A third said their sex lives were not very or not at all satisfying, compared with a global average of just 16 per cent.Just 26 per cent of Australian women rated their sex life very satisfying and 36 per cent were somewhat happy.
Saudi Arabian women were the most fulfilled, followed by Mexican, Spanish, Italian and Venezuelan women.
Longing for better sex
Australian women were also among the most likely to wish for better sex, 65 per cent saying they had often or sometimes longed for this in the past year.
Despite their discontent, 74 per cent rated sex as important in a relationship.
Leading GP and women's sexual health specialist Dr Penny Adams said men and women were not that far apart sexually.
The survey of more than 14,000 women from 14 countries showed 76 per cent of women overall valued sex, while 89 per cent of men rated it important or very important in the 2005 Sex and the Modern Man report.
But Dr Adams said Australian couples had some work to do, with the report showing women believed more communication and spontaneity would boost their sex lives.
"Women like to communicate on all issues and sex is no different," Dr Adams said.
"It makes them feel connected to their partners."
Macho image a sexual barrier
Dr Adams said the Aussie male's macho image and laid-back nature was often a barrier to greater communication with their partners.
"It's always been a touchy area in relationships, talking not just about how much sex you are having, but also the techniques you enjoy and the quality of the performance," she said.
"But if women present their sexual needs to their partner in a way that's affirming, in terms of their attraction and desire for them, I think it'll be accepted in a positive way.
"As soon as men think they are being picked on or criticised it's going to have a negative impact."
The report, sponsored by Bayer HealthCare, found more communication about sex and more spontaneity were the top needs of women wanting to spice up their sex life.
These were followed by greater desire for each other and giving more pleasure to a partner.
Aussie women want it on tap
Australian women had the second highest desire for spontaneity, with 90 per cent rating it essential or important.
The report also identified the "Vitalsexual" woman, a profile that fitted almost half women surveyed. They were over 40 and believed sex and their partner's sexual satisfaction was important.
They were most likely to discuss the problem of erectile dysfunction with their partner and encourage them to see a doctor.
The report uncovered erectile dysfunction as a blight in Australia.
Women reported the highest rate in their men, at 35 per cent.
Dr Adams said Australia's high rate of erectile dysfunction and poor satisfaction rating were no coincidence.
"Erectile dysfunction has always been seen as a man's problem, but it's also a woman's problem," she said.
"All the good things that sex contributes to a relationship are lessened by erectile dysfunction."
Dr Adams encouraged women to learn about the condition so they could discuss it delicately with their partner.
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