Hormonal and psycho-relational aspects of sexual function during menopausal transition and at early menopause

Nappi, Rossella E.; Albani, Francesca; Santamaria, Valentina; Tonani, Silvia; Magri, Flavia; Martini, Ellis; Chiovato, Luca; Polatti, Franco

doi:10.1016/j.maturitas.2010.05.008

Cited by 65 publications

(36 citation statements)

References 34 publications

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“…One of the common complaints in transient menopause-menopause period is physical complaint, where 80% of females in the study group suffered from physical problems, which were significantly associated with reduction in sexual desire, a finding consistent with other studies (6,16,17). This study found no significant relationship between hot flashes and vaginal dryness, and decreased sexual desire, a finding similar to the studies of Gracia et al and Reed et al (17,18).…”

Section: Discussionsupporting

confidence: 91%

“…They found a significant relationship between mood changes and reduction in sexual desire, a finding confirmed by the study of Mahyar et al on disorders of sexual functioning in psychological patients, who concluded that there was a significant relationship between sexual desire and depression and physical complaints (15). The study of Nappi et al (16) reported a significant relationship between depression and anxiety, and sexual activity. Subjects with higher scores in mood changes had the worst sexual functioning (16).…”

Section: Discussionmentioning

confidence: 97%

“…The study of Nappi et al (16) reported a significant relationship between depression and anxiety, and sexual activity. Subjects with higher scores in mood changes had the worst sexual functioning (16). Other studies also showed a negative relationship between psychological complaints and sexual interest (3,5,7).…”

Section: Discussionmentioning

confidence: 97%

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Evaluation of Factors Affecting Sexual Desire During Menopausal Transition and Post Menopause

Rabiei¹,

Nasirie²,

Zafarqandie³

2014

Women's Health Bull

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Background:One of the most common problems of women especially during transient menopause and post menopause is reduction in sexual desire which affects their social and psychological health. Objectives: The present study attempted to evaluate the impact of some personal and social factors, common age-related complaints, and follicular stimulating hormone and estradiol on sexual desire. Patients and Methods:This cross-sectional study was conducted on 201 females, aged 45-60 years old, without any history of psychological illness, and not receiving any hormone therapy including estrogen-progesterone. They filled three questionnaires; menopausal rating scale (MRS), symptom checklist 90 and their sexual interests and demographic characteristics. The data were analyzed using Pearson Chisquare tests and logistic regression (using SPSS 18). Results: A deceasing sexual desire was observed in 34.7% of the cases. A statistically significant relationship was found between reduced sexual desire and physical complaints and mood changes including anxiety and depression. Women who were widowed or divorced exhibited a significantly higher reduction in sexual desire. There was a significant correlation between sexual satisfaction and sexual desire. However, no significant relationship was observed between sexual desire and hot flashes, dyspareunia and level of estradiol and FSH. Conclusions: Mental and physical health of women and their sexual satisfaction play a more effective role in predicting sexual desire, regardless of age and hormonal changes during this period.

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Section: Discussionsupporting

confidence: 91%

Section: Discussionmentioning

confidence: 97%

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Evaluation of Factors Affecting Sexual Desire During Menopausal Transition and Post Menopause

Rabiei¹,

Nasirie²,

Zafarqandie³

2014

Women's Health Bull

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“…The FSFI has been used to assess sexual function according to menopausal status, anxiety, depression, urinary symptoms, eating disorders, hormone levels and partner factors [12,13,[21][22][23].…”

Section: Discussionmentioning

confidence: 99%

Assessing predictors of sexual function in mid-aged sexually active women

Chedraui¹,

Pérez‐López

Mezones‐Holguín

et al. 2011

Maturitas

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“…Isso se deve, provavelmente, às questões culturais envolvendo o tema. Embora exista uma maior quantidade de estudos internacionais quanto à sexualidade de mulheres no climatério, não há consenso na literatura sobre os fatores que influenciam a vida sexual nessa fase da vida da mulher 6,[10][11][12] .…”

Section: Introductionunclassified

Função sexual e fatores associados à disfunção sexual em mulheres no climatério

Cavalcanti¹,

Farias²,

Ithamar³

et al. 2014

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVO: Avaliar a função sexual e os fatores associados à disfunção sexual de mulheres no período do climatério. MÉTODOS: Foi realizado um estudo de corte transversal incluindo 173 mulheres, na faixa etária de 35 a 65 anos, com parceiro fixo nos últimos 6 meses, alfabetizadas, sem comprometimento cognitivo e com atividade sexual há pelo menos 6 meses. O instrumento utilizado para avaliar o desempenho sexual foi o Quociente Sexual, versão feminina. A associação entre disfunção sexual e dados sociodemográficos, antecedentes pessoais e obstétricos e história sexual foi realizada por meio do teste do χ 2 de Pearson e da força de associação, por meio do odds ratio (OR) com intervalo de confiança de 95% (IC95%). RESULTADOS: Neste estudo, 46,2% das mulheres apresentaram disfunção sexual. Houve uma diminuição da chance de disfunção sexual para a faixa etária entre 35 e 49 anos (OR=0,3; IC95% 0,2-0,6) e para as mulheres que se sentiam à vontade para falar sobre sexo (OR=0,5; IC95% 0,2-0,8). Entretanto, presença de osteoporose (OR=3,3; IC95% 1,5-7,6), incontinência urinária (OR=2,0; IC95% 1,1-3,7) e correções cirúrgicas do assoalho pélvico (OR=2,2; IC95% 1,1-4,5) elevaram essa chance. CONCLUSÕES: A frequência de disfunção sexual em mulheres na faixa etária entre 35 e 65 anos foi 46,2% e fatores como osteoporose, incontinência urinária e correções cirúrgicas do assoalho pélvico aumentaram a chance de disfunção sexual. Abstract PURPOSE:To evaluate the sexual function and factors associated with sexual dysfunction in climacteric women. METHODS: A cross-sectional study was conducted on 173 women aged 35 to 65 years old, with a steady partner during the last 6 months, who are literate, without cognitive impairment, and with sexual activity for at least 6 months. The instrument used to assess sexual performance was the Sexual Quotient, female version. The association between sexual dysfunction and sociodemographic data, personal, obstetric and sexual history was determined by Pearson's χ 2 test and strength of association by the odds ratio (OR) with a 95% confidence interval (95%CI). RESULTS: In this study, 46.2% of the women reported sexual dysfunction. There was a decrease in the chance of sexual dysfunction for the age group between 35 and 49 years old (OR=0.3; 95%CI 0.2-0.6) and for women who felt comfortable talking about sex (OR=0.5; 95%CI 0.2-0.8). However, the presence of osteoporosis (OR=3.3; 95%CI 1.5-7.6), urinary incontinence (OR=2.0; 95%CI 1.1-3.7), and surgical corrections of the pelvic floor (OR=2.2; 95%CI 1.1-4.5) increased this chance. CONCLUSIONS: The frequency of sexual dysfunction in women aged 35 to 65 years old was 46.2% and factors such as osteoporosis, urinary incontinence and surgical corrections of the pelvic floor increased the chance of sexual dysfunction.

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Hormonal and psycho-relational aspects of sexual function during menopausal transition and at early menopause

Cited by 65 publications

References 34 publications

Evaluation of Factors Affecting Sexual Desire During Menopausal Transition and Post Menopause

Evaluation of Factors Affecting Sexual Desire During Menopausal Transition and Post Menopause

Assessing predictors of sexual function in mid-aged sexually active women

Função sexual e fatores associados à disfunção sexual em mulheres no climatério

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