Abstract
Sexual function represents an important component of health and life quality. The objective of this study was to assess female sexual function in postmenopausal women and to identify factors associated with sexual dysfunction among this population. From August to December 2013 a cross-sectional study was carried out with 111 postmenopausal, sexually active women aged 45–65 years. A semi-structured questionnaire made up of itemized questions was applied to identify demographic variables, socio-economic and clinical issues. Participants were requested to fill out the Female Sexual Function Index (FSFI) and the Menopause Rating Scale. Among the studied group, 70.3% of the women presented sexual dysfunction (FSFI⩽26.6). The affected domains were desire and arousal (P<0.01). Multiple regression analysis revealed that the main risk factors associated with postmenopausal sexual dysfunction were: marital status (prevalence ratio (PR) 1.67; 95% confidence interval (CI) 1.17–2.39; P<0.01), urogenital dysfunction (PR 1.08; 95% CI 1.03–1.12; P<0.00), bladder surgery (PR 1.35; 95% CI 1.09–1.66; P<0.01) and sexual abuse (PR 1.45; 95% CI 1.21–1.72; P<0.00). Our results show a high female sexual dysfunction among postmenopausal women. Sexual dysfunction was associated with multiple factors such as: socio-demographic factors, biological factors (urogenital dysfunctions, bladder surgery), psychological matters and sexual abuse.
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References
Mameri Filho J, Haidar MA, Júnior S, Maria J, Baracat EC . Effects of the association of estrogen and androgen in postmenopausal women. Rev Bras Ginecol Obstet 2005; 27: 118–124.
IBGE. Projection of Brazil’s Population by Age and Sex 1980–2050. Ministry of Planning, Budget and Management: Rio de Janeiro, 2008.
Brazil M, da S . Guide for Women in Menopause/Ministry of Health. 1st edn Ministry of Health: Brasilia, 2008.
Mendonça CR, de, Silva TM, Arrudai JT, Garcia-Zapata MTA, Amaral WN . Female sexual function: normal and pathological aspects, prevalence in Brazil, diagnosis and treatment. Femina 2012; 40: 195–202.
McCool ME, Theurich MA, Apfelbacher C . Prevalence and predictors of female sexual dysfunction: a protocol for a systematic review. Syst Rev 2014; 3: 75.
Nicolosi A, Moreira ED, Shirai M, Bin Mohd Tambi MI, Glasser DB . Epidemiology of erectile dysfunction in four countries: cross-national study of the prevalence and correlates of erectile dysfunction. Urology 2003; 61: 201–206.
Castelo-Branco C, Cancelo MJ, Chedraui P . Female sexual dysfunction in postmenopausal women. Expert Opin Ther Pat 2007; 17: 639–647.
American Psychiatric Association Diagnostic and Statistical Manual for Mental Disorders. 4th edn Artmed: Porto Alegre, 2002.
Utian WH . The International Menopause Society menopause-related terminology definitions. Climacteric 1999; 2: 284–286.
Chedraui P, Pérez-López FR, Mezones-Holguin E, San Miguel G, Avila C Collaborative Group for Research of the Climacteric in Latin America (REDLINC). Assessing predictors of sexual function in mid-aged sexually active women. Maturitas 2011; 68: 387–390.
Ambler DR, Bieber EJ, Diamond MP . Sexual function in elderly women: a review of current literature. Rev Obstet Gynecol 2012; 5: 16–27.
De Lorenzi DRS, Saciloto B . Frequency of sexual activity in menopausal women. Rev Assoc Med Bras 2006; 52: 256–260.
Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E et al. Sexual problems among women and men aged 40-80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res 2005; 17: 39–57.
Abdo CHN, Oliveira WM, Moreira ED, Fittipaldi JAS . 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: 160–166.
Blümel JE, Chedraui P, Baron G, Belzares E, Bencosme A, Calle A et al. Sexual dysfunction in middle-aged women: a multicenter Latin American study using the Female Sexual Function Index. Menopause 2009; 16: 1139–1148.
Valadares ALR, 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 2008; 63: 775–782.
Jonusiene G, Zilaitiene B, Adomaitiene V, Aniuliene R, Bancroft J . Sexual function, mood and menopause symptoms in Lithuanian postmenopausal women. Climacteric 2013; 16: 185–193.
Nappi RE, Lachowsky M . Menopause and sexuality: prevalence of symptoms and impact on quality of life. Maturitas 2009; 63: 138–141.
Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW et al. Executive summary of the Stages of Reproductive Aging Workshop+10: addressing the unfinished agenda of staging reproductive aging. Menopause 2012; 19: 387–395.
