Original Article

Sexual Dysfunction in Postmenopausal Women

Abstract

Nowadays, women have a longer menopausal duration due to the worldwide dramatic life expectancy increase. Sexual dysfunction is one of the most prevalent problems during menopause that affect women`s quality of life, mental health, and interpersonal relationship. This study aimed to investigate sexual dysfunction and its contributing factors amongst married postmenopausal women. This cross-sectional study was conducted among 164 postmenopausal women who attended the menopause clinic of the academic hospitals in Mashhad during 2017-2018. Data were collected using a checklist that included demographic and reproductive information and the validated Persian version of the Female Sexual Function Index questionnaire (FSFI). The mean age of participants was 53.55±6.25 years. The mean FSFI score was 20.06±6.66, and 65.2% of women had sexual dysfunction. The most disturbed sexual domains were; desire (86%, n: 141), arousal (82.3%, n: 135), lubrication (71.3%, n: 117) and sexual satisfaction (70.1%, n: 115), respectively. The partner`s age (P=0.01), time since menopause onset (P=0.01), age at marriage (P=0.02), and frequency of sexual intercourse (P˂0.0001) had a significant relationship with sexual function. The sexual function of postmenopausal women in this study was highly deteriorated. The associated factors were; older age of the spouse, younger age at marriage, longer time since menopause onset, and lower frequency of sexual intercourse. It is important to determine perimenopausal women who are at potential risk of sexual dysfunction and consult them for preventive programs and strategies.  

1. Berek JS, Hillard P. Berek & Novak's gynecology. In: Shifren JL, Schiff I, eds. Menopause. 16th ed. Philadelphia: Lippincott Williams & Wilkins; 2019:240.
2. Taylor HS, Pal L, Seli E. Speroff's Clinical Gynecologic Endocrinology and Infertility. In: Sperrof L, ed. Menopause and the Perimenopausal Transition. 9th ed. Philadelphia: Lippincott Williams & Wilkins; 2020. p. 581.
3. Thomas HN, Hess R, Thurston RC. Correlates of Sexual Activity and Satisfaction in Midlife and Older Women. Ann Fam Med 2015;13: 336-2.
4. Nappi RE, Cucinella L, Martella S, Rossi M, Tiranini L, Martini E. Female sexual dysfunction (FSD): Prevalence and impact on quality of life (QoL). Maturitas 2016;94:87-91.
5. Sungur MZ, Gündüz A. A comparison of DSM-IV-TR and DSM-5 definitions for sexual dysfunctions: critiques and challenges. J Sex Med 2014;11:364-73.
6. Shifren JL, Monz BU, Russo PA, Segreti A, Johannes CB. Sexual problems and distress in United States women: prevalence and correlates. Obstet Gynecol 2008;112:970-8.
7. Beigi M, Fahami F. A Comparative study on sexual dysfunctions before and after menopause. Iran J Nurs Midwifery Res 2012;17:S72-5.
8. Nateri NS, Beigi M, Kazemi A, Shirinkam F. Women Coping Strategies towards Menopause and its Relationship with Sexual Dysfunction. Iran J Nurs Midwifery Res 2017;22:343-7.
9. 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;11:631-6.
10. Kraskian Mujembari A, Keybollahi T. Compile and Standardization of Tehran Married Women Sexual Function Questionnaire (Tehran-SFQ) Mod Care J 2014;11:44-54.
11. Babakhanian M, Ghazanfarpour M, Najafi MN, Dizavandi FR, Khadivzadeh T, Safaei M, et al. Psychometric properties of the Persian language version of the Female Sexual Function index among postmenopausal women. J Turk Ger Gynecol Assoc 2018;19:187-92.
12. Yazdanpanahi Z, Nikkholgh M, Akbarzadeh M, Pourahmad S. Stress, anxiety, depression, and sexual dysfunction among postmenopausal women in Shiraz, Iran, 2015. J Family Community Med 2018;25:82-7.
13. Masliza W, Daud W, Yazid Bajuri M, Shuhaila A, Hatta S, Rohaizat Hassan M, et al. Sexual dysfunction among postmenopausal women. La Clinica terapeutica 2014;165:83-9.
14. Jonusiene G, Zilaitiene B, Adomaitiene V, Aniuliene R, Bancroft J. Sexual function, mood and menopause symptoms in Lithuanian postmenopausal women. Climacteric 2013;16:185-93.
15. Olaolorun FM, Lawoyin TO. Experience of menopausal symptoms by women in an urban community in Ibadan, Nigeria. Menopause 2009;16:822-30.
16. Dombek K, Capistrano EJ, Costa AC, Marinheiro LP. Risk factors associated with sexual dysfunction in Brazilian postmenopausal women. Int J Impot Res 2016;28:62-7.
17. Omidvar S, Bakouie F, Amiri FN. Sexual function among married menopausal women in Amol (Iran). J Midlife Health 2011;2:77-80.
18. Moghassemi S, Ziaei S, Haidari Z. Female sexual dysfunction in Iranian postmenopausal women: prevalence and correlation with hormonal profile. J Sex Med 2011;8:3154-9.
19. Hendrickx L, Gijs L, Enzlin P. Age-related prevalence rates of sexual difficulties, sexual dysfunctions, and sexual distress in heterosexual women: results from an online survey in flanders. J Sex Med 2015;12:424-35.
20. Shin H, Min B, Park J, Son H. A 10-year interval study to compare the prevalence and risk factors of female sexual dysfunction in Korea: the Korean internet sexuality survey (KISS) 2014. Int J Impot Res 2017;29:49-53.
21. Chedraui P, Perez-Lopez FR, San Miguel G, Avila C. Assessment of sexuality among middle-aged women using the Female Sexual Function Index. Climacteric 2009;12:213-21.
22. Chedraui P, Perez-Lopez FR, Sanchez H, Aguirre W, Martinez N, Miranda O, et al. Assessment of sexual function of mid-aged Ecuadorian women with the 6-item Female Sexual Function Index. Maturitas 2012;71:407-12.
23. McCool-Myers M, Theurich M, Zuelke A, Knuettel H, Apfelbacher C. Predictors of female sexual dysfunction: a systematic review and qualitative analysis through gender inequality paradigms. BMC Womens Health 2018;18:108.
24. da Silva Lara LA, Useche B, Rosa ESJC, Ferriani RA, Reis RM, de Sa MF, et al. Sexuality during the climacteric period. Maturitas 2009;62:127-33.
25. Ishak IH, Low WY, Othman S. Prevalence, risk factors, and predictors of female sexual dysfunction in a primary care setting: a survey finding. J Sex Med 2010;7:3080-7.
26. Nazarpour S, Simbar M, Tehrani FR. Factors affecting sexual function in menopause: A review article. Taiwan J Obstet Gynecol 2016;55:480-7.
Files
IssueVol 59, No 12 (2021) QRcode
SectionOriginal Article(s)
DOI https://doi.org/10.18502/acta.v59i12.8060
Keywords
Menopause Sexual dysfunction Women

Rights and permissions
Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Karimi FZ, Pourali L, Hasanzadeh E, Nosrati SF, Pouresmaeili N, Abdollahi M. Sexual Dysfunction in Postmenopausal Women. Acta Med Iran. 2021;59(12):720-725.