Association of menopausal sexual dysfunction with demographic and obstetric factors in postmenopausal women in Hamadan, Iran

Authors

  • Narges Alavipour Department of Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
  • Seyedeh Zahra Masoumi Department of Midwifery, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
  • Farideh Kazemi Department of Midwifery, Mother and Child Care Research Center, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran
  • Parisa Parsa Department of Midwifery, School of Nursing and Midwifery, Hamadan University of Medical Sciences, Hamadan, Iran

DOI:

https://doi.org/10.18203/2320-1770.ijrcog20201199

Keywords:

Demographic factors, Multivariate analysis, Postmenopausal, Sexual dysfunction

Abstract

Background: Sexual dysfunction is a common menopausal problem that may be affected by demographic factors. The present study aimed to determine demographic and obstetric factors affecting sexual dysfunction in menopause.

Methods: The present cross-sectional descriptive-analytical study was conducted on 315 postmenopausal women in Hamadan. The research instruments included demographic questionnaire, and female sexual function index (FSFI). Univariate and multivariate linear regressions were used to investigate the association of different factors and sexual function at a significance level of less than 0.05.

Results: The participants' mean age was 54.15±4.24 years. Their mean sexual function score was 18.92±4.25 indicating poor sexual function. The multivariate analysis indicated that increasing the number of spouse marriage, sexual function score decreased by 2.45 (p=0.006). Furthermore, the sexual function score in those, who were not satisfied with their marriage, was 5.58 points lower than those who were satisfied with their marriage status (p <0.001).

Conclusions: Given the relationship between number of spouse marriage and marital satisfaction with sexual function in postmenopausal women, it is necessary to design and implement training sessions for them.

 

References

Sadock BJ. Human sexuality. In: Sadock BJ, Sadock VA. Kaplan and Sadock's synopsis of psychiatry: Behavioral sciences/clinical psychiatry. 10th ed. Philadelphia: Lippincott Williams and Wilkins; 2011:680-717.

Fairclough DL. Health status measures. In: Fairclough DL. Design and analysis of quality of life studies in clinical trials. 2nd ed. New York: Taylor and Francis Group; 2010:1-27.

Zucker KJ. Sexual Dysfunction. In: Association AP. Diagnostic and statistical manual of mental disorders (DSM-5®). Fifth ed. Washington: American Psychiatric Pub; 2013:273-286.

Mehrabi F, Dadfar M. The role of psychological factors in sexual functional disorders. Iranian J Psyc Clin Psychol. 2003;9(1):4-11.

Lamont J, Bajzak K, Bouchard C. Female sexual health consensus clinical guidelines. J Obstet Gynaecol Canada. 2012;34(8):769-75.

Cramer DW, Barbieri RL, Xu H, Reichardt J. Determinants of basal follicle-stimulating hormone levels in premenopausal women. The J Clin Endocrinol Metabol. 1994;79(4):1105-9.

World Health Organization. Gender and reproductive rights glossary. Geneva: WHO. Retrieved February. 2002;11:2011.

Yoshany N, Bahri N, Morovati Sharif Abad M, Mihanpour H, Delshad Noghabi A. Effects of training the menopausal health on knowledge and performance of husbands with women during transitional period to Menopause. J Health. 2018;9:1.

Ghorbani M, Azhari S, Esmaily H. The relationship between life style with vasomotor symptoms in postmenopausal women referred to women’s training health centers in Mashhad in 2011. Iran J Obstet Gynecol Infertil. 2013;15:23-30.

Monshipour SM, Mokhtari Lakeh N, Rafat F, Kazemnejad Leili E. Related factors to Menopausal women’s quality of life in Rasht. J Holis Nurs Midwifery. 2016;26(1):80-8.

Fritz MA. Menopause and the perimenopausal transition. In: Speroff L, Fritz MA. Clinical gynecologic endocrinology and infertility. Eight ed. Philadelphia: Lippincott Williams and Wilkins; 2005:673-748.

Azadi T, Arghavani H, Karezani P, Sayehmiri K. Estimation of mean age of menopause in iran: a systematic review and meta-analysis. Scient J Ilam Univ Med Sci. 2018;26(4):85-93.

Elavsky S, McAuley E. Personality, menopausal symptoms, and physical activity outcomes in middle-aged women. Personal Indi Diffe. 2009;46(2):123-8.

Basson R, Berman J, Burnett A, Derogatis L, Ferguson D, Fourcroy J, et al. Report of the international consensus development conference on female sexual dysfunction: definitions and classifications. The J Urol. 2000;163(3):888-93.

Giraldi A, Marson L, Nappi R, Pfaus J, Traish AM, Vardi Y, et al. Physiology of female sexual function: animal models. The J Sexual Med. 2004;1(3):237-53.

Graziottin A, Leiblum SR. Biological and psychosocial pathophysiology of female sexual dysfunction during the menopausal transition. J Sex Med. 2005;2:133-45.

