scholarly journals Female Sexual Function Index in Perimenopause Women After Loving Yoga Intervention in Yogyakarta

2021 ◽  
Vol 5 (2) ◽  
pp. 58-66
Author(s):  

During perimenopause, females experience decrease in sexual function. Loving yoga has a focus of movement on the pelvic muscles is a complementary therapy to overcome such complaints. The purpose of this study was to analyze the large influence of the sexual function index of perimenopause women simultaneously and partially after doing loving yoga. Quantitative research with the cross-sectional design was conducted from April to June 2020 in Yogyakarta. Purposive sampling in women aged 40-50 years, sexually active, and having a sexual dysfunction. The data was collected through a Female Sexual Function Index (FSFI) questionnaire and then tabulated and scoring. Data analysis in univariate and multivariate using linear regression analysis multiple partial t-tests and simultaneous F test. The results stated that there is a simultaneous and partial influence on sexual function (Sig value. < 0.05), with great influence on sexual interest (16,541%), sexual arousal (15,289%), lubrication (18,233%), orgasm (16,036%), sexual satisfaction (16,330%), and dyspareunia (17,586%). In conclusion, loving yoga can improve the sexual function of perimenopause women. Therefore, it is recommended that this exercise can be done regularly to get the optimal effect.

2021 ◽  
Author(s):  
Hoang Dao Nhat Linh ◽  
Le Sy Phuc An ◽  
Le Minh Tam ◽  
Nguyen Vu Quoc Huy

Abstract Introduction: A healthy sexual life would contribute to a lasting intimate couple relationship; pregnant women were susceptible to physical, psychological and social changes leading to sexual alterations and dysfunction in pregnancy. In ***, despite not being a novel domain, sexuality has not been extensively evaluated due to the influence of Eastern tradition, which creating promotes unsecured feelings of insecurity when talking about sex.Aim: To investigate the female sexual function alteration during the 1st trimester of pregnancy and some related factors among *** women.Methods: A descriptive cross-sectional study comprising 383 women aged from 18 years old having routine antenatal visits at Department of Obstetrics and Gynecology, *** Hospital from April 2016 to March 2017. Data were collected by interviews using is Female Sexual Function Index (FSFI) questionnaire.Main outcome measures: Subjects’ sexual function alteration, using the validated *** version of Female Sexual Function Index.Results: The prevalence of women with female sexual function alteration before pregnancy was 53% and in 1st trimester was 88.8%. The frequency of intercourses during 1st trimester of pregnancy is lower than before pregnancy (p<0.05). The main reasons of no sexual activity during pregnancy were fear of harming the fetus (75.1%) and prefer not to be satisfied in the short-term rather than hurt the baby (73.5%). Factors affected female sexual function were age, time of living-together, age of 1st sexual intercourse, pregnancy planning, obstetrical history, sexual initiative, religion, academic level, and jobs (p<0.05).Conclusions: Sexual function alteration among first trimester pregnant women is a problem which should be considered, and medical staff should provide counseling to them to improve the quality of their sexual life and maintain normal course of pregnancy.


2021 ◽  
Author(s):  
Hoang Dao Nhat Linh ◽  
Le Sy Phuc An ◽  
Le Minh Tam ◽  
Nguyen Vu Quoc Huy

Abstract Introduction: A healthy sexual life would contribute to a lasting intimate couple relationship; pregnant women were susceptible to physical, psychological and social changes leading to sexual alterations and dysfunction in pregnancy. In Vietnam, despite not being a novel domain, sexuality has not been extensively evaluated due to the influence of Eastern tradition, which creating promotes unsecured feelings of insecurity when talking about sex.Aim: To investigate the female sexual function alteration during the 1st trimester of pregnancy and some related factors among Vietnamse women.Methods: A descriptive cross-sectional study comprising 383 women aged from 18 years old having routine antenatal visits at Department of Obstetrics and Gynecology, Hue University of Medicine and Pharmacy Hospital from April 2016 to March 2017. Data were collected by interviews using is Female Sexual Function Index (FSFI) questionnaire.Main outcome measures: Subjects’ sexual function alteration, using the validated Vietnamese version of Female Sexual Function Index.Results: The prevalence of women with female sexual function alteration before pregnancy was 53% and in 1st trimester was 88.8%. The frequency of intercourses during 1st trimester of pregnancy is lower than before pregnancy (p<0.05). The main reasons of no sexual activity during pregnancy were fear of harming the fetus (75.1%) and prefer not to be satisfied in the short-term rather than hurt the baby (73.5%). Factors affected female sexual function were age, time of living-together, age of 1st sexual intercourse, pregnancy planning, obstetrical history, sexual initiative, religion, academic level, and jobs (p<0.05).Conclusions: Sexual function alteration among first trimester pregnant women is a problem which should be considered, and medical staff should provide counseling to them to improve the quality of their sexual life and maintain normal course of pregnancy.


