Female Sexual Function During the Menopausal Transition in a Group of Iranian Women
Abstract
Objective: To determine the prevalence of sexual problems in Iranian women and association of sexual dysfunction with menopausal symptoms.
Materials and methods: In this cross-sectional study, 151 married women with the age of 40-60 yearsold who were referred for treatmentto Department of Gynecology in Vali-e-Asr Hospital (Tehran, Iran) from April to July 2012, were recruited. They were evaluated concerning their sexual function in the domains of desire, arousal, lubrication, orgasm, satisfaction and pain with the female sexual function index (FSFI) questionnaire.Menopause rating scale (MRS) was developed for the diagnosis and quantification of climacteric symptoms.
Results: Total frequency of sexual dysfunction was 53% with the domains of lubrication, arusal and desire being commonly affected 62%, 70% and 98.5% of cases respectively. There is a relationship between severity of somatic and urogenital symptoms with sexual dysfunction (p = 0.03, p = 0.00 respectively).
Conclusion: A considerable percentage of women experienced sexual dysfunctions in this period. Somatic and urogenital symptoms during the menopausal period could be a factor to maintain or intensity of sexual dysfunctions.
Dennerstein L, Randolph J, Taffe J, Dudley E, Burger H. Hormones, mood, sexuality,and the menopausal transition. Fertil Steril 2002;77:S42–8.
Ayers B, Hunter MS. Health-related quality of life of women with menopausal hot flushes and night sweats.Climacteric 2013; 16:235-9.
Greenblum CA, Rowe MA, Neff DF, Greenblum JS. Midlife women: symptoms associated with menopausal transition and early postmenopause and quality of life. Menopause.Menopause 2013; 20:22-7.
Mishra G, Kuh D.Perceived change in quality of life during the menopause. Soc Sci Med 2006;62:93-102.
Speroff L and Fritz M.A, Clinical Gynecologic Endocrinology and Infertility. 7th Edition. Lippincott williams & wilkings. 2005. Ptomatology in women attending a clinic.
Nappi RE. Sexuality and menopause. In: Erkkola R, editor. The menopause. Philadelphia: Elsevier; 2006: 143–54.
Graziottin A1, Leiblum SR. Biological and psychosocial pathophysiology of female sexual dysfunction during the menopausal transition. J Sex Med 2005; 2Suppl 3:133-45.
Burri A, Spector T. Recent and lifelong sexual dysfunction in a female UK population sample: prevalence and risk factors. J Sex Med 2011;8:2420-30.
Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA 1999; 281:537-44.
Blumel JE, Chedraui P, Baron G, Belzares E, Bencosme A, Calle A, etal.Sexual dysfunction in middle-aged women: a multicenter Latin American study using the Female Sexual Function Index. Menopause 2009; 16:1139-48.
Nappi RE1, Nijland EA. Women's perception of sexuality around the menopause: outcomes of a European telephone survey. Eur J Obstet Gynecol Reprod Biol 2008; 137:10-6.
Beigi M1, Fahami F. A Comparative study on sexual dysfunctions before and after menopause.Iran J Nurs Midwifery Res 2012;17:S72-5.
Kabudi M. The study of over 35 women’s knowledge and interaction against menopause. Kermanshah 2003:101.
Graziottin A1, Leiblum SR. Biological and psychosocial pathophysiology of female sexual dysfunction during the menopausal transition. J Sex Med 2005; 3:133-45.
Fakhri A, Pakpour AH, Burri A, Morshedi H, Zeidi IM. The Female Sexual Function Index: translation and validation of an Iranian version. J Sex Med 2012; 9: 514-23.
Atis G, Dalkilinc A, Altuntas Y, Atis A, Gurbuz C, Ofluoglu Y, et al. Hyperthyroidism: a risk factor for female sexual dysfunction. J Sex Med 2011; 8: 2327-33.
Lombardi G, Celso M, Bartelli M, Cilotti A, Del Popolo G. Female sexual dysfunction and hormonal status in multiple sclerosis patients. J Sex Med 2011; 8: 1138-46.
Safarinejad MR. Female sexual dysfunction in a populationbased study in Iran: prevalence and associated risk factors. Int J Impot Res 2006; 18:382-95.
