International Journal of
Reproductive Biomedicine
Sun, Dec 22, 2024
[Archive]
Volume 14, Issue 1 (1-2016)
IJRM 2016, 14(1): 29-38 |
Back to browse issues page
Download citation:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
BibTeX | RIS | EndNote | Medlars | ProCite | Reference Manager | RefWorks
Send citation to:
Jamali S, Rahmanian A, Javadpour S. Examining the sexual function and related attitudes among aged women: A cross- sectional study. IJRM 2016; 14 (1) :29-38
URL: http://ijrm.ir/article-1-690-en.html
URL: http://ijrm.ir/article-1-690-en.html
1- Research Center for Social Determinants of Health, Jahrom University of Medical Sciences, Jahrom, Iran , safieh_jamali@yahoo.com
2- Department of Nursing, Faculty of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran
2- Department of Nursing, Faculty of Nursing and Midwifery, Jahrom University of Medical Sciences, Jahrom, Iran
Abstract: (3492 Views)
Background: Sexual function and its subsequent satisfaction are among the most important aspects of women’s life. However, this instinct could be influenced by some factors such as diseases, drug using, aging, and hormonal and physiologic changes associated with menopause, and sexual behavior.
Objective: The aim of this study was to describe the prevalence rates of sexual dysfunction, and related attitudes among aged women in Jahrom, Iran.
Materials and Methods: This cross-sectional study was conducted on 746 postmenopausal women aged between 50 and 89 years old who had referred to obstetric and gynecologic clinic in Jahrom, from April to October 2014. Female Sexual Function Index questionnaire was used order to assess the sexual function. The cases were classified into three categories according to the attitude scores: negative (17-32), medium (33-38), and positive (39-48). One-way ANOVA test was used to determine the relationship between FSFI and attitude scores.
Results: The participants’ mean±SD age was 60.10±6.89 years and the total mean score of FSFI was 19.31±8.5. In addition, 81.5% of the women had sexual dysfunction (FSFI< 26.55) and only 147 women (18.5%) had normal sexual function (FSFI> 26.55). Almost 62.1% the women displayed a negative attitude towards sexuality and only 18.8% women had positive attitude. Feeling of dyspareunia (p= 0.02), lubrication (p< 0.0001), orgasm (p= 0.002) and satisfaction (p= 0.002) were significantly different between three categories of attitudes regarding sexuality, respectively.
Conclusion: Our data showed that sexual disorders were highly prevalent among postmenopausal women. The most affected problems were arousal, dyspareunia, and lubrication. More than half of the women had negative attitude towards sexual function consequently this could affect their sexual function. So, it seems screening of sexual dysfunction for finding the causes in women should be the main sexual health program. Also, it would be important to emphasis the role of physicians and experts on education and counseling in this subject.
Objective: The aim of this study was to describe the prevalence rates of sexual dysfunction, and related attitudes among aged women in Jahrom, Iran.
Materials and Methods: This cross-sectional study was conducted on 746 postmenopausal women aged between 50 and 89 years old who had referred to obstetric and gynecologic clinic in Jahrom, from April to October 2014. Female Sexual Function Index questionnaire was used order to assess the sexual function. The cases were classified into three categories according to the attitude scores: negative (17-32), medium (33-38), and positive (39-48). One-way ANOVA test was used to determine the relationship between FSFI and attitude scores.
Results: The participants’ mean±SD age was 60.10±6.89 years and the total mean score of FSFI was 19.31±8.5. In addition, 81.5% of the women had sexual dysfunction (FSFI< 26.55) and only 147 women (18.5%) had normal sexual function (FSFI> 26.55). Almost 62.1% the women displayed a negative attitude towards sexuality and only 18.8% women had positive attitude. Feeling of dyspareunia (p= 0.02), lubrication (p< 0.0001), orgasm (p= 0.002) and satisfaction (p= 0.002) were significantly different between three categories of attitudes regarding sexuality, respectively.