Author(s):  
Mona Lúcia Dall'Agno ◽  
Charles Francisco Ferreira ◽  
Fernanda Vargas Ferreira ◽  
Faustino R. Pérez-López ◽  
Maria Celeste Osório Wender

Objective To validate the six-item female sexual function index (FSFI-6) in middle-aged Brazilian women. Methods Cross-sectional observational study, involving 737 (premenopausal n = 117, perimenopausal n = 249, postmenopausal n = 371) Brazilian sexually active women, aged between 40 and 55 years, not using hormonal contraceptive methods. The Brazilian FSFI-6 was developed from the translation and cultural adaptation of the Portuguese FSFI-6 version. The participants completed a general questionnaire, the FSFI-6, and the menopause rating scale (MRS). The validation was performed by AMOS 16.0 software (SPSS, Inc., Chicago, IL, USA) for a confirmatory factor analysis (CFA). The chi-square of degrees of freedom (χ2/df), the comparative fit index (CFI), the Tucker-Lewis index (TLI) and the root-mean-square error of approximation (RMSEA) were used as indices of goodness of fit. Cronbach α coefficient was used for internal consistency. Results The process of cultural adaptation has not altered the Brazilian FSFI-6, as compared with the original content. The CFA for the FSFI-6 score showed an acceptable fit (χ2/df = 3.434, CFI = 0.990, TLI = 0.980, RMSEA = 0.058, 90% confidence interval (90%CI) = 0.033–0.083, p ≤ 0.001) and a good reliability was established in FSFI-6 and MRS (Cronbach α = 0.840 and = 0.854, respectively). In addition, 53.5% of the sample had low sexual function. Conclusion The FSFI-6 was translated and adapted to the Brazilian culture and is a consistent and reliable tool for female sexual dysfunction screening in Brazilian middle-aged women.


2020 ◽  
Vol 30 (2) ◽  
pp. 27-31 ◽  
Author(s):  
Mohammad Shamsul Ahsan ◽  
Shahjada Selim ◽  
Srijony Ahmed ◽  
Rubaiya Ali ◽  
Hosnea Ara ◽  
...  

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


2018 ◽  
Vol 71 (suppl 3) ◽  
pp. 1428-1434 ◽  
Author(s):  
Karine de Castro Bezerra ◽  
Sabrine Rodrigues Feitoza ◽  
Camila Teixeira Moreira Vasconcelos ◽  
Sara Arcanjo Lino Karbage ◽  
Dayana Maia Saboia ◽  
...  

ABSTRACT Objective: to evaluate the sexual function of Italian and Brazilian nursing students using the Female Sexual Function Index (FSFI), to estimate the prevalence of sexual dysfunctions and related factors. Method: this is a cross-sectional study involving 84 Brazilian and 128 Italian undergraduate. For the evaluation of sexual function, the Female Sexual Function Index (FSFI) questionnaire was used. Results: Italian women presented significantly higher sexual dysfunction index (n=78/60.9%) than the Brazilian women (n=32/38.1%) (p=0.00). Only the “desire” and “excitation” domains showed no difference between groups. Younger, single and without a steady relationship women had a higher rate of sexual dysfunction (p<0.05). Conclusion: the high rate of sexual dysfunction in a young public suggests the need for more research to increase knowledge about the influence of psychosocial and related factors on female sexual function, directing care towards the promotion of sexual and reproductive health.


2021 ◽  
Vol 21 (2) ◽  
pp. 835-841
Author(s):  
Sahar A Ismail ◽  
Nagwa E Abdel-Azim ◽  
Medhat A Saleh ◽  
Ahmed A Mohamed ◽  
Ali H Yosef ◽  
...  

