Female Sexual Function and Its Association with the Severity of Menopause-Related Symptoms

Pérez-Herrezuelo, I.; Aibar-Almazán, Agustín; Martínez‐Amat, Antonio; Fábrega-Cuadros, Raquel; Díaz-Mohedo, Esther; Wangensteen, Rosemary; Hita‐Contreras, Fidel

doi:10.3390/ijerph17197235

Cited by 25 publications

(19 citation statements)

References 47 publications

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“…The results of the present study showed that there is a significant negative correlation between the age of the spouse and the sexual function of postmenopausal women. This result is consistent with some other studies [ 12 , 41 , 43 , 46 ]. This association may be due to hormonal changes due to aging and its consequences on sexual partner sexual function [ 12 ], which in turn may affect female sexual function.…”

Section: Discussionsupporting

confidence: 94%

The association between sexual function and body image among postmenopausal women: a cross-sectional study

et al. 2021

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Background Postmenopause physiological changes may alter body image (BI) during the postmenopausal period of life. Body image dissatisfaction may have negative effects on the sexual function of women. The present study aims to assess the relationship between body image and sexual function during the postmenopausal period. Methods This cross-sectional study was performed on 231 postmenopausal women who were menopausal during the recent 5 years, aged > 40 years old, and referring to health centers in Tehran-Iran. The participants were recruited using a multi-stage sampling method. Data were collected using 3 questionnaires including socio-demographic, Fisher’s Body Image, and female sexual function index (FSFI). Data were analyzed using SPSS 24 and multiple regression, Mann–Whitey, Pearson, and Spearman correlation tests. Results Two hundred thirty-one postmenopausal women aged 52.53 ± 5.32 (mean ± SD) years old participated in the study. The mean and standard deviation of FSFI and BI of the women were respectively 19.59 ± 11.11(ranges 1.2–36) and 155.43 ± 37.09 (ranges from 46 to 230). According to FSFI, 62.8% of female sexual dysfunction (FSD) was reported. There were significant correlations between scores of total and all domains of FSFI with scores of total and all dimensions of BI. There was also a positive correlation between education and family income of the women and a negative correlation between age of husband and duration of menopause with their sexual function. Significant relationships were also shown between the women's and the husbands' jobs with the total score of women's sexual function. According to the multiple linear regression model, BI was a significant predictor of sexual function in postmenopausal women. Conclusion Body image is effective on the sexual function of postmenopausal women. Therefore, body image is necessary to be considered in future postmenopausal health promotion programs.

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Section: Discussionsupporting

confidence: 94%

The association between sexual function and body image among postmenopausal women: a cross-sectional study

et al. 2021

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“…Zeleke et al reported low sexual desire in 88.0% of older women [40]. Decreased sexual function in postmenopausal women was also confirmed in a recent study by Pérez-Herrezuelo et al [41]. Overall, from the literature, it is clear that an association exits between older age and lowered sexual desire.…”

Section: Discussionmentioning

confidence: 71%

Decreased Sexual Desire among Middle-Aged and Old Women in China and Factors Influencing It: A Questionnaire-Based Study

Zhu

Yang

Fan³

et al. 2021

Evidence-Based Complementary and Alternative Medicine

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Objective. This survey was designed and conducted with an aim to present data on sexual desire and activity in Chinese women. Methods. Between October 2013 and December 2013, we surveyed 3000 women (aged 40–65 years) at Beijing No. 2 Hospital and the Yuetan Community Health Service Center using a questionnaire. The primary outcomes included determination of sexual desire in the past 4 weeks, reasons for stopping sexual activity, and postmenopausal syndrome. The secondary outcome was determination of factors for low sexual desire. Results. A total of 2400 women (mean age 54.33 ± 6.25 years; mean menopausal age 50.11 ± 3.31 years) returned the questionnaire, with 58% of women reporting lowered sexual desire and 39.3% reporting stoppage of sexual activity. Compared with the postmenopausal group, the incidence of anxiety, depressive, somatic, and vasomotor symptoms was higher in the perimenopausal group. Muscle and joint pain (45.8%) and vaginal pruritus (21.5%) were the most commonly reported menopausal and vulvovaginal symptoms, respectively. The odds of decrease in sexual desire were significantly higher with older age, menopause, presence of gynecological disease, menopausal depression symptoms, menopausal vasomotor symptoms, and vulvovaginal atrophy; only cesarean delivery (odds ratio = 0.887, P = 0.018 ) was associated with lesser reduction in sexual desire compared with the aforementioned factors. Conclusion. This survey showed that a high proportion of Chinese middle-aged and old women have lowered sexual desire and activity. Lack of sexual desire is associated with multiple factors and affects the quality of life of women.

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“…Increasing age had been a concern among Turkish women where 46–55 years age group presented the highest prevalence rate of FSD, 67.9% [ 33 ]. Postmenopausal women residing in a rural area were linked to having better sexual function from a study in Granada, Spain [ 34 ]. Apart from that, multiparity is a significant risk factor for FSD.…”

Section: Discussionmentioning

confidence: 99%

Status of female sexual dysfunction among postmenopausal women in Bangladesh

et al. 2022

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Background Women's sexual health and physical desire for sex are most important for their emotional and physical well-being. This study aimed to examine the status of sexual dysfunction among postmenopausal women in Bangladesh and assess the significant risk factors behind this. Methods A cross-sectional study was conducted among 45–55 years in four public and private hospitals in Bangladesh from April 2021 to June 2021 using a multi-stage sampling technique to enroll the study participants. The female sexual function index (FSFI) scale measured the prevalence of FSD, and the relationship of independent risk factors were assessed using a multivariate logistic regression model. Results The total score of FSFI among postmenopausal Bangladeshi women was 18.07 ± 8.51. Among 260 participants, the prevalence of FSD was 56.9%. Out of all the significant risk factors, increasing age, urban population group, multiparous, homemakers, duration of menopause, and postmenopausal women with no hormone therapy were significantly associated with FSD. In contrast, those with regular physical activity were protective of FSD. Conclusion In conclusion, a significant proportion of postmenopausal Bangladeshi women are enduring sexual dysfunction. Proper hormonal therapy and non-hormonal therapies such as physical activity and pelvic floor muscle (Kegel) exercise with adequate counseling are helpful to cope in this distressing situation.

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Female Sexual Function and Its Association with the Severity of Menopause-Related Symptoms

Cited by 25 publications

References 47 publications

The association between sexual function and body image among postmenopausal women: a cross-sectional study

The association between sexual function and body image among postmenopausal women: a cross-sectional study

Decreased Sexual Desire among Middle-Aged and Old Women in China and Factors Influencing It: A Questionnaire-Based Study

Status of female sexual dysfunction among postmenopausal women in Bangladesh

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