Sexual Dysfunction in Iranian Older Women and its Predictors: A Cross- Sectional Study

Abstract Background: The population of older women is rapidly increasing in every country in the world, including Iran. Given the effect of Sexual Function (SF) and sexual health on older women’s health, the present study was conducted to determine Sexual Dysfunction (SD) and the factors predicting it in Iranian older women in Karaj. Methods: The present cross-sectional study was conducted on 550 eligible older women selected by stratified cluster sampling from those visiting health centers in Karaj between October 2019 and February 2020. Data were collected using self-report questionnaires including demographic questionnaire, the hospital anxiety and depression scale (HADS), and the Female Sexual Function Index (FSFI). To take account of the effect of sampling design on the analyses, survey command in Stata-14 was used. Results: A total of 94.5% of the participating women had SD, 74.4% reported desire disorder, 79.8% arousal disorder, 57.6% lubrication disorder, 65.3% orgasm disorder, and 72.2% sexual dissatisfaction, and 52.4% had dyspareunia. The participating women’s SF had significant relationships with physical activity, hysterectomy, spouse’s SD, and the intimate and emotional closeness with the spouse (P<0.05). SF had significant inverse relationships with age, duration of marriage and menopause, anxiety, and depression (P<0.001). Nonetheless, SF had no significant relationship with occupation, education, smoking, and type and frequency of childbirth. The results of the linear regression test showed that the duration of menopause (B=-0.04, P=0.023), spouse’s SD (B=-0.95, P<0.001), intimacy (B=13.89, P<0.001), emotional closeness (B=6.49, P<0.001), anxiety (B=-0.08, P=0.033), and depression (B=-0.24, P<0.001) predicted the participating women’s SF significantly. Conclusion: The majority of the participating women had SD. Attention mental health, spousal relationship, and spouse’s sexual health may have significant positive effects on the sexual health of Iranian older women.

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Sexual dysfunction in women with systemic lupus erythematosus

Revista Argentina de Reumatología ◽

10.47196/rar.v32i3.484 ◽

2021 ◽

pp. 9-14

Author(s):

Gabriela Vanesa Espasa ◽

Luciana González Lucero ◽

Yessika Jackeline Soria Curi ◽

Susana Marcela Mazza ◽

María Lilia Leguizamón ◽

...

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Lupus Erythematosus ◽

Severe Depression ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Sectional Study ◽

Depression Anxiety Stress Scale ◽

Cross Sectional ◽

Stress Scale

Introduction: sexual dysfunction is the alteration in one or several phases of sexual activity. It can culminate in frustration, pain and a decrease in the frequency of sexual intercourse. Objectives: determine the frequency of sexual dysfunction and analyze associated factors in patients with SLE. Materials and methods: a descriptive cross-sectional study was conducted. We included patients with SLE, between 18 and 50 years of age, Secondary Sjogren’s syndrome, menopause, severe depression and illiterate patients were excluded. Demographic and disease-related variables were studied. The Depression Anxiety Stress Scale (DASS-21), and the Female Sexual Function Index (FSFI) were applied. Results: sixty women with SLE and 63 controls were evaluated. The prevalence of SD in SLE was 71.7% and there were significant differences in all domains of sexual function. The total FSFI score in patients with SLE was lower when compared to controls. According to the DASS-21 scale, stress, anxiety and depression were observed in at least half of lupus women, however no association was found between these variables and SD. Conclusions: the prevalence of SD in patients with SLE was high. Depression, Anxiety, and Stress were not determinants in the presence of SD.

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Female sexual dysfunction and associated co-morbidities: a cross sectional study with Female Sexual Function Index (FSFI) in a tertiary care hospital of Bangladesh

Bangladesh Journal of Psychiatry ◽

10.3329/bjpsy.v30i2.45361 ◽

2020 ◽

Vol 30 (2) ◽

pp. 27-31 ◽

Cited By ~ 2

Author(s):

Mohammad Shamsul Ahsan ◽

Shahjada Selim ◽

Srijony Ahmed ◽

Rubaiya Ali ◽

Hosnea Ara ◽

...

Keyword(s):

Sexual Health ◽

Sexual Function ◽

Cross Sectional Study ◽

Female Sexual Function Index ◽

Sexual Dysfunctions ◽

Female Sexual Function ◽

Age Group ◽

Sectional Study ◽

Cross Sectional ◽

Function Index

Talks regarding sexual problems are not encouraging in Bangladesh and sufferers are in grave situation as they are not sure regarding whom to approach and how to start. It was aimed to see the presenting patterns of female sexual dysfunctions (FSD) and co-morbidities among the patients attending at different outpatient departments (OPD) at Bangabandhu Sheikh Mujib Medical University (BSMMU). This descriptive cross sectional study was conducted among 173 female patients attending at gynecology, endocrinology and psychiatry OPD, BSMMU. Sample was taken by convenient sampling within the period of October 2015 to December 2016. Data were collected through face-to-face interview with Female Sexual Function Index (FSFI) questionnaire. The results showed that, most (95.95%) of the patients were in the reproductive age group. Majority of the patients (32.95%) were in 26-30 years age group and 24.85% were in 18-25 years age group. Majority (77.5%) belonged to home maker occupational class where 12.7% was service-holder. Fifty six percent of the respondents were found to have sexual dysfunctions and 38.15% patients had endocrinological co-morbidities, 37.57% had gynecological co- morbidities and 33.53% had psychiatric co-morbidities. Positive openness in sexual health is required for the betterment of both treatment and diagnosis of sexual disorders. Specialized service center focusing the different groups is needed to deal with sexual health in a developing country like Bangladesh. Bang J Psychiatry December 2016; 30(2): 27-31