Objective: To provide a grading system that accurately reflects the grades of female sexual dysfunction (FSD) severity. Patients and methods: A cross-sectional study was conducted in Assiut University Hospital. It included 500 women who answered the Arabic version of the Female Sexual Function Index (FSFI) after getting their consent. A gradient of FSD severity was created, classifying FSD into five grades: severe, moderate, mild to moderate, mild, and no FSD. Results: According to our grading system, FSD was detected in 339 women (67.8 %); Mild FSD in 20.4%, mild to moderate in 41.6%, moderate in 15.3%, and severe in 22.7%. Mean scores of desire show a linear trend of reduction from 3.8 in mild to 3.36 in mild to moderate to 2.25 in moderate and markedly reduced to 2.1 in severe grade. This difference was highly statistically significant (p= 0.002). The same was reported in arousal, orgasm, and satisfaction domains, while in lubrication and pain domains, the difference was not statistically significant. Conclusion: In this study, our grading system was complementary to the FSFI. Moreover, it seems to be more practical and useful in grading the severity of FSD. Keywords: Female sexual dysfunction; FSFI; grading; sexual function.


2021 ◽  
Vol 8 (2) ◽  
pp. 100-107
Author(s):  
Farida Yuliani ◽  
Fitria Edni Wari ◽  
Ferilia Adiesti ◽  
Nurun Ayati Khasanah

Hormonal changes due to the use of hormonal contraceptives are known to be one of the causes of sexual dysfunction. Impaired sexual function can affect the ability to establish and maintain intimate relationships with a partner, and interfere with mental health such as anxiety and depression. This descriptive study using a cross-sectional design aims to describe the sexual function of acceptors of hormonal contraception Depo Medroxyprogesterone Acetate (DMPA). The population of this study was women who used DMPA hormonal contraception. Sample selection is done by total sampling. The data was collected using the Female Sexual Function Index (FSFI) questionnaire, then the data were tabulated and analyzed descriptively. The results showed that most of the DMPA contraceptive acceptors experienced sexual dysfunction and most of the acceptors had used DMPA hormonal contraception for 2 years. DMPA's systemic hypo-estrogenic effect causes vaginal mucosal atrophy, vaginal dryness, and dyspareunia, causing sexual dysfunction. Midwives as health care providers need to have open discussions with hormonal contraceptive acceptors regarding their sexual function so that contraceptive acceptors continue to use effective contraception to prevent pregnancy and continue to provide emotional and sexual support in a woman's life.   Keywords: Sexual Function, Acceptor, DMPA   ABSTRAK   Perubahan hormonal akibat penggunaan kontrasepsi hormonal diketahui menjadi salah satu penyebab disfungsi sexual. Gangguan fungsi seksual dapat mempengaruhi kemampuan untuk membangun dan mempertahankan hubungan intim dengan pasangan, dan mengganggu kesehatan mental seperti kecemasan dan depresi. Penelitian deskriptif ini  menggunakan desain Cross Sectional bertujuan untuk mengetahui gambaran fungsi seksual akseptor kontrasepsi hormonal Depo Medroxyprogesterone Acetate (DMPA). Populasi penelitian ini adalah wanita yang menggunakan kontrasepsi hormonal DMPA. Pemilihan sampel dilakukan secara total sampling. Pengumpulan data menggunakan kuesioner Female Sexual Function Index (FSFI) selanjutnya data ditabulasi dan dianalisis secara deskriptif. Hasil penelitian menunjukkan bahwa sebagian besar akseptor kontrasepsi DMPA mengalami disfungsi seksual dan sebagian besar akseptor sudah ≥ 2 tahun  menggunakan kontrasepsi hormonal DMPA. Efek hipo estrogenik sistemik DMPA ini menyebabkan mukosa vagina atrofi, kekeringan vagina dan dispareunia sehingga menyebabkan gangguan fungsi seksual. Bidan sebagai pemberi pelayanan kesehatan perlu melakukan diskusi secara terbuka dengan akseptor kontrasepsi hormonal terkait fungsi seksual mereka sehingga akseptor kontrasepsi tetap menggunakan kontrasepsi efektif untuk mencegah kehamilan dan tetap memberi dukungan secara emosional dan seksual di kehidupan seorang wanita.   Kata kunci : Fungsi Seksual, Akseptor, DMPA


