Maintaining sexuality in menopause

Nappi, Rossella E.; Martini, Ellis; Martella, Silvia; Capuano, Francesca; Bosoni, David; Giacomini, Sonia Maria; Beraghi, Matteo; Spinillo, Arsenio

doi:10.1177/1754045313515122

Cited by 25 publications

(13 citation statements)

References 94 publications

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“…Menopause is understood as a natural cessation of women’s reproductive ability. It typically occurs in women in late 40s and early 50s [ 3 ]. Therefore, conceiving a baby by women between older than 35 years old can be regarded as fertility in late reproductive age.…”

Section: Introductionmentioning

confidence: 99%

Fertility in women of late reproductive age: the role of serum anti-Müllerian hormone (AMH) levels in its assessment

Męczekalski

Czyźyk

Kunicki³

et al. 2016

J Endocrinol Invest

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IntroductionFertility is referred to the capability for having offspring and can be evaluated by fertility rate. Women’s fertility is strictly dependent on individual’s age. The fertility peak occurs in the early 20s, and it starts to decline in the third and fourth decades of life (falling sharply after age 35).AimThe aim of this work is to review the available data concerning fertility in women of late reproductive age, especially the role of serum anti-Müllerian hormone (AMH) levels.Results There are a lot of factors responsible for decrease of fertility in women of late reproductive age. These factors can be classified as oocyte-dependent (decrease in oocyte quantity and quality) and oocyte-independent (reproductive organs [uterus, oviducts] status and general health). Anti-Müllerian hormone (AMH) is a dimeric glycoprotein of the transforming growth factor-β (TGF-β) superfamily produced directly by the ovarian granulosa cells of secondary, preantral, and early antral follicles. It has been used as an ovarian reserve marker since 2002. Anti-Müllerian hormone seems to be the best endocrine marker for assessing the age-related decline of the ovarian pool in healthy women. Evaluation of AMH’s predictive value in the naturally aging population is important for counseling women about reproductive planning as well as for treatment planning for women experiencing hormone-sensitive gynecological conditions such as endometriosis and fibroids.Conclusions AMH can be considered as an indicator of fertility in late reproductive age women and pregnancy outcome in assisted reproductive technology cycles. AMH can strongly predict poor response in the controlled ovarian stimulation.

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Section: Introductionmentioning

confidence: 99%

Fertility in women of late reproductive age: the role of serum anti-Müllerian hormone (AMH) levels in its assessment

Męczekalski

Czyźyk

Kunicki³

et al. 2016

J Endocrinol Invest

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“…Regarding the Socio-demographic factors impacting LSD and HSDD, various studies have reported different results. Some of these studies indicate that LSD and HSDD increase with age [7,9,10], Whereas in other studies, LSD has been the only factor associated with increasing age (not HSDD) [5].…”

Section: Hsdd Based On Research Data In the Diagnostic And Statistimentioning

confidence: 96%

Socio-demographic Determinants of Low Sexual Desire and Hypoactive Sexual Desire Disorder: A Population-based Study in Iran

Hamzehgardeshi

Malary

Moosazadeh

et al. 2020

Preprint

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Background: Various socio-demographic factors are determinants of Low Sexual Desire (LSD), but whether these are the determinants of Hypoactive Sexual Desire Disorder (HSDD) are unclear. The aim of this study is to evaluate the Socio-demographic determinants of LSD and HSDD in Iranian women of reproductive age.Methods: This was a population-based, cross-sectional study of 1000 Iranian women of reproductive age (15-49 years) who met the inclusion criteria and were chosen through systematic random sampling from all the healthcare centers in Sari, Iran. LSD was defined as a score no higher than 33 on the Sexual Interest and Desire Inventory-Female (SIDI-F); sexually related personal distress was defined as a score of at least 11.0 on the Female Sexual Distress Scale–Revised (FSDS-R); and HSDD was defined as a combination of these scores. Descriptive statistics were used to describe demographic characteristics while for analyzing grouped variables, chi-square test was applied. Multivariate regression test was also used to adjust the effect of confounding variables. Results: The mean score of sexual interest/desire among women who referred to healthcare centers in the city of Sari is estimated as 30.6±10.5. After adjusting the effect of the confounder variables by logistic regression multivariate analysis, the age at first intercourse, the length of time spent in marriage, and the level of satisfaction with income were variables significantly associated with LSD and HSDD (P < .01). Although increasing individual′s age (P < .001) and body mass index (P < .01) were predictors of LSD in women, HSDD was not statistically significant.Conclusion: There are some factors that are associated with LSD in women but are not related to HSDD. In other words, some factors associated with LSD do not cause personal distress which are one of the criteria necessary for HSDD.

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“…Various studies have yielded different results regarding the socio-demographic factors affecting LSD and HSDD. Some of these studies indicated the increased risk of LSD and HSDD with advancing age [7,9,10], whereas in other studies, only LSD has been found to be associated with increasing age (not HSDD) [5].…”

Section: Introductionmentioning

confidence: 99%

Socio-demographic Determinants of Low Sexual Desire and Hypoactive Sexual Desire Disorder: A Population-based Study in Iran

Hamzehgardeshi

Malary

Moosazadeh

et al. 2020

Preprint

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Background: Various socio-demographic factors have been introduced as determinants of low sexual desire (LSD), but whether these variables can also contribute to hypoactive sexual desire disorder (HSDD) remains uncertain. In this study, we sought to identify the socio-demographic determinants of LSD and HSDD in Iranian women of reproductive age. Methods: This was a population-based, cross-sectional study of 1000 Iranian women of reproductive age (15-49 years) who met the inclusion criteria. The participants were chosen using the systematic random sampling method from all the healthcare centers in Sari, Iran. LSD was defined as a score no higher than 33 on the Sexual Interest and Desire Inventory-Female (SIDI-F), sexually-related personal distress was considered as a score of at least 11.0 on the Female Sexual Distress Scale–Revised (FSDS-R), and HSDD was determined based on the sum of these scores. Descriptive statistics were used to describe the socio-demographic characteristics, while for analyzing grouped variables, Chi-squared test was run. Multivariate logistic regression test was also employed to adjust the effect of confounding variables. Results: The mean score of sexual interest/desire among women was 30.6±10.5. After adjusting for the effect of confounding variables (socio-demographic variables such as age, age at first intercourse, level of education, etc.), logistic regression showed that age at first intercourse, length of marriage, and the level of satisfaction with income were significantly associated with both LSD and HSDD (P<0.01). In addition, advancing age (P<0.001) and body mass index (P<0.01) were predictors of LSD alone. Conclusion: Some socio-demographic factors could predict LSD in women, while they were not associated with HSDD. In other words, some factors associated with LSD do not instigate personal distress, which is one of the criteria necessary for the diagnosis of HSDD.

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Maintaining sexuality in menopause

Cited by 25 publications

References 94 publications

Fertility in women of late reproductive age: the role of serum anti-Müllerian hormone (AMH) levels in its assessment

Fertility in women of late reproductive age: the role of serum anti-Müllerian hormone (AMH) levels in its assessment

Socio-demographic Determinants of Low Sexual Desire and Hypoactive Sexual Desire Disorder: A Population-based Study in Iran

Socio-demographic Determinants of Low Sexual Desire and Hypoactive Sexual Desire Disorder: A Population-based Study in Iran

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