Paper Information

Journal:   TEHRAN UNIVERSITY MEDICAL JOURNAL (TUMJ)   FEBRUARY 2016 , Volume 73 , Number 11; Page(s) 798 To 811.
 
Paper: 

SEXUAL DYSFUNCTION AND THE UNDERLYING MEDICAL PROBLEMS IN POST-MENOPAUSAL WOMEN

 
 
Author(s):  NAZARPOUR SOHEILA, SIMBAR MASUMEH*, RAMEZANI TEHRANI FAHIMEH, ALAVI MAJD HAMID
 
* SCHOOL OF NURSING AND MIDWIFERY, SHAHID BEHESHTI UNIVERSITY, VALI ASR ST., OPPOSITE OF SHAHID RAJAEE HEART HOSPITAL, TEHRAN, IRAN, POSTAL CODE: 1996835119
 
Abstract: 

Background: Sexual dysfunction could be under the influence of some underlying medical problems. The purpose of this study is to examine the relationship between medical problems and sexual function in post-menopausal women.
Methods: This is a community-based, descriptive-correlation study of 405 postmenopausal women residing in Chalus and Nowshahr cities, North of Iran, aged 40 to 65 years old from October 2013 to May 2014. A multistage, randomized sampling was conducted. The data was acquired through interviews using the Female Sexual Function Index (FSFI) questionnaire and a researcher-made questionnaire, and was analyzed using descriptive and analytical tests such as multiple linear regression and logistic regression models.
Results: 51.4% of the subjects had medical conditions. Cardiovascular disorders were the most common diseases among the subjects.61% of the women were suffering from female sexual dysfunction (FSD). Sexual dysfunction in patients with medical conditions was significantly higher (P=0.037). Scores of arousal (P=0.000), orgasm (P=0.018), and satisfaction (P=0.026), as well as the FSFI total score (P=0.005), were significantly lower in subjects with cardiovascular disorders. Scores of desire (P=0.001), arousal (P=0.006), lubrication (P=0.010), orgasm (P=0.004), and satisfaction (P=0.022), as well as the FSFI total score (P=0.017), were significantly lower in subjects with diabetes.
Scores of pain were significantly lower in subjects with musculoskeletal disorders (P=0.041), they experienced more pain during intercourse. In domains of arousal (P=0.030), satisfaction (P=0.040), and pain (P=0.044), the scores of those taking antihypertensive medications were significantly lower than the scores of the rest of the subjects. Scores of desire (P=0.001), arousal (P=0.006), orgasm (P=0.006), and satisfaction (P=0.048), as well as the FSFI total score (P=0.006), were significantly lower in those taking antidiabetic drugs. And lastly, the mean satisfaction score in women whose spouse had medical conditions was significantly lower (P=0.040).
Conclusion: Cardiovascular disorders, diabetes, and musculoskeletal disorders could have a negative impact on sexual function in post-menopausal women. Thus, these diseases must be considered and treated in order to improve women’s health, particularly their sexual function.

 
Keyword(s): MEDICAL PROBLEMS, MENOPAUSE, SEXUAL DYSFUNCTIONS
 
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