Conclusion: Our data showed that sexual disorders were highly prevalent among postmenopausal women. The most affected problems were arousal, dyspareunia, and lubrication. More than half of the women had negative attitude towards sexual function consequently this could affect their sexual function. So, it seems screening of sexual dysfunction for finding the causes in women should be the main sexual health program. Also, it would be important to emphasis the role of physicians and experts on education and counseling in this subject.
Type of Study: Original Article |
References
1. Fourcroy J, Female sexual dysfunction: potential for pharmacotherapy. Drugs 2003; 63: 1445-1457. [DOI:10.2165/00003495-200363140-00002]
2. Satherland C. Women's health: a handbook for nurse. 2nd Ed. Edinburgh: Churchill Living Stone; 2001.
3. Berek JS. Berek and Novak's Gynocology. 14th Ed. Philadelphia: Lippincott Williams and Wilkins; 2012.
4. Nazarpour S, Simbar M, Ramezani Tehrani F, Tohidi M, Alavi Majd H. Iranian study on the correlation between serum androgens and sexual function in post-menopausal women. J Endocrinol Metab 2015; 17: 13-22.
5. Graziottin A, Leiblum SR. Biological and psychosocial pathophysiology of female sexual dysfunction during the menopausal transition. J Sex Med 2005; 2: 133-145. [DOI:10.1111/j.1743-6109.2005.00129.x]
6. Lobo A, Kelsey J, Marcus RA. Menopause: biology and pathobiology. 1st Ed. San Francisco: Academic Press; 2000: 384.
7. Tomilson JM, Rees M, Mander T. Sexual health and the menopause. London: Royal Society of Medicine Press Ltd; 2005: 1.
8. Hartmut P, Jacques B. Standard practice in sexual medicine. Philadelphia: Blackwell; 2006: 126.
9. Bloch A. Self- awareness during the menopause. Maturitas 2001; 41: 61-68. [DOI:10.1016/S0378-5122(01)00252-3]
10. da Silva Lara LA, Useche B, Rosa E Silva JC, Ferriani RA, Reis RM, de Sá MF, et al. Sexuality during the climacteric period. Maturitas 2009; 62: 127-133. [DOI:10.1016/j.maturitas.2008.12.014]
11. Palacios S, Castano R, Grazziotin A. Epidemiology of female sexual dysfunction. Maturitas 2009; 63: 119-123. [DOI:10.1016/j.maturitas.2009.04.002]
12. Sadock JB, Sadock AV. Comprehensive textbook of psychiatry. 7th Ed. New York: Lippinocott- Williams and Wilkins; 2007.
13. Nappi RE, Nijland EA. Women, sperception of sexuality around the menopause: Outcomes of European telephon survey. Eur J Obstet Reprod Biol 2008; 137: 10-16. [DOI:10.1016/j.ejogrb.2006.10.036]
14. Female sexual dysfunction menopause. Available at: http://Sexuality.about.com/library/weekly/aao12801.htm.
15. Nazarpour S, Simbar M, Ramezani Tehrani F, Alavi Majd H. Exercise and sexual dysfunction among postmenopausal women in Iran. J Sch Public Health Inst Public Health Res 2015; 13: 17-32.
16. Ishak IH, low wy, Othman S. Prevalenc, Risk factors and predictors of female sexual dysfunction in a primary care setting: A survey finding. J Sex Med 2010; 7: 3080-3085. [DOI:10.1111/j.1743-6109.2010.01848.x]
17. Arman S, Fahami F, Hassan Zahraee R. Comparison of sexual dysfunction before and after menopause among women. J Arak Univ Med Sci 2005; 8: 1-7.
18. Sheykhan Z, Pazandeh F, Azar Mahyar, Ziyaee T, Alavi Magd H. Assessment of sexual satisfaction and related factors in post-menopousal women. J Univ Med Sci 2010; 18: 81-89.
19. Amiri Pebdani M, Taavoni S, Haghani H. Menopausal women's sexual function and related factors in west of Tehran. Middle East J Sci Res 2015: 8: 17-21.