Hauser GA, Potthoff P, Rosemeier PJ, Schneider HPG. Die Selbstbeurteilungs-Skala für klim akterische Beschw erden (Menopause Rating Scale II). Menopause 1999; 6:13–1712.
Heinemann K, Ruebig A, Potthoff P, Schneider HP, Strelow F, Heinemann LA, et al. The Menopause Rating Scale (MRS) scale: a methodological review. Health Qual Life Outcomes2004; 2:45.
Singh JC, Tharyan P, Kekre NS, Singh G, Gopalakrishnan G. Prevalence and risk factors for female sexual dysfunction in women attending a medical clinic in south India. J Postgrad Med 2009; 55: 113-20.
Song SH, Jeon H, Kim SW, Paick JS, Son H. The prevalence and risk factors of female sexual dysfunction in young korean women: an internet-based survey. J Sex Med 2008; 5: 1694-701.
Olaolorun FM, Lawoyin TO. Experience of menopausal symptoms by women in an urban community in Ibadan, Nigeria. Menopause 2009; 16: 822–30.
Valadares AL, Pinto-Neto AM, Osis MJ, Sousa MH, Costa-Paiva L, Conde DM. Prevalence of sexual dysfunction and its associated factors in women aged 40–65 years with 11 years or more of formal education: a population-based household survey. Clinics (Sao Paulo) 2008; 63:775–82.
Chedraui P, Perez‐Lopez FR, San MG, Avila C. Assessment of sexuality among middle‐aged women using the Female Sexual Function Index. Climacteric 2009; 12: 213‐21.
Abdo CH, Oliveira WM, Jr, Moreira ED, Jr, Fittipaldi JA. Prevalence of sexual dysfunctions and correlated conditions in a sample of Brazilian women--results of the Brazilian study on sexual behavior (BSSB). Int J Impot Res 2004;16:160–6.
Dennerstein L, Dudley EC, Hopper JL, Guthrie JR, Burger HG. A prospective population-based study of menopausal symptoms.Obstet Gynecol2000; 96:351–8.
Dennerstein L, Dudley E, Burger H. Are changes in sexual functioning duringmidlife due to aging or menopause? Fertil Steril 2001; 76:456–60
Lewis RW, Fugl-Meyer KS, Corona G, Hayes RD, Laumann EO, Moreira ED. et al. Definitions/epidemiology/risk factors for sexual dysfunction. J Sex Med 2010; 7:1598– 607.
Hayes RD, Bennett CM, Fairley CK, Dennerstein L. What can prevalence studies tell us about female sexual difficulty and dysfunction?.J Sex Med2006; 3:589–95.
Dennerstein L, Lehert P, Burger H. The relative effects of hormones and relationshipfactors on sexual function of women through the natural menopausal transition. Fertil Steril 2005; 84:174–80.
Viswanathan S, Prasad J, Jacob KS, Kuruvilla A. Sexual function in women in rural Tamil Nadu: disease, dysfunction, distress and norms. Natl Med J India 2014; 27:4-8.
Dennerstein L, Alexander JL, Kotz K. The menopause and sexual functioning: a review of the population-based studies. Annu Rev Sex Res. 2003;14:64-82.
Nappi RE, Martini E, Martella S, Capuano F, Bosoni D, Giacomini S, et al. Maintaining sexuality in menopause. Post Reprod Health 2014; 20:22-9.
Senturk Erenel A, Golbasi Z, Kavlak T, Dilbaz S. Relationship between menopausal symptoms and sexual dysfunction among married Turkish women in 40-65 age group. Int J Nurs Pract 2015; 21:575-83.
Terauchi M, Hirose A, Akiyoshi M, Owa Y, Kato K, Kubota T. Subgrouping of Japanese middle-aged women attending a menopause clinic using physical and psychological symptom profiles: a cross-sectional study.BMC Womens Health 2014; 14:148.
Chou MF, Wun YT, Pang SM. Menopausal symptoms and the menopausal rating scale among midlife chinese women in Macau, China. Women Health 2014; 54:
-26.
Omidvar S, Bakouie F, Amiri FN. Sexual function among married menopausal women in Amol (Iran).
J Midlife Health 2011;2:77-80.
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Issue | Vol 10, No 2 (June 2016) | |
Section | Original Articles | |
Keywords | ||
Sexual Dysfunction Menopause Psychological Sexual Dysfunction Libido Arousal Female Sexual Function Index |
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