Dyspareunia is associated with decreased frequency of intercourse in the menopausal transition

Thomas, Holly M.; Bryce, Cindy L.; Ness, Roberta B.; Hess, Rachel

doi:10.1097/gme.0b013e3181eeb774

Cited by 34 publications

(17 citation statements)

References 37 publications

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“…The present study illustrated that less than half of women with dyspareunia decrease frequency of sexual relation than woman without dyspareunia. This result in the same line with Thomas et al [37] in their study on dyspareunia is associated with decreased frequency of intercourse in the menopausal transition and reported that women who report dyspareunia, but not vaginal dryness report less frequent intercourse. Relief of dyspareunia should be addressed to maintain sexual functioning during mid-life.…”

Section: Discussionsupporting

confidence: 89%

Effectiveness of Application of PLISSIT Counseling Model on Sexuality Among Women with Dyspareunia

Emam¹,

Elmenim²,

Sabry³

2018

AJNS

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Background: Dyspareunia is one of the most common but neglected female health problems which has a significant negative impact on a woman's sexual function. The aim of the study was to evaluate the effectiveness of application of PLISSIT counseling model on sexuality among women with dyspareunia. Design: A quasi experimental design was used. Setting: This study was conducted in outpatient clinic of obstetrics & gynecological department at Benha University Hospital. Sample: A purposive sample of all admitted women for a period of 6 months (280) woman: 200 out of them without dyspareunia and 80 with dyspareunia completed the PILLIST model. Tools: three tools were used I): A structured Interviewing Questionnaire Sheet. II): Dyspareunia assessment tool. III): Female Sexual Function Index (FSFI). Results: showed that the mean age of studied women were (35.21±9.03)years. More than one quarter of them complains of dyspareunia. there were statistically significant differences of the FSFI mean score between pre and post application as regard to elements of FSFI including desire, arousal, orgasm, satisfaction and pain (P<0.001). Meanwhile, there were no statistically significant differences regarding lubrication (P>0.4). Conclusion: PLISSIT counseling model had significant effect in improving sexuality among women with dyspareunia. The study recommended that the PLISSIT model should be used in a tailored and patient-centered approach in conducting sexual assessment and management of female dyspareunia.

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Section: Discussionsupporting

confidence: 89%

Effectiveness of Application of PLISSIT Counseling Model on Sexuality Among Women with Dyspareunia

Emam¹,

Elmenim²,

Sabry³

2018

AJNS

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“…On the one hand, frequent sexual activity may help protect postmenopausal women against developing more severe vaginal symptoms, including dyspareunia, for a variety of reasons such as improved clitoral and vulvar circulation supporting the “use it or lose it” exhortation first voiced by Masters and Johnson. 26 Alternatively, this finding may simply indicate women with more bothersome vaginal symptoms may have less frequent sexual activity precisely because they are bothered.…”

Section: Discussionmentioning

confidence: 99%

Predictors of impact of vaginal symptoms in postmenopausal women

et al. 2016

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Objective To identify factors associated with greater impact of vaginal symptoms on functioning and well-being in postmenopausal women. Methods Postmenopausal women who reported vaginal dryness, itching, irritation, or pain with sexual activity completed the multidimensional Day-to-day Impact of Vaginal Aging (DIVA) questionnaire and underwent assessment of multiple socio-demographic and clinical factors having the potential to influence the impact of vaginal symptoms. Multivariable linear regression analyses examined relationships between selected participant characteristics and DIVA scale scores assessing symptom impact on activities of daily living, emotional well-being, self-concept/body image, and sexual functioning. Results Among the 745 symptomatic participants, mean age was 56 (±9) years, and 66% were racial/ethnic minorities. Women with comorbid depression reported greater impact of vaginal symptoms on all dimensions of functioning and well-being measured by DIVA (11%–22% estimated increase in impact scores associated with each 3-point increase in Hospital and Anxiety Depression Scale scores). Women with urinary incontinence also reported greater impact of vaginal symptoms on activities of daily living, emotional well-being, and self-concept/body image (27%–37% estimated increase in impact scores). Age, partner status, sexual activity frequency, general health, and body mass index also predicted greater impact in at least one domain. Conclusions Findings suggest that special efforts should be made to identify and treat vaginal symptoms in postmenopausal women known to have depression or urinary incontinence, as these women may experience greater impact of vaginal symptoms on multiple domains of functioning and quality of life.

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“…The decrease of hormone in menopause influence sexual desire, and this decrease is also associated with vaginal atrophy, and vaginal atrophy produces unpleasant sexual experience, thus leading to the decline of sexual frequency, further triggering a disruption in the sexual response cycle . Therefore, A few studies have applied sexual frequency, sexual desire to be indicators of sexual dysfunction . Compared to structural questionnaires, sexual frequency is easy to be remembered by midlife women, and sexual desire can be easily and quickly obtained by the subjective responses, which could be simple tools for evaluating sexual function for middle‐aged women.…”

Section: Introductionmentioning

confidence: 99%

Prevalence and predictors of sexual function in midlife partnered Chinese women assessed by two simple indicators: Sexual frequency and sexual desire

Zhou

Jin

et al. 2018

J of Obstet and Gynaecol

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Aim: To investigate the prevalence and predictors of sexual frequency, sexual desire in midlife partnered Chinese women. Methods: Sexual frequency, sexual desire over the past 3 months, menopausal symptoms and other socioeconomic information were assessed for women aged 40-65 years in the Shanghai Sixth People's Hospital. Results: Among 3485 eligible partnered participants, the prevalence of low sexual frequency (less than once per week) and low sexual desire (less than 5 scores) were 72.74% (95% confidence interval (CI) = 71.16%-74.23%) and 71.79% (95% CI = 70.30-73.17%), respectively. Multivariable logistic regression analysis revealed that age (odds ratio (OR) = 1.20, 95% CI = 1.17-1.23), more educated (>15 years) (compared with<10 years, OR = 0.62, 95% CI = 0.48-0.82), perimenopause, postmenopause (compared with premenopause, OR = 1.48, 95% CI = 1.02-2.15, OR = 2.76, 95% CI = 1.80-4.23), sleep disorder (OR = 1.24, 95% CI = 1.02-1.50), unemployment (OR = 2.05, 95% CI = 1.45-2.92) were independently associated with low sexual frequency, while multiple linear regression revealed that age β = -0.126, 95% CI = -0.139--0.114), unemployment (β = -0.792, 95% CI = -0.954 to -0.629),chronic diseases (compared with no disease, single disease (β = -0.200, 95% CI = -0.020 to -0.077, multiple diseases (β = -0.792, 95% CI = -0.859 to -0.372), body mass index (β = -0.615, 95% CI = -0.859 to -0.372), postmenopause (β = -0.915, 95% CI = -1.143 to -0.759) were independent indicators for low sexual desire after adjusting for confounders. Conclusion: Low sexual frequency and low sexual desire were quite prevalent in midlife Chinese partnered women. Some factors, such as sleep disorder, obesity are modifiable or can be prevented or treated with safe and effective therapies.

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Dyspareunia is associated with decreased frequency of intercourse in the menopausal transition

Cited by 34 publications

References 37 publications

Effectiveness of Application of PLISSIT Counseling Model on Sexuality Among Women with Dyspareunia

Effectiveness of Application of PLISSIT Counseling Model on Sexuality Among Women with Dyspareunia

Predictors of impact of vaginal symptoms in postmenopausal women

Prevalence and predictors of sexual function in midlife partnered Chinese women assessed by two simple indicators: Sexual frequency and sexual desire

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