20. Castelo Branco C. Prevalence of sexual dysfunction in a cohort of middle-aged women. Obstet Gynecol 2003; 23: 420-430.
21. Chedraui P1, Pérez-López FR, Mezones-Holguin E, San Miguel G, Avila C. Assessing predictors of sexual function in mid-aged sexually active women. Maturitas 2011; 68: 387-390. [DOI:10.1016/j.maturitas.2010.12.004]
22. Bloch A. Self- awareness during the menopause. Maturitas 2001; 41: 61-68. [DOI:10.1016/S0378-5122(01)00252-3]
23. Ramezani Tehrani F, Farahmand M, Mehrabi Y, Malek Afzali H, Abedini M. Sexual disorders and related factors: community based study of urban area in four provinces. Payesh J 2012; 11: 869-897.
24. Wiegel M, Meston C, Rosen R. The Female Sexual Function Index (FSFI): Cross-validation and development of clinical cutoff scores. J Sex Marital Ther 2005; 31: 1-20. [DOI:10.1080/00926230590475206]
25. Female sexual function index [homepage on the Internet]. Bayer AG, Zonagen, Inc. and Target Health Inc.; ©2000 Available at: http://www.fsfiquestionnaire. com/. [last cited on 2009 Mar 23].
26. Meston CM. Validation of the female sexual function index (FSFI) in women with female orgasmic disorder and in women with hypoactive sexual desire disorder. J Sex Marital Ther 2003; 29: 39-46. [DOI:10.1080/713847100]
27. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. Female sexual function index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther 2000; 26: 191-208. [DOI:10.1080/009262300278597]
28. Mohammadi K, Haydari M, Faghihzadeh S. Validated Persian version of women's sexual functioning scale instruction. Payesh J 2008; 7: 269-278.
29. Hashemi S, Ramezani Tehrani F, Simbar M, Abedini M, Bahreinian H, Gholami R. Evaluation of sexual attitude and sexual function in menopausal age; a population based cross-sectional study. Iran J Reprod Med 2013; 11: 631-636.
30. Krantarat, Tippawan L, Karanrat S, Thanapun Ch, Penchit M. Sexual functioning in postmenopausal women not taking hormone therapy in the gynecological and menopause clinic, songklanagarind Hospital Measured by female sexual function index questionnaire. J Med Assoc Thai 2008; 91: 625-632.
31. Lindau ST, Schumm LP, Laumann EO, Levinson W, O'Muircheartaigh CA, Waite LJ. A study of sexuality and health among older adults in the united states. N Engl J Med 2007; 357: 762-774. [DOI:10.1056/NEJMoa067423]
32. Omidvar S, Bakouie F, Amiri FN. Sexual function among married menopausal women in Amol (Iran). J Mid-life Health 2011; 2: 77-80. [DOI:10.4103/0976-7800.92534]
33. McCarthy T. The prevalence of symptoms in menopausal women in the far east: singapore segment. Maturitas 1994: 19: 199–204. [DOI:10.1016/0378-5122(94)90072-8]
34. Nisar N, Ahmed-Sohoo N. Severity of Menopausal symptoms and the quality of life at diffrent status of menopause:a community base survey from rural Sindh, Pakistan. Int J Collab Res Int Med Public Health 2010; 2: 118-130.
35. Hakimi S, Simbar M, Ramezani Tehrani F. Perceived concern of menopausal women: a phenomenological studyamong Azeri population of Iran. Iran Red Crescent Med J 2014; 16: e11771. [DOI:10.5812/ircmj.11771]
36. Kabudi M. The study of over 35 women's knowledge and interaction against menopause. J Kermanshah Univ Med Sci, 2003: P; 101. Available at: www.avicenna.ac.ir/PDF/[In Persian].
