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Sexual Dysfunction in the Middle East. Sexual dysfunction is defined as "disorders that interfere with a full sexual response cycle." Many studies have shown a relationship between sexual dysfunction and depression. In Iran, 49% of men with sexual dysfunction were found to have depressive symptoms. It is also important to note that Middle-Eastern women also experience sexual dysfunction. Turkish female hemodialysis patients show a high rate of sexual dysfunction; most commonly concerning arousal.These patients have shown depressive symptoms as well. Studies have shown that prevalence of sexual dysfunction is highest in the Middle East.