Risk factors associated with female sexual dysfunction among married women in Upper Egypt; a cross sectional study

Arafa, Ahmed; Elbahrawe, Rasha S.; Shawky, Sherwet; Mostafa, Alshimaa; Ahmed, Safaa Soliman; Elhoufey, Amira; Abbas, Ahmed M.

doi:10.18203/2394-6040.ijcmph20180218

Cited by 12 publications

(17 citation statements)

References 21 publications

(31 reference statements)

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“…This may be attributed to, in conservative communities, such as that of Upper Egypt, speaking out about sexual problems is shameful and considered а taboo and people may get stigmatized for their sexual problems, which may hinder forming an overwhelming view over sexual issues, especially in females. 34 This is supported by the findings of the Scаndinavian study. It reported that out of 3017 women aged 20 to 60 years attending a cervical screening program, only 9.3% reported dyspareunia: 13.0% of women aged 20-29 years; 6.5% aged 50-60 years.…”

Section: Discussionsupporting

confidence: 61%

“…In addition, more years of marriage carry extra burdensome tasks that interfere with sexual functioning. 34 Additionally, our results showed that 49.5% of women had inadequate family income, 68.7% of women reported morbid dyspareunia. Α longer duration of marriage may carry more stressful duties, more economic challenges, less passion for sex.…”

Section: Discussionmentioning

confidence: 52%

“…Vulvovaginal thinning & dryness, as well as lower estrogen production, may explain the association between old age and dyspareunic pain. 10,34 As with most women's sexual difficulties occurring during midlife & beyond, painful sex is typically considered to be а consequence of declining ovarian hormone level. As а result of aging tissue & decreasing level of endogenously produced estrogen during menopausal phase, in particular, estradiol (E 2 ), atrophic changes may be observed in the external genital region, introitus, and vagina (i.e.…”

Section: Discussionmentioning

confidence: 99%

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Comprehension of dyspareunia and related anxiety among northern upper Egyptian women: impact of nursing consultation context using PLISSIT model

Hassan¹,

Saber²,

Sheha³

2019

NCOAJ

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Background: Although dyspareunia is one of the common health issues, up-till-now it remains neglected in Eastern communities such as in Egypt, especially in Upper Egypt, where investigation or even taking of such problems is considered а taboo. The couples deny it on the grounds of shame; regardless of whether they feel а need for further consultation about it. Aim: Exploration prevalence of dyspareunia, its related factors, and its associated anxiety among Upper Egyptian women in Ɓeni-Ѕuef city, Egypt, Study the effect of counseling using PLӀSSӀΤ on dyspareunia and related anxiety. Subjects and methods: Α cross-sectional study using Counseling sheet following PLӀSSӀΤ model, Numerical Rating Scale, Calibrated scale and Beck Anxiety Inventory. Results: Of all the participants, 25.0% exposed to reproductive tract infection (RΤӀ), 23.5% had a history of gynecologic/pelvic surgery, 11.0% were menopauses, 86.5% were multipara. Of the 173 women, 52 % normal vaginal birth with episiotomy, 10.1% gave birth assisted by ventouse. Of 160 (76.9%) who were delivered vaginally, 65.3% had perineal tears. Person correlation coefficient test (г) illustrated, the greater the pain, the greater the anxiety, however, no statistically significant difference was found. Between the 2 mentioned variables. Progressive declining in dyspareunia, after counseling using PLӀSSӀΤ model, throughout 3-months follow up regardless sociodemographic characteristics, obstetrical, gynecological health and sexual behavior characteristics. Statistically significant difference between dyspareunia in pre/post counseling of at р-values <0.05. Conclusion: Our results confirm the strong link between dyspareunia and anxiety as well as the effectiveness of counseling using PLӀSSӀΤ model in the alleviation of women's dyspareunic pain and its associated anxiety. Recommendations: Active approaches are needed to overcome shame and embarrassment, and the stigma that may be associated with asking about common sexual health issues by activating the role of maternity health nurses in gynecologic clinics to enhance women's knowledge regarding sexual health issues.