37. Olaoloram FM, Lawoyin TO. Experience of menopausal symptoms by women in an urban community in Ibadan, Nigeria. Menopause 2009; 16: 822-830. [DOI:10.1097/gme.0b013e318198d6e7]
38. Valadares AL, Pinto-Neto AM, Osis MY, Sousa MH, Costa-Paiva, Conde DM. Prevalence of sexual dysfunction and its associated factors in women aged 40-65 years with it years or more of formal education:a population-based house hold survey. Clinics 2008 63: 775-820. [DOI:10.1590/S1807-59322008000600012]
39. Jahanfar Sh, Molaeenejad, M. "Textbook of sexual disorders", bijou and salemi publications. 2001: 15-40.
40. Dennerstein L, Dudley EC, Hopper JL, Burger H. Sexuality hormones and menopausal transition. Maturitas 1997; 26: 83-93 [DOI:10.1016/S0378-5122(96)01093-6]
41. Pan HA, Wu MH, Hsu CC, Yao BL, Huang KE. The perception of menopause among women in Taiwan. Maturitas 2002; 41: 269-274. [DOI:10.1016/S0378-5122(01)00279-1]
42. Cayan S, Akbay E, Bozlu M, Canpolat B, Acar D, Ulusoy E. The prevalence of female sexual dysfunction and potential risk factors that may impair sexual function in Turkish women. Urol Int 2004; 72: 52-57. [DOI:10.1159/000075273]
43. Sueblinvong T, Taechakraichana N, Phupong V. Prevalence of climacteric symptoms according to years after menopause. J Med Assoc Thia 2001; 84: 1681-1691.
44. Beer M, Neff A. Differentiated evaluation of extract-specific evidence on cimicifuga racemosa's efficacy and safety for climacteric complaints. Evidence-Based complementary and alternative medicine 2013 (13): 1-21.
45. Dennerstein L, Randolph J, Taffe J, Dudley E, Burger H. Hormones, mood, sexuality, and the menopausal transition. Fertil Steril 2002; 77 (Suppl.): S42-548. [DOI:10.1016/S0015-0282(02)03001-7]
46. Avis NE, Zhao X, Johannes CB, Ory M, Brockwell S, Greendale GA. Correlates of sexual function among multi-ethnic middle-aged women: results from the Study of women's health across the nation (SWAN). Menopause 2005; 12: 385-398. [DOI:10.1097/01.GME.0000151656.92317.A9]
47. Palacios S. Androgens and female sexual function. Maturitas 2007; 57: 61-65. [DOI:10.1016/j.maturitas.2007.02.014]
48. Alarslan D, Sarandol A, Cengiz C, Develioglu OH. Androgensand sexual dysfunction in naturally and surgically menopausal women. J Obstet Gynaecol Res 2011; 37: 1027-1034. [DOI:10.1111/j.1447-0756.2010.01479.x]
49. Turna B, Apaydin E, Semerci B, Altay B, Cikili N, Nazli O. Women with low libido: correlation of decreasedandrogen levels with female sexual function index. Int J Impot Res 2005; 17: 148-153. [DOI:10.1038/sj.ijir.3901294]
50. LSchwenkhagen A. Hormonal changes in menopause and implications on sexual health. J Sex Med 2007; 4: 220-226. [DOI:10.1111/j.1743-6109.2007.00448.x]
51. Davison SL, Davis SR. Androgenic hormones and aging--the link with female sexual function. Horm Behav 2011; 59: 745-753. [DOI:10.1016/j.yhbeh.2010.12.013]
52. Nicolosi A, Laumann EO, Glasser DB, Moreira ED Jr, Paik A, Gingell C. Sexual behavior and sexual dysfunctions after age 40: The global study of sexual attitudes and behaviors. Urology 2004; 64: 991-997. [DOI:10.1016/j.urology.2004.06.055]
53. Shirmohammadi M. A comprehensive guide to diagnosing sexual disorders. 2nd Ed. Tehran: jameenegar Publications. 2007: 177-179.
Send email to the article author
| Rights and permissions | |
 |
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
