being of an individual. Female sexual dysfunction (FSD) data in Saudi Arabia is lacking and underestimated health problem. The aim of our study is to study the effect of Anxiety and depression on Female sexual dysfunction in a sample of Saudi women using social media distributed questionnaire.

We conducted our cross-sectional study after obtaining ethical approval from king Abdulaziz University Ethical Board Commitee. The target sample included married females who are sexually active around Saudi Arabia different regions. Informed consent was obtained from all of the participants prior to recruitment, and they were assured of the confidentiality of the data by a number (subject identifier), on the questionnaire. The questionnaire included : Arabic + English versions of Female sexual function index , female age , Hight and weight, demographic, parity , mode of delivery and pelvic surgical history. Questionnaire was collected as google forms and distributed using all forms of social media .

Total of 197 females filled the questionnaire. Mean age of females was 35y (16-54), their mean BMI was 25.3 (17-43), we had 92 normal BMI, 71 females were overweight, while 28 were obese and 6 were underweight. Most of females were with high level of education (164), and 148 of them had delivered a child, 110 of them had SVD, while 38 has cesarian section.  the 148 females who delivered children the mean number of children delivered was 2 (1-6). Genital mutilation was done in 18 out of 197 of our study group, and 42 females had pelvic operation. 
 FSFI was filled by all females. The mean FSFI score was 17.9 (4.3-2604), desire score mean score was 2.79, arousal mean score was 3.47 lubrication 3.45, orgasm 3.29, satisfaction 3.7pain was 1.218. FSD was categorized according to FSFI total score. We found 5 had sever FSD, 32 had moderate FSD, while 123 females had mild to moderate FSD, and 37 had mild FSD.
 Their anxiety score mean was 6.76 (0-21) and 87 of females had mild anxiety, 65 had minimal anxiety, while 17 had sever anxiety level.
The depression mean score was 6.84 (0-26), 77 females had mild depression, 64 had minimal depression while only 5 had severe depression and 10 patients no depression.
Correlation analysis didn't show any significant relation between FSD and BMI (p=0.71), level of education, or mode of delivery. 
while Age, Anxiety and depression showed significant effect on FSFI with p value 0.042, 0.027, 0.03 respectively.
Subgroup analysis showed the significant effect of anxiety and depression in the mild and moderate to mild FSD patients.

Most of our patients had mild to moderate degree of female sexual dysfunction (FSD), Age, anxiety and depression has a significant impact on   female sexual function.

Ther is still reported some degree of FSD in Saudi Arabia. Females still refusing to talk about sexual related issues. we recommend increasing awareness of FSD. Anxiety and depression and age have an impact on Female sexual function.

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