Hentschel H, Alberton DL, Capp E, Goldim JR, Passos EP . Validation of the female sexual function index (FSFI) for portuguese language. Clin Biomed Res 2007; 27: 10–14.
Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R 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: 191–208.
Basson R . The female sexual response: a different model. J Sex Marital Ther 2000; 26: 51–65.
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.
Heinemann LAJ, Potthoff P, Schneider HPG . International versions of the Menopause Rating Scale (MRS). Health Qual Life Outcomes 2003; 1: 28.
Godoy-Matos A, Oliveira J, Guedes E, Carraro L, Lopes A, Mancini M et al. Brazilian Obesity Guidelines / ABESO - Brazilian Association for the Study of Obesity and Metabolic Syndrome. 3o ed. Itapevi São Paulo: AC Farmacêutica, 2009.
OMS Obesite Prevention et Prise en Charge de l’epidemie Mondiale: Rapport d’une Consultation de l’OMS. Organisation mondiale de la Sante: Geneva, 2003.
Berman JR . Physiology of female sexual function and dysfunction. Int J Impot Res 2005; 17: 44–51.
Masliza W, Daud W, Yazid Bajuri M, Shuhaila A, Hatta S, Rohaizat Hassan M et al. Sexual dysfunction among postmenopausal women. Clin Ter 2014; 165: 83–89.
Cabral PUL, Canário ACG, Spyrides MHC, Uchôa SA, da C, Eleutério J, Amaral RLG et al. Influence of menopausal symptoms on sexual function in middle-aged women. Rev Bras Ginecol Obstet 2012; 34: 329–334.
Lara LAS, Rosa e Silva ACJS, APMS Romão, FRR Junqueira . The assessment and management of female sexual dysfunction. Rev Bras Ginecol Obstet 2008; 30: 312–321.
Meston CM . Aging and sexuality. West J Med 1997; 167: 285–290.
Pastore LM, Carter RA, Hulka BS, Wells E . Self-reported urogenital symptoms in postmenopausal women: Women’s Health Initiative. Maturitas 2004; 49: 292–303.
Blumel JE, Bravo F, Recavarren M, Sarrá S . Sexual function in postmenopausal women using hormone replacement therapy. Rev Médica Chile 2003; 131: 1251–1255.
González M, Viáfara G, Caba F, Molina E . Sexual function, menopause and hormone replacement therapy (HRT). Maturitas 2004; 48: 411–420.
Welton AJ, Vickers MR, Kim J, Ford D, Lawton BA, MacLennan AH et al. Health related quality of life after combined hormone replacement therapy: randomised controlled trial. BMJ 2008; 337: 1190–1190.
Jha S, Radley S, Farkas A, Jones G . The impact of TVT on sexual function. Int Urogynecol J Pelvic Floor Dysfunct 2009; 20: 165–169.
Rogers RG . Sexual function in women with pelvic floor disorders. Can Urol Assoc J 2013; 7: 199–201.
Roos A, Thakar R, Sultan A, de Leeuw J, Paulus A . The impact of pelvic floor surgery on female sexual function: a mixed quantitative and qualitative study. Int J Obstet Gynaecol 2014; 121: 92–101.
Kammerer-Doak D . Assessment of sexual function in women with pelvic floor dysfunction. Int Urogynecol J Pelvic Floor Dysfunct 2009; 20: 45–50.
Beutel ME, Stöbel-Richter Y, Brähler E . Sexual desire and sexual activity of men and women across their lifespans: results from a representative German community survey. BJU Int 2008; 101: 76–82.
Abdo CHN, Fleury HJ . Diagnostic and therapeutic aspects of female sexual dysfunctions. Rev Psiquiatr Clín 2006; 33: 162–167.
Chedraui P, Pérez-López FR, Sánchez H, Aguirre W, Martínez N, Miranda O et al. Assessment of sexual function of mid-aged Ecuadorian women with the 6-item Female Sexual Function Index. Maturitas 2012; 71: 407–412.
Burri A, Schweitzer R, O’Brien J . Correlates of female sexual functioning: adult attachment and differentiation of self. J Sex Med 2014; 11: 2188–2195.
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Dombek, K., Capistrano, E., Costa, A. et al. Risk factors associated with sexual dysfunction in Brazilian postmenopausal women. Int J Impot Res 28, 62–67 (2016). https://doi.org/10.1038/ijir.2016.4
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DOI: https://doi.org/10.1038/ijir.2016.4
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