Context: Approximately 20% of women experience sexual abuse (SA) worldwide. SA survivors are prone to experiencing psychiatric symptoms and sexual dysfunction (SD). Objective: This study aimed to evaluate the prevalence and correlates of reported SA at different ages in a sexual medicine setting. Methods: We retrospectively studied a series of women attending our clinic for SD. Patients: A series of 200heterosexual women with SD was consecutively recruited. Forty-seven women (23.5%) reported SA, which occurred in childhood, adolescence and adulthood in 9% (n=18), 7.5% (n=15) and 7% (n=14) of cases, respectively. Interventions: Retrospective analysis of the patients, who completed some validated questionnaires. Main Outcome Measures: All patients completed the Middlesex Hospital Questionnaire (MHQ), Female Sexual Function Index (FSFI), Female Sexual Distress Scale (FSDS) and Body Uneasiness Test (BUT). Results: SA women showed significantly higher MHQ total score (p=0.023), free-floating anxiety (MHQ-A: p < 0.0001) and phobic anxiety symptoms (p=0.043) when compared with non-SA women. SA women also showed significantly lower FSFI Orgasm domain (p=0.001), Satisfaction domain (p=0.004) and Total scores (p=0.027), and a higher FSDS total score (p=0.003). After adjusting for age and the use of psychotropic drugs, only the difference in MHQ-A (F=9.824, p=0.002), FSFI Orgasm (F=7.395, p=0.007) and FSDS total scores (F=7.208, p=0.008) retained statistical significance. When considering BUT, SA patients showed significantly higher Global Severity Index (p=0.021), Weight Phobia (p=0.025), Body Image Concerns (p=0.025), Avoidance (p=0.042), Depersonalization (p=0.032), Positive Symptom Total (p=0.045) and Positive Symptom Distress Index (PSDI) scores (p=0.022) than non-SA patients. All the differences retained statistical significance after adjusting for age, psychotropic drugs and body mass index. Significantly lower FSFI Orgasm (p=0.009) and Satisfaction domain scores (p=0.012) were found in patients reporting SA in adolescence when compared with SA in childhood, even after adjusting for confounders (F=8.577, p=0.007 and F=7.102, p=0,013 for Orgasm and Satisfaction, respectively). Conclusions: SA women show higher anxiety symptoms, sexual distress and body image concerns and a worse orgasm functioning when compared to non-SA women. SA has a greater negative impact on orgasm functioning and sexual satisfaction when perpetrated in adolescence than in childhood.