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Does Prevalence of Sexual Dysfunction Differ Among the Most Common Causes of Infertility? A Cross-Sectional Study

10.21203/rs.3.rs-709360/v2 ◽

2022 ◽

Author(s):

Mahnaz Ashrafi ◽

Nadia Jahangiri ◽

Shahideh Jahanian Sadatmahalleh ◽

Negin Mirzaei ◽

Naiiere Gharagozloo Hesari ◽

...

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Female Sexual Dysfunction ◽

Cross Sectional Study ◽

Care Providers ◽

Sectional Study ◽

Male Factor ◽

Cross Sectional ◽

Common Causes ◽

Fertile Women

Abstract Background Sexuality as a fundamental component of women’s health, can be affected by infertility. The current study aimed at comparing the prevalence of sexual dysfunction among women with the most common causes of infertility. Methods The current cross-sectional study was conducted on 240 infertile females with infertility due to polycystic ovary syndrome (PCOS, n=80), endometriosis (n=80) and male factor (n=80) at Royan Institute for Reproductive Biomedicine (Tehran, Iran) and 160 fertile women at health care centers, between May 2016 and June 2017. Sexual function was assessed by Female Sexual Function Index (FSFI). Data were analyzed using SPSS (version 25.00) and differences were regarded statistically significant at p < 0. 05. Results The prevalence of female sexual dysfunction was 98.8% in women with PCOS, 100.0% in those with endometriosis, and 80.0% in those with male factor infertility. Overall, 36.2% of the enrolled fertile women were suffering from sexual dysfunction. Conclusions There was an association between the prevalence of female sexual dysfunction or individual domain scores of the FSFI, and infertility etiologies. Therefore, infertility care providers are required to take this into consideration and develop preventive strategies in this regard.

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Evaluation of Obesity Influence in the Sexual Function of Postmenopausal Women: A Cross-Sectional Study

Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics ◽

10.1055/s-0039-1700795 ◽

2019 ◽

Vol 41 (11) ◽

pp. 660-667 ◽

Cited By ~ 1

Author(s):

Gustavo Maximiliano Dutra da Silva ◽

Sônia Maria Rolim Rosa Lima ◽

Benedito Fabiano dos Reis ◽

Carolina Furtado Macruz ◽

Sóstenes Postigo

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Postmenopausal Women ◽

Female Sexual Dysfunction ◽

Cross Sectional Study ◽

Normal Weight ◽

Sectional Study ◽

Cross Sectional ◽

Text Revision ◽

Group 2

Abstract Objective The incidence of obesity, which is a chronic condition, has increased in recent years. The association between obesity and female sexual dysfunction remains unclear, particularly in postmenopausal women. In the present study, we evaluated whether obesity is a risk factor for sexual dysfunction in postmenopausal women. Methods This is a cross-sectional study that analyzed data from interviews of postmenopausal women at the Climacteric Outpatient Clinic from 2015 to 2018. After applying the inclusion and exclusion criteria, 221 women aged between 40 and 65 years old were selected and invited to participate in the study. Obesity was diagnosed according to body mass index (BMI). The participants were grouped into the following BMI categories: group 1, 18.5–24.9 kg/m2 (normal); group 2, 25.0–29.9 kg/m2 (overweight); and group 3, ≥30.0 kg/m2 (obese). Sexual function was assessed using the Female Sexual Function Index (FSFI) questionnaire. Cutoff points of ≥23 and ≥26.5 were adopted to define a diagnosis of female sexual dysfunction (FSD) based on the Diagnostic and Statistical Manual of Mental Disorders, 4th edition, Text Revision by the American Psychiatric Association (DSM-IV-TR). Results The desire and arousal scores were statistically higher in the normal BMI group than in the obese group (p = 0.028 and p = 0.043, respectively). The satisfaction scores were statistically higher in the normal BMI group than in the overweight and obese groups (p < 0.05). The total FSFI score statistically differed among the BMI categories (p = 0.027). Conclusion In the present study, obese and overweight postmenopausal women had higher total scores than women with normal BMI. Our results show that obese and overweight postmenopausal women had a higher index of dysfunction in desire and arousal and lower sexual satisfaction than normal-weight women.

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The decline in sexual function, psychological disorders (anxiety and depression) and life satisfaction in older men: A cross‐sectional study in a hospital‐based population

Andrologia ◽

10.1111/and.13559 ◽

2020 ◽

Vol 52 (5) ◽

Cited By ~ 1

Author(s):

Yi Lu ◽

Shujun Fan ◽

Jing Cui ◽

Yongjiao Yang ◽

Yuxuan Song ◽

...

