الفهرس 
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Abstract
Obsessive-compulsive disorder (OCD) is a chronic disabling disorder and presenting with obsessions and/or compulsions. OCD is one of the most disorders affecting the patient’s quality of life. Obsessions include thoughts, feelings, images and urges. They are illogical, unwanted and incongruent. They waste time and interfere with the normal living, occupational functioning, usual social activities or interpersonal relationships. Unlike obsession, compulsion is a behavior. Although compulsion may be associated with obsessions trying to reduce the anxiety, but does not always lead to reducing anxiety. Anxiety may remain unchanged or even increase. It is conscious and recurrent such as counting, checking, or avoiding.
Sexuality and sexual functioning in OCD has largely been overlooked throughout the 20th century because sexual dysfunction, a common problem in patients with OCD, has mainly been accounted for by the effect of pharmacotherapy on sexual functions. There are conflicting reports in the literature regarding the association between sexual dysfunction and OCD. Lower rate of marriage, sexual intercourse difficulties, and reduced sexual experience in OCD patients may be related to sexual dissatisfaction encountered during the disease process. Sexual dysfunction in patients with OCD has been studied independently or in gender specific studies, most of which were uncontrolled and provided relatively limited evidence about sexual dysfunction in OCD.
The current study was conducted at outpatient clinics of the Institute of Psychiatry, Faculty of Medicine, Ain Shams University to determine the relation between OCD and its symptoms` content and sexual dysfunctions by comparing cases and control group. Also, its other aim was to determine the correlation between severity and duration of OCD symptoms and presence of sexual dysfunctions. 70 females diagnosed with OCD using SCID-I (according to DSM-IV diagnostic criteria) were enrolled in the study according to inclusion and exclusion criteria and 70 matching females as a control group.
The mean age of onset of the cases group was 23.13±5.94 while, the mean of duration of the illness was 6.73±3.09. Also, it was found that 42.86% (n=30) of OCD patients had history of one episode of illness, 44.29% (n= 31) of patients had history of 2 episodes and 12.85% (n=9) of patients had history of more than 2 episodes.
This study concluded that sexual dysfunctions in females with obsessive compulsive disorder were more common than healthy females especially (arousal, orgasm, satisfaction, pain and lubrication problems) but not regarding FSFI desire.