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005) and satisfaction (P=.046). The WC and BMI were not a good predictor for FSD in women (OR=1.019, P=.318). The VAI was linked with lower scores in some female sexual function subdomains, but the correlation coefficient was low, indicating a weak association. Further studies with a higher number of participants are needed to conclude that the VAI may increase the risk of FSD, particularly in patients with MeTS. The VAI was linked with lower scores in some female sexual function subdomains, but the correlation coefficient was low, indicating a weak