2020 ◽  
Author(s):  
Κωνσταντίνος Κουτσαμπασόπουλος

Εισαγωγή: Σημαντικός αριθμός ασθενών με καρδιακή ανεπάρκεια θεωρεί σημαντικό κομμάτι της ζωής του τη σεξουαλική δυσλειτουργία, η οποία επηρεάζει την ποιότητα ζωής του. Το πρόβλημα της σεξουαλικής δυσλειτουργίας μπορεί να αφορά τόσο τους άνδρες, όσο και τις γυναίκες και είναι ιδιαίτερα συχνό στους ασθενείς με καρδιακή ανεπάρκεια. Σκοπός: Ο κύριος σκοπός της παρούσας διδακτορικής διατριβής είναι η συσχέτιση της σεξουαλικής δυσλειτουργίας με τη λειτουργικότητα (συστολική και διαστολική) της αριστερής και της δεξιάς κοιλίας του μυοκαρδίου σε ασθενείς με καρδιακή ανεπάρκεια. Μεθοδολογία: Σχεδιάστηκε και πραγματοποιήθηκε μια συγχρονική μελέτη (cross sectional study) για να εκτιμήσει τη συσχέτιση της σεξουαλικής δραστηριότητας με τη λειτουργικότητα της αριστερής και της δεξιάς κοιλίας του μυοκαρδίου σε ασθενείς με καρδιακή ανεπάρκεια. Η εκτίμηση της Σεξουαλικής Λειτουργικότητας στις Γυναίκες έγινε με το Δείκτη Σεξουαλικής Λειτουργικότητας στις Γυναίκες - Female Sexual Function Index (FSFI) και στους Άνδρες με το Διεθνή Δείκτη Στυτικής Λειτουργικότητας - International Index of Erectile Function (IIEF). Για την εκτίμηση της συστολικής και διαστολικής λειτουργίας της αριστερής και δεξιάς κοιλίας του μυοκαρδίου πραγματοποιήθηκε υπερηχοκαρδιογραφική μελέτη, σύμφωνα με τις τρέχουσες κατευθυντήριες οδηγίες. Αποτελέσματα: Συμμετείχαν 306 ασθενείς (201 άνδρες και 105 γυναίκες). Η σεξουαλική λειτουργία είναι επηρεασμένη στη μεγάλη πλειοψηφία των ασθενών με καρδιακή ανεπάρκεια (75,8%) και των δύο φύλων, με τις γυναίκες μάλιστα να εμφανίζουν πιο συχνά σεξουαλική δυσλειτουργία σε σχέση με τους άνδρες (91,4% έναντι 67,7%, p<0,001). Το κλάσμα εξώθησης της αριστερής κοιλίας εμφάνισε θετική συσχέτιση με το Δείκτη Στυτικής Λειτουργικότητας (IIEF) και επομένως με τη στυτική λειτουργία (r 0,140, p=0,047). Επιπλέον, η σταθμισμένη για την ηλικία πιθανότητα για στυτική δυσλειτουργία και γυναικεία σεξουαλική δυσλειτουργία, είναι υψηλότερη στους ασθενείς με καρδιακή ανεπάρκεια και ελαττωμένο κλάσμα εξώθησης συγκριτικά με τους ασθενείς με καρδιακή ανεπάρκεια και διατηρημένο κλάσμα εξώθησης και στους ασθενείς με καρδιακή ανεπάρκεια και ήπια επηρεασμένη τη συστολική λειτουργία συγκριτικά με τους ασθενείς με καρδιακή ανεπάρκεια και διατηρημένο κλάσμα εξώθησης (p<0,001). Η εκτίμηση της διαστολικής λειτουργίας της αριστερής κοιλίας με τη χρήση παλμικού και ιστικού Doppler, αποκάλυψε την παρουσία αρνητικής συσχέτισης ανάμεσα στο Δείκτη Στυτικής Λειτουργικότητας (IIEF) και στους λόγους E/e’ διαφραγματικά και πλάγια (r= -0,150 p=0,035 και r= -0,141 p=0,046, αντίστοιχα). Η συστολική δυσλειτουργία της δεξιάς κοιλίας κυμαινόταν από 24,2 έως 39,1% και της διαστολικής δυσλειτουργίας της δεξιάς κοιλίας 16,1 έως 83,1%. Η συστολική δυσλειτουργία της δεξιάς κοιλίας, όπως αυτή αξιολογήθηκε με τους δείκτες TAPSE, TAPSE/PASP ratio και διάμετρο της βάσης της δεξιάς κοιλίας συσχετίστηκε με χαμηλότερο Δείκτη Στυτικής Λειτουργικότητας (IIEF) (p=0,031, p=0,009 και p<0,001, αντίστοιχα). Συμπεράσματα: Το κύριο εύρημα της μελέτης αποτελεί η συσχέτιση της συστολικής λειτουργίας της αριστερής κοιλίας με το Δείκτη Στυτικής Λειτουργικότητας (IIEF) και επομένως με τη στυτική λειτουργία, αλλά όχι με τη γυναικεία σεξουαλική λειτουργία. Ομοίως, η διαστολική λειτουργία της αριστερής κοιλίας βρέθηκε να συσχετίζεται με τη σεξουαλική δυσλειτουργία. Από την άλλη πλευρά, η λειτουργικότητα (συστολική και διαστολική) της δεξιάς κοιλίας βρέθηκε να συσχετίζεται με τη στυτική, αλλά όχι με τη γυναικεία σεξουαλική λειτουργία. Ωστόσο στη μελέτη της δεξιάς κοιλίας, ορισμένοι δείκτες δυσλειτουργίας της δεξιάς κοιλίας συσχετίστηκαν με συγκεκριμένους παράγοντες της γυναικείας σεξουαλικότητας.


