Sexual inactivity and sexual dysfunction in midlife Singaporean women: A prospective cross-sectional study of prevalence and risk factors

Logan, Susan; Thu, Win Pa Pa; Ho, King-Hee; Cauley, Jane A.; Kramer, Michael S.; Yong, Eu Leong

doi:10.1016/j.maturitas.2021.07.002

Cited by 12 publications

(7 citation statements)

References 38 publications

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“…Our study declared FSD when the FSFI score was less than 26 whereas the previous study considered women with FSFI scores less than 23 had FSD. Our study finding was also lower than the study conducted on Singaporean and Iranian women which shows 43.2% and 62.1% of women had faced FSD [ 45 ]. This could be due to differences between participants’ characteristics.…”

Section: Discussioncontrasting

confidence: 89%

Sexual dysfunction and its associated factors among reproductive-age women at Gurage Zone, Southern Ethiopia, 2023

Zeleke,

Ezedin,

Aleminew

et al. 2023

BMC Public Health

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Introduction Female sexual dysfunction is commonly neglected, under-investigated, and under-treated in Ethiopia. Therefore, this study aimed to determine the prevalence and its associated factors of female sexual dysfunction among reproductive-aged women at Gurage zone hospitals, in southern Ethiopia. Methods An institutional-based cross-sectional study was conducted among 424 reproductive-age group women. A systematic random sampling method was employed and structured questionnaires were used to collect the data through a face-to-face interview. Data were entered into EpiData version 4.6 and analyzed by SPSS version 25.0. Descriptive statistics, and bivariable, and multivariable logistic regression were conducted. Statistical significance was declared at a p-value of < 0.05. Result Four hundred two participants completed the interview with a response rate of 94.8%. Arousal dysfunction 91.0% and pain during sexual intercourse 39.3% were the most and the least prevalent domains of female sexual dysfunction respectively. Overall 32.1% of the respondents had female sexual dysfunction. Body mass index (AOR = 3.6; 95% CI: 1.2, 10.8), history of pelvic surgery (AOR = 3.5; 95% CI: 1.3, 9.2), marriage satisfaction (AOR = 3.9; 95% CI: 1.4, 1o.6), a satisfaction of spouses’ sex ability (AOR = 3.1; 95% CI: 1.2, 8.5), breastfeeding (AOR = 3.3; 95% CI: 1.6, 7.0), and mode of delivery [vaginal delivery with tear and episiotomy (AOR = 3.7; 95% CI: 1.6, 8.8), instrument assisted vaginal delivery (AOR = 7.0; 95% CI: 1.2, 39.8)], were statistically associated with female sexual dysfunction. All-encompassing professional counseling addressing psychological and interpersonal acts and weight management interventions are needed for couples to maintain sexual functioning.

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Section: Discussioncontrasting

confidence: 89%

Sexual dysfunction and its associated factors among reproductive-age women at Gurage Zone, Southern Ethiopia, 2023

Zeleke,

Ezedin,

Aleminew

et al. 2023

BMC Public Health

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“…Two other studies from Türkiye also reported a signi cant association between erectile dysfunction and sarcopenia (12,13). In another study from Singapore (14), sexual inactivity in middle-aged women was associated with low handgrip strength, however, physical performance was not associated with SD.…”

Section: Discussionmentioning

confidence: 85%

“…Even though the association between sarcopenia and SD is started to gain attention from clinicians and researchers, the number of studies research on this matter is still limited. Furthermore, all of the studies investigating the association between these two comorbidities report ndings from only one gender or one condition (erectile dysfunction, for instance) (11)(12)(13)(14).…”

Section: Introductionmentioning

confidence: 99%

Sarcopenic Obesity is Associated with Sexual Dysfunction in Older Adults: A Cross-Sectional Study

Demirdağ

GÜÇER

Kolbaşı

2023

Preprint

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Background: Even though the prevalence of sexual dysfunction (SD) is reported to be high in older adults in previous studies, it is rarely investigated with appropriate assessment tools which include all aspects of sexual life. Therefore, this study aimed to investigate the frequency of SD and the association between SD and body composition abnormalities such as sarcopenia, obesity, and sarcopenic obesity. Methods: Sarcopenia was diagnosed according to the European Working Group on Sarcopenia in Older People criteria. Obesity was defined using the fat percentile by Zoico methodology. SD was determined by Arizona Sexual Experience Scale (ASEX). Results: Two-hundred and sixty-seven volunteers (64.4% female, mean age 73.63 ± 6.22 years) participated in this study. One-hundred seventy-eight individuals (66.7%) had SD. It was present in 83.1% and 36.8% of the females and males, respectively (p<0.0001). Marital status and SD were significantly associated (p=0.041). There was no association between SD and sarcopenia alone (OR:1.013, 95% CI: 0.559-1.836, p=0.966) or obesity alone (OR:1.049, 95%CI: 0.514-2.144, p=0.895). Sarcopenic obesity was significantly associated with SD (OR: 3.618, 95%CI: 1.182-11.077, p=0.024). This association was still present after the model was adjusted for marital status (OR: 3.356, 95% CI: 1.088-10.355, p=0.035). Conclusions: SD was present in 66.7% of the older adults. It was associated with sarcopenic obesity, but not with sarcopenia or obesity alone. Further longitudinal studies are needed to investigate the effect of body composition abnormalities on sexual activity in both genders.

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“…Hormone levels subside, which leads to FSD impacting quality of life [44]. In Malaysia, menopausal status was related to FSD 6.6 times [45], which also was found in midlife Singaporean women [46]. When a woman starts experiencing menopausal symptoms, the general practitioner usually prescribes HRT with a low dose.…”

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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Sexual inactivity and sexual dysfunction in midlife Singaporean women: A prospective cross-sectional study of prevalence and risk factors

Cited by 12 publications

References 38 publications

Sexual dysfunction and its associated factors among reproductive-age women at Gurage Zone, Southern Ethiopia, 2023

Sexual dysfunction and its associated factors among reproductive-age women at Gurage Zone, Southern Ethiopia, 2023

Sarcopenic Obesity is Associated with Sexual Dysfunction in Older Adults: A Cross-Sectional Study

Status of female sexual dysfunction among postmenopausal women in Bangladesh

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