Keyword(s):

Life Satisfaction ◽

Sexual Function ◽

Psychological Disorders ◽

Older Men ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Sectional Study ◽

Cross Sectional

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The impact of female sexual dysfunction on male sexual function: A cross sectional study

European Urology Supplements ◽

10.1016/s1569-9056(17)32148-6 ◽

2017 ◽

Vol 16 (13) ◽

pp. e3021

Author(s):

A. Zachariou ◽

M. Filiponi ◽

F. Dimitriadis ◽

I. Giannakis ◽

P. Lantin ◽

...

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Female Sexual Dysfunction ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Male Sexual Function ◽

The Impact

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Sexual function in older women with pelvic floor symptoms: a cross-sectional study in general practice

British Journal of General Practice ◽

10.3399/bjgp14x677518 ◽

2014 ◽

Vol 64 (620) ◽

pp. e144-e150 ◽

Cited By ~ 12

Author(s):

Chantal MCR Panman ◽

Marian Wiegersma ◽

Marrit N Talsma ◽

Boudewijn J Kollen ◽

Marjolein Y Berger ◽

...

Keyword(s):

General Practice ◽

Sexual Function ◽

Pelvic Floor ◽

Older Women ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Pelvic Floor Symptoms

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Assessment of female sexual function in remote postpatum period: a cross-sectional study

Revista Brasileira de Saúde Materno Infantil ◽

10.1590/1806-93042018000200003 ◽

2018 ◽

Vol 18 (2) ◽

pp. 289-294

Author(s):

Thalita Rodrigues Christovam Pereira ◽

Elissa Hanayama Dottori ◽

Flávia Maciel de Aguiar Fernandes Mendonça ◽

Ana Carolina Sartorato Beleza

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Postpartum Period ◽

Cross Sectional Study ◽

Postpartum Women ◽

Fisher Exact Test ◽

Female Sexual Function ◽

Sectional Study ◽

Cross Sectional ◽

Significant Difference

Abstract Objectives: (i) to evaluate female sexual function in remote postpartum period within Brazilian women and (ii) to compare female sexual dysfunction in relation to the mode of delivery. Methods: in this cross-sectional study, two groups of remote postpartum women, who underwent vaginal delivery (n=30) and cesarean (n=48), were studied. The sexual function of participants was assessed through an online Brazilian version of FSFI between 45 and 180 days after delivery. Data were analyzed by descriptive and inferential statistics using Fisher exact test, and Student t test. Results: based on the data of 78 women who completed the online questionnaire, 78% (n=61) showed sexual dysfunction on remote postpartum period being that the FSFI mean score for vaginal postpartum was 22.17 and for cesarean postpartum, 21.12 (p=0.443). Conclusions: the majority of remote postpartum women showed sexual dysfunction. There was no significant difference found on female sexual function between modes of delivery.

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The Relationship between Self-esteem and Sexual Dysfunction in Women at Reproductive Ages: A cross-sectional Study

Current Women s Health Reviews ◽

10.2174/1573404816999200821161830 ◽

2020 ◽

Vol 16 ◽

Author(s):

Naeimeh Tayebi ◽

Zahra Beygi ◽

Zahra Yazdznpanahi ◽

Marzieh Akbarzadeh

Keyword(s):

Sexual Dysfunction ◽

Sexual Function ◽

Significant Relationship ◽

Personality Development ◽

Self Esteem ◽

Cross Sectional Study ◽

Education Level ◽

Sectional Study ◽

Cross Sectional ◽

The Relationship

Background:: Sexual dysfunction mainly results from psychological and personal causes. These causes, including self-esteem, have been considered to be the dominant reason for sexual dysfunction. Self-esteem is in fact among the basic factors in desirable personality development. Objective:: Investigation of the relationship between self-esteem and sexual dysfunction in women at reproductive ages referred to healthcare centers in Shiraz, Iran. Materials and Methods:: This epidemiological, analytical, cross-sectional study was conducted on 268 women at reproductive ages referred to healthcare centers in Shiraz in 2014-2015. The study data were collected using a demographic information form, Female Sexual Function Index, and Rosenberg Self-esteem Scale. Results:: The results revealed a significant relationship between self-esteem and sexual function (p=0.001), sexual desire (p=0.03), sexual arousal (p=0.01), and lubrication (p=0.026). However, no significant correlation was observed among self-esteem and orgasm (p=0.54), sexual satisfaction (p=0.3), and pain during intercourse (p=0.1). Investigation of the relationship between demographic indicators and self-esteem showed that the spouse's education level had a significant statistical relationship (p = 0.008) with self-esteem, while there was no significant relationship between self-esteem and women's education level, husband's job, income, Body Mass Index (BMI), and age of women. Conclusion:: The results indicated that self-esteem was associated with sexual dysfunction. Accordingly, individuals with lower self-esteem showed higher sexual dysfunction.

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