2018 ◽  
Author(s):  
Pablo Vallejo-Medina ◽  
Claudia Pérez-Durán ◽  
Alejandro Saavedra-Roa

2016 ◽  
Vol 17 (5) ◽  
pp. 442 ◽  
Author(s):  
Gustavo Fernando Sutter Latorre ◽  
Priscila Aparecida Bilck ◽  
Andreia Pelegrini ◽  
Joana Moreira Dos Santos ◽  
Fabiana Flores Sperandio

Objetivo: Estudar a prevalência de disfunção sexual e fatores de risco associado em universitárias jovens do sul brasileiro. Métodos: A função sexual de estudantes de fisioterapia de três cidades foi avaliada por meio do Female Sexual Function Index (FSFI). A associação entre a disfunção sexual (DS) em cada domínio e variáveis sociodemográficas foi verificada pelo teste qui-quadrado ou Exato de Fisher. Regressões logísticas binárias, bruta e ajustada, examinaram as associações. Resultados: Foram incluídas 244 estudantes, média etária 23 ± 6 anos, heterossexual (93,9%), solteira (68,9%), nuligesta (79,5%), usuária de anticoncepcional hormonal (75%), vivendo com mais três a cinco pessoas (64,6%), renda conjunta de R$ 3.600,00 a R$ 5.500,00 (26,4%), sendo 13,1 mães e 10% gestantes. Média etária dos parceiros 25,9 ± 6 anos, a maioria (58,2%) com nível superior de escolaridade, média etária do relacionamento atual 3,9 ± 3 anos. A prevalência total de DS foi de 25%, mas 90% das não afetadas apresentaram ao menos um domínio do FSFI afetado. Para as 244 voluntárias os domínios mais afetados foram lubrificação (61,7%), dor (58,8%), desejo (57,6%), orgasmo (54,3%), excitação (50,6%) e satisfação (31,7%). União estável, idade do parceiro (p = 0,01) e da mulher (p = 0,00) estiveram associadas à DS. A DS da excitação e lubrificação esteve associada à renda (p = 0,01). DS do orgasmo foi associada à união estável (p = 0,01), idade da mulher (p = 0,03) e do parceiro (p = 0,01) e do relacionamento (p = 0,04) e o uso de anticoncepcionais hormonais (p = 0,04). A DS da satisfação foi associada à união estável (p = 0,00), idade da mulher (p = 0,03), relacionamentos recentes (p = 0,00) e a gestação (p = 0,00). Dor sexual foi associada ao maior número de pessoas vivendo na mesma casa (p = 0,00). Conclusão: A DS feminina é prevalente em jovens universitárias no sul do país, sendo o problema associado ao estado civil, idades mais jovens da mulher e do parceiro, relacionamentos recentes, falta de privacidade, anticoncepcionais hormonais, gestação.Palavras-chave: disfunção sexual feminina, prevalência, fatores de risco, universitárias.


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