open access

Vol 90, No 11 (2019)
ORIGINAL PAPERS Gynecology
Published online: 2019-11-28
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Risk factors of sexual dysfunctions in postmenopausal women

Beata Naworska, Monika Bak-Sosnowska
DOI: 10.5603/GP.2019.0108
·
Pubmed: 31802463
·
Ginekol Pol 2019;90(11):633-639.

open access

Vol 90, No 11 (2019)
ORIGINAL PAPERS Gynecology
Published online: 2019-11-28

Abstract

Objectives: Both somatic and psychosocial factors influence women’s sexual functioning. The main objective of the conducted research was to determine the risk factors of sexual dysfunctions in women during the postmenopausal period.

Material and methods: The researcher studied 666 women between the ages of 45–65 (M = 54.96 } 5.42), who had their last period no later than 12 months prior. Standardised questionnaires were used to study: sexual functions (FSFI), intensity of menopausal symptoms (KI), level of depression (BDI), body esteem (BES), health behaviours (HBI).

Results: Sexual dysfunctions were diagnosed in 33.03% of the studied women. The respondents with dysfunctions differed from the respondents without dysfunctions in terms of: age (p < 0.001), education (p < 0.001), material standing (p < 0.01), relationship status (p < 0.001), body weight (p < 0.001), BMI (p < 0.05), self-assessment of health state (p < 0.001), presence of chronic diseases (p < 0.05), sexual functioning (p < 0.001), intensity of menopausal symptoms (p < 0.001), level of depression (p < 0.001), body self-esteem (p < 0.001), health behaviours (p < 0.001). Regression analysis demonstrated (R2 = 0.24) that the higher the sense of sexual attractiveness, the lower the probability of sexual dysfunctions (B = –0.13; p < 0.001). In turn, the risk increases with age (B = 0.06; p < 0.001), intensity of menopausal symptoms (B = 0.04; p < 0.01) and concern about one’s own body weight (B = 0.04; p < 0.05). Living without a partner (as compared with living in an informal relationship) increases the risk of occurrence of sexual dysfunctions by as much as 129%.

Conclusions: Crucial risk factors of sexual dysfunctions in women during the postmenopausal period include: age, relationship situation, intensity of menopausal symptoms, sense of sexual attractiveness and concern about body weight.

Abstract

Objectives: Both somatic and psychosocial factors influence women’s sexual functioning. The main objective of the conducted research was to determine the risk factors of sexual dysfunctions in women during the postmenopausal period.

Material and methods: The researcher studied 666 women between the ages of 45–65 (M = 54.96 } 5.42), who had their last period no later than 12 months prior. Standardised questionnaires were used to study: sexual functions (FSFI), intensity of menopausal symptoms (KI), level of depression (BDI), body esteem (BES), health behaviours (HBI).

Results: Sexual dysfunctions were diagnosed in 33.03% of the studied women. The respondents with dysfunctions differed from the respondents without dysfunctions in terms of: age (p < 0.001), education (p < 0.001), material standing (p < 0.01), relationship status (p < 0.001), body weight (p < 0.001), BMI (p < 0.05), self-assessment of health state (p < 0.001), presence of chronic diseases (p < 0.05), sexual functioning (p < 0.001), intensity of menopausal symptoms (p < 0.001), level of depression (p < 0.001), body self-esteem (p < 0.001), health behaviours (p < 0.001). Regression analysis demonstrated (R2 = 0.24) that the higher the sense of sexual attractiveness, the lower the probability of sexual dysfunctions (B = –0.13; p < 0.001). In turn, the risk increases with age (B = 0.06; p < 0.001), intensity of menopausal symptoms (B = 0.04; p < 0.01) and concern about one’s own body weight (B = 0.04; p < 0.05). Living without a partner (as compared with living in an informal relationship) increases the risk of occurrence of sexual dysfunctions by as much as 129%.

Conclusions: Crucial risk factors of sexual dysfunctions in women during the postmenopausal period include: age, relationship situation, intensity of menopausal symptoms, sense of sexual attractiveness and concern about body weight.

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Keywords

sexual dysfunctions; postmenopausal; menopausal syndrome; depression; body self-esteem; health behaviours

About this article
Title

Risk factors of sexual dysfunctions in postmenopausal women

Journal

Ginekologia Polska

Issue

Vol 90, No 11 (2019)

Pages

633-639

Published online

2019-11-28

DOI

10.5603/GP.2019.0108

Pubmed

31802463

Bibliographic record

Ginekol Pol 2019;90(11):633-639.

