Lower urinary tract symptoms (LUTS) and female sexual dysfunction and erectile dysfunction (FSD) have been connected by epidemiological data and fundamental research studies, but few studies have been undertaken in Saudi Arabia to address these concerns, and most of them exclude the young population. Our goal was to find out how common FSD and its link to LUTS are in Saudi Arabia. Given the area of arabic country where the patient is more shy to describe their sexual life perspectives, we tried to bridge this gap.

LUTS/OAB was assessed in a cross-sectional, population-based study with participants under the age of 18. FSD is listed as 19 in FSFI-6. We used both descriptive and inferential statistics.

The median age of the 557 participants was 37 (IQR 37-67) years. A 315 (41.2%) of persons who engaged in sexual activity had FSD. Reduced or nonexistent lubrication was the most prevalent FSD symptom in women (42%). FSD patients reported greater frequencies of certain LUTS. stress urinary incontinence (SUI) was prevalent in 42.1%, while Urgency urinary incontinence was prevalent in 42.2%. The multivariable logistic regression model found that diabetes mellitus (OR=0.9, 95% CI 0.3-3.17), stress urinary incontinence (OR=0.9, 95% CI 0.15-6.2), PFMT (OR=1.4, 95% CI 0.6-3.2), menstruation (OR=0.4, 95% CI 0.1-2.2), employment (OR=0.9, 95% CI 0.15-6.2) and smoking (OR = 1.04, 95% CI 0.17-6.2) were associated with FSD.

The median age of the 557 participants was 37 (IQR 37-67) years. A 315 (41.2%) of persons who engaged in sexual activity had FSD. Reduced or nonexistent lubrication was the most prevalent FSD symptom in women (42%). FSD patients reported greater frequencies of certain LUTS. stress urinary incontinence (SUI) was prevalent in 42.1%, while Urgency urinary incontinence was prevalent in 42.2%. The multivariable logistic regression model found that diabetes mellitus (OR=0.9, 95% CI 0.3-3.17), stress urinary incontinence (OR=0.9, 95% CI 0.15-6.2), PFMT (OR=1.4, 95% CI 0.6-3.2), menstruation (OR=0.4, 95% CI 0.1-2.2), employment (OR=0.9, 95% CI 0.15-6.2) and smoking (OR = 1.04, 95% CI 0.17-6.2) were associated with FSD. 
This large size population based study bridged the gap, how popular is the sexual dysfunction in such arabic country. we judged the female sexual dysfunction when the female has the score of 19 or lower, while some studies defined the FSD when the score is less than 26. 
Diabetic smokers patients who has stress urinary incontinence, irregular menses, and were not employed were more liable to have sexual dysfunction.

Patients with FSD are equally likely to experience UI or SUI. Menstruation, smoking, employment, PFMT, SUI, and DM were the independent predictors of FDS.