Introduction : Female sexual dysfunction (FSD) is a common disorder, but poorly investigated at the primary care level. Aim : To investigate the prevalence of FSD and the correlates of female sexual problems in community and clinic-based samples among Egyptian women. Materials and Methods : An Arabic version of the Female Sexual Function Index ( FSFI ) Questionnaire besides questions for medical, gynecologic and obstetric ailments was administered. Participants were encountered either in the outpatient clinic in Gynecology and Obstetrics Clinic of Kasr El Eini Teaching Hospital, or among the general population in random social settings. 1001 married women, aged 17–55 years, mean age (30.24+7.67) were interviewed face to face by a trained female physician. Divorced, widowed, pregnant and 3 month-postpartum women were excluded, in addition to women in the 3-month post-operative convalescence, or suffering bleeding, life threatening disease, psychotic diseases. Main Outcome Measures : Prevalence of FSD in Egyptian women based on Arabic version of FSFI questionnaire, and risk factors for developing FSD. Results : The collective prevalence of rFSD was 27.6%. There was no statistically significant difference in rFSD among CP (26.4%) in comparison to GP (31.6%), p=0.071. Prevalence of sexual dysfunction increased significantly with age, duration of the sexual relationship, number of child deliveries. A statistically significant higher prevalence of rFSD was detected with menstrual irregularity, lack of dysmenorrhea, utility of contraceptive pills, psychological stress, hypertension, women with partners suffering from sexual dysfunction whether premature ejaculation or erectile dysfunction. No statistically significant difference was observed with variation in educational level, occurrence of female genital cutting, mode of child delivery, genital tract infections and diabetes. Conclusion : The findings of this work shed light on the magnitude of rFSD and its possible risk factors.