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Section: Discussionsupporting

confidence: 61%

Section: Discussionmentioning

confidence: 52%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Comprehension of dyspareunia and related anxiety among northern upper Egyptian women: impact of nursing consultation context using PLISSIT model

Hassan¹,

Saber²,

Sheha³

2019

NCOAJ

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“…Sexual dysfunction in women is a public health issue with many physical and psychological outcomes, that affects women's quality of life 1 . Sexuality is a complex process related to neurological, vascular and endocrine systems.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and risk factors of sexual dysfunction in healthy women in Turkey

Kılıç¹

2019

Afr H. Sci.

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Objectives: This is a cross sectional study conducted in order to determine sexual dysfunction in healthy women and risk factors.Patients and methods: The population of the study consisted of 282 women. The whole of the population, without sample selection, was included in the study. For data, questionnaire and Female Sexual Function Index-FSFI, whose Turkish validity and reliability study was conducted, were used. Student t and chi-square significant tests and logistic regression analysis were used to carry out statistical analysis.Results: It was found that 35.8% of 282 women who participated in the study were in the age range of 30-39 years, 54.6% had high school educational level or above, and 59.6% worked. Prevalence was determined as 53.2% FSFI score < 26 according to Female Sexual Function Index FSFI; 23% of the women had complaints about urinary incontinence UI. According to logistic regression results, it is determined that CFB risk is increased in patients with age and urination problem. It was determined that there was no significant correlation between income, number of children, prceived economic status, dyspareunia, having problem with the partner, experiencing premenstrual syndrome, and SD. Conclusion: In this study, approximately half of healthy women had SD and development of SD was affected based on some descriptive characteristics. As sexual life was considered as a factor increasing life quality, it was thought that it is fairly important to discuss the questioning of problems related to sexual life for systematic evaluation of patients, as well.Keywords: SD, risk factors, prevalence, Turkey.

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“…10 The significant association of FSD and older age among different ethnic groups, which is maintained in the regression model, is supported by several previous studies. [11][12][13] Resumo Objetivo A incidência de obesidade, que é uma condição crônica, aumentou nos últimos anos. A associação entre obesidade e disfunção sexual feminina ainda não está clara, particularmente em mulheres após a menopausa.…”

Section: Introductionunclassified

Evaluation of Obesity Influence in the Sexual Function of Postmenopausal Women: A Cross-Sectional Study

Silva

Lima

Reis

et al. 2019

Rev Bras Ginecol Obstet

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Objective The incidence of obesity, which is a chronic condition, has increased in recent years. The association between obesity and female sexual dysfunction remains unclear, particularly in postmenopausal women. In the present study, we evaluated whether obesity is a risk factor for sexual dysfunction in postmenopausal women. Methods This is a cross-sectional study that analyzed data from interviews of postmenopausal women at the Climacteric Outpatient Clinic from 2015 to 2018. After applying the inclusion and exclusion criteria, 221 women aged between 40 and 65 years old were selected and invited to participate in the study. Obesity was diagnosed according to body mass index (BMI). The participants were grouped into the following BMI categories: group 1, 18.5–24.9 kg/m2 (normal); group 2, 25.0–29.9 kg/m2 (overweight); and group 3, ≥30.0 kg/m2 (obese). Sexual function was assessed using the Female Sexual Function Index (FSFI) questionnaire. Cutoff points of ≥23 and ≥26.5 were adopted to define a diagnosis of female sexual dysfunction (FSD) based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision by the American Psychiatric Association (DSM-IV-TR). Results The desire and arousal scores were statistically higher in the normal BMI group than in the obese group (p = 0.028 and p = 0.043, respectively). The satisfaction scores were statistically higher in the normal BMI group than in the overweight and obese groups (p < 0.05). The total FSFI score statistically differed among the BMI categories (p = 0.027). Conclusion In the present study, obese and overweight postmenopausal women had higher total scores than women with normal BMI. Our results show that obese and overweight postmenopausal women had a higher index of dysfunction in desire and arousal and lower sexual satisfaction than normal-weight women.

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Risk factors associated with female sexual dysfunction among married women in Upper Egypt; a cross sectional study

Cited by 12 publications

References 21 publications

Comprehension of dyspareunia and related anxiety among northern upper Egyptian women: impact of nursing consultation context using PLISSIT model

Comprehension of dyspareunia and related anxiety among northern upper Egyptian women: impact of nursing consultation context using PLISSIT model

Prevalence and risk factors of sexual dysfunction in healthy women in Turkey

Evaluation of Obesity Influence in the Sexual Function of Postmenopausal Women: A Cross-Sectional Study

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