Davison SL, Davis SR. Androgenic hormones and aging-the link with female sexual function. Hormones Behav. 2011;59(5):745-53.

Robinson D, Toozs-Hobson P, Cardozo L. The effect of hormones on the lower urinary tract. Menopause Inter. 2013;19(4):155-62.

Yazdanpanahi Z, Nikkholgh M, Akbarzadeh M, Pourahmad S. Stress, anxiety, depression, and sexual dysfunction among postmenopausal women in Shiraz, Iran, 2015. J Fam Comm Med. 2018;25(2):82.

Nazarpour S, Simbar M, Tehrani FR. Factors affecting sexual function in menopause: A review article. Taiwanese J Obstet Gynecol. 2016;55(4):480-7.

Camacho M, Reyes-Ortiz C. Sexual dysfunction in the elderly: age or disease? Inter J Impot Res. 2005;17(S1):S52.

Rantell A, Srikrishna S, Robinson D. Assessment of the impact of urogenital prolapse on sexual dysfunction. Maturitas. 2016;92:56-60.

Fayers PM, Machin D. Quality of life: the assessment, analysis and interpretation of patient-reported outcomes. John Wiley Sons; 2013.

Afghari A, Ahmad Shirvani M. Psycho-emotional changes in menopause: a qualitative study. J Mazandaran Univer Med Sci. 2012;22(93):27-38.

Bonomi AE, Patrick DL, Bushnell DM, Martin M. Validation of the United States' version of the World Health Organization quality of life (WHOQOL) instrument. J Clin Epidemiol. 2000;53(1):1-12.

Mazinani R, Akbari Mehr M, Kaskian A, Kashanian M. Evaluation of prevalence of sexual dysfunctions and its related factors in women. Razi J Med Sci. 2013;19(105):59-66.

Addis IB, Van Den Eeden SK, Wassel-Fyr CL, Vittinghoff E, Brown JS, Thom DH, Reproductive Risk Factors for Incontinence Study at Kaiser (RRISK) Study Group. Sexual activity and function in middle-aged and older women. Obstet Gynecol. 2006;107(4):755.

Mohammadi K, Heidari M, Faqihzadeh S. The validation of female sexual function index (FSFI) in the women: Persian Version. Payesh J. 2008;7(2):270-8.

Bakouei F, Omidvar S, Nasiri F. Prevalence of female sexual dysfunction in married women and its related factors (Babol 2006). J Babol Univ Med Sci. 2007;9(4):59-64.

Ramezani Tehrani F, Farahmand M, Mehrabi Y, Malek-afzali H, Abedini M. Sexual dysfunction and its influencing factors: population-based study among women living in urban areas in four provinces. Payesh. 2012;11(6):869-75.

Babakhani N, Taravati M, Masoumi Z, Garousian M, Faradmal J, Shayan A. The effect of cognitive-behavioral consultation on sexual function among women: a randomized clinical trial. J Caring Sci. 2018;7(2):83.

Nazarpour S, Simbar M, Tehrani FR. Factors affecting sexual function during menopause: a review of the literature. Payesh (Health Monitor). 2015;14(1):41-58.

Ghavam M. Prevalence and diversity of sexual disorders among male and female patients referred to family healthcare clinic, Tehran, Iran: Pp-06-297. The J Sexual Med. 2007;4:197.

Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: prevalence and predictors. JAMA. 1999;281(6):537-44.

Verit FF, Verit A, Billurcu N. Low sexual function and its associated risk factors in pre- and postmenopausal women without clinically significant depression. Maturitas. 2009;64(1):38-42.

Rosen CB, Heiman J, Leiblum S, Meston C, Shabsigh R, Ferguson D, et al. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000;26(2):191-208.

Beutel M, Schumacher J, Weidner W, Brähler E. Sexual activity, sexual and partnership satisfaction in ageing men-results from a German representative community study. Androl. 2002;34(1):22-8.

Beigi M, Fahami F, Hassanzahraei R, Arman S. Associative factors to sexual dysfunction in menopause women. Iranian J Nurs Midwifery Res. 2008;13(1):32-5.

Danaci A, Oruç S, Adigüzel H, Yildirim Y, Aydemir O. Relationship of sexuality with psychological and hormonal features in the menopausal period. The West Indian Med J. 2003;52(1):27-30.

Kingsberg SA. The impact of aging on sexual function in women and their partners. Archives of sexual behavior. 2002;31(5):431-7.

Hashemi S, Tehrani FR, Simbar M, Abedini M, Bahreinian H, Gholami R. Evaluation of sexual attitude and sexual function in menopausal age; a population based cross-sectional study. Iranian J Reprod Med. 2013;11(8):631.

Jenczura A, Czajkowska M, Skrzypulec-Frankel A, Skrzypulec-Plinta V, Drosdzol-Cop A. Sexual function of postmenopausal women addicted to alcohol. Inter J Environ Res Pub Health. 2018;15(8):1639.

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Published

2020-03-25

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Original Research Articles