Assessing predictors of sexual function in mid-aged sexually active women

Chedraui, Peter; Pérez‐López, Faustino R.; Mezones‐Holguín, Edward; Miguel, Glenda San; Avila, Carlos

doi:10.1016/j.maturitas.2010.12.004

Cited by 61 publications

(51 citation statements)

References 28 publications

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“…Li et al 16 assessed perimenopausal women and observed that moderately active or very active women demonstrated less sexual dysfunction, especially vaginal dryness and decreased sexual desire, than physically inactive women. The present study shows a significant inverse correlation between menopausal symptoms and sexual function, and that physical activity reduces the symptoms of menopause, as documented in several other investigations 18,19,32 . In other studies of middle-aged women, physical exercise not only reduced the intensity of menopausal symptoms, but was also effective in improving sexuality during middle age 15,29,33 .…”

Section: Discussionsupporting

confidence: 90%

“…The female aging process promotes physical changes, in addition to emotional and social factors that may diminish their quality of life 3 . Menopausal symptoms were also less intense in women that exercised regularly [15][16][17][18] . Additionally, exercise has been shown to modify many menopausal symptoms, particularly mood, sleep, anxiety, depression, and musculoskeletal complaints [15][16][17] .…”

Section: Introductionmentioning

confidence: 99%

“…Various reports seem to indicate a link between general quality of life, menopausal symptoms and sexual function in middle-aged women [17][18][19] . During menopause, a decrease in libido and sexual dysfunction occurs [18][19][20] .…”

Section: Introductionmentioning

confidence: 99%

“…During menopause, a decrease in libido and sexual dysfunction occurs [18][19][20] . Moreover, sleep disorders, depressed mood and other psychological problems that reduce quality of life have a significant impact on female sexual function 17,21 .…”

Section: Introductionmentioning

confidence: 99%

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Physical activity and sexual function in middle-aged women

Cabral

Canário

Spyrides

et al. 2014

Rev. Assoc. Med. Bras.

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Objective: To investigate the relationship between physical activity level and sexual function in middle-aged women. Methods: A cross-sectional study with a sample of 370 middle-aged women (40-65 years old), treated at public health care facilities in a Brazilian city. A questionnaire was used containing enquiries on sociodemographic, clinical and behavioral characteristics: the International Physical Activity Questionnaire (IPAQ), short form, and the Female Sexual Function Index (FSFI). Results:The average age of the women studied was 49.8 years (± 8.1), 67% of whom exhibited sexual dysfunction (FSFI ≤ 26.55). Sedentary women had a higher prevalence (78.9%) of sexual dysfunction when compared to active (57.6%) and moderately active (66.7%) females (p = 0.002). Physically active women obtained higher score in all FSFI domains (desire, arousal, lubrication, orgasm, satisfaction and pain) and total FSFI score (20.9), indicating better sexual function than their moderately active (18.8) and sedentary (15.6) counterparts (p <0.05). Conclusion: Physical activity appears to influence sexual function positively in middle-aged women.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Physical activity and sexual function in middle-aged women

Cabral

Canário

Spyrides

et al. 2014

Rev. Assoc. Med. Bras.

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“…O uso de terapia de reposição hormonal por seis meses ou mais não se associou à disfunção sexual na atual pesquisa. Apesar de vários estudos mostrarem melhora da função sexual com o uso da terapia de reposição hormonal [30][31][32][33] , uma recente revisão sistemática da Biblioteca Cochrane 34 , envolvendo 27 estudos com 16.393 mulheres, não apontou melhora da função sexual no subgrupo de mulheres com mais de 5 anos de finalização da menstruação, independente dos sintomas da menopausa. A revisão apresenta uma melhora de magnitude pequena ou moderada, apenas quando a terapia de reposição hormonal é utilizada em mulheres com sintomas de menopausa ou pós-menopausa nos cinco primeiros anos de amenorreia 34 .…”

Section: Discussionunclassified

Função sexual e fatores associados à disfunção sexual em mulheres no climatério

Cavalcanti¹,

Farias²,

Ithamar³

et al. 2014

Rev. Bras. Ginecol. Obstet.

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ResumoOBJETIVO: Avaliar a função sexual e os fatores associados à disfunção sexual de mulheres no período do climatério. MÉTODOS: Foi realizado um estudo de corte transversal incluindo 173 mulheres, na faixa etária de 35 a 65 anos, com parceiro fixo nos últimos 6 meses, alfabetizadas, sem comprometimento cognitivo e com atividade sexual há pelo menos 6 meses. O instrumento utilizado para avaliar o desempenho sexual foi o Quociente Sexual, versão feminina. A associação entre disfunção sexual e dados sociodemográficos, antecedentes pessoais e obstétricos e história sexual foi realizada por meio do teste do χ 2 de Pearson e da força de associação, por meio do odds ratio (OR) com intervalo de confiança de 95% (IC95%). RESULTADOS: Neste estudo, 46,2% das mulheres apresentaram disfunção sexual. Houve uma diminuição da chance de disfunção sexual para a faixa etária entre 35 e 49 anos (OR=0,3; IC95% 0,2-0,6) e para as mulheres que se sentiam à vontade para falar sobre sexo (OR=0,5; IC95% 0,2-0,8). Entretanto, presença de osteoporose (OR=3,3; IC95% 1,5-7,6), incontinência urinária (OR=2,0; IC95% 1,1-3,7) e correções cirúrgicas do assoalho pélvico (OR=2,2; IC95% 1,1-4,5) elevaram essa chance. CONCLUSÕES: A frequência de disfunção sexual em mulheres na faixa etária entre 35 e 65 anos foi 46,2% e fatores como osteoporose, incontinência urinária e correções cirúrgicas do assoalho pélvico aumentaram a chance de disfunção sexual. Abstract PURPOSE:To evaluate the sexual function and factors associated with sexual dysfunction in climacteric women. METHODS: A cross-sectional study was conducted on 173 women aged 35 to 65 years old, with a steady partner during the last 6 months, who are literate, without cognitive impairment, and with sexual activity for at least 6 months. The instrument used to assess sexual performance was the Sexual Quotient, female version. The association between sexual dysfunction and sociodemographic data, personal, obstetric and sexual history was determined by Pearson's χ 2 test and strength of association by the odds ratio (OR) with a 95% confidence interval (95%CI). RESULTS: In this study, 46.2% of the women reported sexual dysfunction. There was a decrease in the chance of sexual dysfunction for the age group between 35 and 49 years old (OR=0.3; 95%CI 0.2-0.6) and for women who felt comfortable talking about sex (OR=0.5; 95%CI 0.2-0.8). However, the presence of osteoporosis (OR=3.3; 95%CI 1.5-7.6), urinary incontinence (OR=2.0; 95%CI 1.1-3.7), and surgical corrections of the pelvic floor (OR=2.2; 95%CI 1.1-4.5) increased this chance. CONCLUSIONS: The frequency of sexual dysfunction in women aged 35 to 65 years old was 46.2% and factors such as osteoporosis, urinary incontinence and surgical corrections of the pelvic floor increased the chance of sexual dysfunction.

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