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It demonstrated good test–retest reliability, concurrent validity with other measures of body image, and criterion validity for clinical status.

It is a likert scale ranging from not at all (0) to always (4) except for items number 16 and 26, which are rated inversely and scored by adding the scores of individual items (SPSS Inc., Chicago, Illinois, USA).

The problems associated with negative body image have received substantial attention in the research literature, especially in the Arab culture where thinness has been regarded as socially undesirable, whereas plumpness is regarded as a symbol of fertility and womanhood .

All patients who fulfilled our inclusion and exclusion criteria within the study period and provided consent were included.

A healthy control group comprising 42 nonobese women of matched age, social class, and educational level were also recruited.

Dissatisfaction with body image was significantly associated with the presence of FSD in the case group.

Body image questionnaire scores significantly positively correlated to the female sexual function index and did not correlate to BMI.

Body dissatisfaction is a component of body image related to attitudes and evaluations of one’s own body, and is defined as a negative evaluation of one’s own body.