Keywords

sexual dysfunctions
postmenopausal
menopausal syndrome
depression
body self-esteem
health behaviours

Authors

Beata Naworska
Monika Bak-Sosnowska

References (22)
  1. McCabe MP, Sharlip ID, Atalla E, et al. Definitions of Sexual Dysfunctions in Women and Men: A Consensus Statement From the Fourth International Consultation on Sexual Medicine 2015. J Sex Med. 2016; 13(2): 135–143.
  2. Nicolosi A, Laumann EO, Glasser DB, et al. Global Study of Sexual Attitudes and Behaviors Investigators' Group. Sexual behavior and sexual dysfunctions after age 40: the global study of sexual attitudes and behaviors. Urology. 2004; 64(5): 991–997.
  3. Eftekhar T, Dashti M, Shariat M, et al. Female Sexual Function During the Menopausal Transition in a Group of Iranian Women. J Family Reprod Health. 2016; 10(2): 52–58.
  4. Ornat L, Martínez-Dearth R, Muñoz A, et al. Sexual function, satisfaction with life and menopausal symptoms in middle-aged women. Maturitas. 2013; 75(3): 261–269.
  5. Nappi RE, Wawra K, Schmitt S. Hypoactive sexual desire disorder in postmenopausal women. Gynecol Endocrinol. 2006; 22(6): 318–323.
  6. Przybylski M, Spaczyński M. [Hypoactive sexual desire disorder]. Ginekol Pol. 2009; 80(7): 518–522.
  7. Szpak R, Folwarczny W, Drozdzol A, et al. [Partner relationships in menopausal period]. Ginekol Pol. 2010; 81(2): 115–119.
  8. Nazarpour S, Simbar M, Tehrani FR. Factors affecting sexual function in menopause: A review article. Taiwan J Obstet Gynecol. 2016; 55(4): 480–487.
  9. Afshari P, Houshyar Z, Javadifar N, et al. The Relationship Between Body Image and Sexual Function in Middle-Aged Women. Electron Physician. 2016; 8(11): 3302–3308.
  10. Heidari M, Ghodusi M, Rezaei P, et al. Sexual Function and Factors Affecting Menopause: A Systematic Review. J Menopausal Med. 2019; 25(1): 15–27.
  11. Elavsky S, McAuley E. Physical activity and mental health outcomes during menopause: a randomized controlled trial. Ann Behav Med. 2007; 33(2): 132–142.
  12. Bosworth HB, Bastian LA, Kuchibhatla MN, et al. Depressive symptoms, menopausal status, and climacteric symptoms in women at midlife. Psychosom Med. 2001; 63(4): 603–608.
  13. Jackson KL, Janssen I, Appelhans BM, et al. Body image satisfaction and depression in midlife women: the Study of Women's Health Across the Nation (SWAN). Arch Womens Ment Health. 2014; 17(3): 177–187.
  14. Kilpela LS, Becker CB, Wesley N, et al. Body Image in Adult Women: Moving Beyond the Younger Years. Adv Eat Disord. 2015; 3(2): 144–164.
  15. Smith RL, Gallicchio L, Flaws JA. Factors Affecting Sexual Function in Midlife Women: Results from the Midlife Women's Health Study. J Womens Health (Larchmt). 2017; 26(9): 923–932.
  16. Portman DJ, Gass MLS. Vulvovaginal Atrophy Terminology Consensus Conference Panel. Genitourinary syndrome of menopause: new terminology for vulvovaginal atrophy from the International Society for the Study of Women's Sexual Health and the North American Menopause Society. J Sex Med. 2014; 11(12): 2865–2872.
  17. American Association of Retired Persons (AARP). Sexuality at midlife and beyond: 2004 Update of attitudes and behaviors. www.aarp.org (2005). http://assets.aarp.org/rgcenter/general/2004_sexuality.pdf.
  18. Nazarpour S, Simbar M, Ramezani Tehrani F, et al. Quality of life and sexual function in postmenopausal women. J Women Aging. 2018; 30(4): 299–309.
  19. Chang SR, Yang CF, Chen KH. Relationships between body image, sexual dysfunction, and health-related quality of life among middle-aged women: A cross-sectional study. Maturitas. 2019; 126: 45–50.
  20. Algars M, Santtila P, Varjonen M, et al. The adult body: how age, gender, and body mass index are related to body image. J Aging Health. 2009; 21(8): 1112–1132.
  21. Worsley R, Bell RJ, Gartoulla P, et al. Prevalence and Predictors of Low Sexual Desire, Sexually Related Personal Distress, and Hypoactive Sexual Desire Dysfunction in a Community-Based Sample of Midlife Women. J Sex Med. 2017; 14(5): 675–686.
  22. Umberson D, Montez JK. Social relationships and health: a flashpoint for health policy. J Health Soc Behav. 2010; 51 Suppl: S54–S66.

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