Low sexual desire in midlife and older women: personality factors, psychosocial development, present sexuality

Hartmann, Uwe; Philippsohn, Susanne; Heiser, Kristina; Rüffer-Hesse, Claudia

doi:10.1097/01.gme.0000143705.42486.33

Cited by 172 publications

(107 citation statements)

References 21 publications

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“…The overlap and cyclicity predicts the known comorbidities of dysfunction. [21][22][23] Many have noted the challenge in defining 'normal' or 'disordered' sexual response. 8,24 The difficulty only increases when the variability associated with life cycle, culture, life contexts and current relationship, are taken into account.…”

Section: Data Source Findingsmentioning

confidence: 99%

“…33 When clinical depression is excluded, women complaining of low desire are still shown to have lower selfesteem, more mood variability and more anxious and depressed thoughts, than control women. 23 Anxiety disorders can preclude women's ability to attend to sexual stimuli and to be lost in the moment. For women with diabetes, 34 renal failure 35 or multiple sclerosis, 36 it is the comorbid depression that is associated with higher prevalence of sexual dysfunction compared to control women.…”

Section: Risk Factors For Sexual Dysfunctionmentioning

confidence: 99%

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Women's sexual function and dysfunction: current uncertainties, future directions

Basson

2008

Int J Impot Res

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There is increasing evidence that women at the outset of sexual activity do not need to have sexual desire, as in 'drive', and that many do not distinguish desire from arousal. Multiple modes of investigation confirm poor correlation between women's subjective arousal and measured genital congestion. Suggested revisions to the DSM-IV definitions of sexual disorder have been published: there is now need to align interview assessments and screening questionnaires with contemporary understanding of women's sexual response. Whereas the psychological factors associated with women's sexual function and resilience to biological insults and external stressors are well documented, the role of biological factors is less clear. Variations in the rate of decline of adrenal and ovarian pro-hormones, activity of converting enzymes in peripheral cells, sensitivity of androgen and estrogen receptors and cerebral production of sex steroids may all be involved. Thus there is great complexity underlying the question of sex hormone supplementation, and in particular, little clarity as to which women have decreased brain and/or peripheral androgen activity. When psychosexual etiological factors appear to be minimal and investigational testosterone supplementation is considered, it would be appropriate to target women with disordered arousal and desire in keeping with the recently recommended revised definitions.

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Section: Data Source Findingsmentioning

confidence: 99%

Section: Risk Factors For Sexual Dysfunctionmentioning

confidence: 99%

Women's sexual function and dysfunction: current uncertainties, future directions

Basson

2008

Int J Impot Res

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“…Of course, there are the impacts of state of health, circumstance of having a partner, and other existential prerequisites. These relationships are quite precisely recognizes in the work of Lee et al [2] and Hartmann et al [3].…”

mentioning

confidence: 62%

Sex on the Brain or the Sexual Self-Consciousness as Essential Factor Influencing Cognitive Performance of Older People?

2016

ARC Journal of Neuroscience

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The authors comment some recent articles on the detected positive associations between sexual activity and results of tests of cognitive performance achieving by older people. They indicate the data collected in the course of "Wave 6" of The English Longitudinal Study of Ageing (ELSA). Text of the article:Recently we would like to publish the paper sub title: "The trial of the evaluation of the sexual selfconsciousness of older people". The reviewer wrote that: "Title does not make sense", but among other remarks he indicated the paper, which really was missing among our reference publications, it means the article of Hayley Wright and Rebecca A. Jenks entitled: "Sex on the brain! Associations between sexual activity and cognitive function in older age" [1]. The authors of this article take advantage of data collected in the course of "Wave 6" of the English Longitudinal Study of Ageing (ELSA), a nationally representative panel survey that gathers data on health, lifestyle and socioeconomic variables in adults over the age of 50 years. The questionnaire for the cohort "Wave 6 of ELSA" includes first time the questions pertaining to sexual relationships, and therefore enable the investigation of associations between sexual activity and cognitive function of older people. The authors of the quoted article selected from many questions of the used Sexual Relationships and Activities Questionnaire (SRA-Q), only a simple specific criterion enabling to distinguish older adults who were sexually active from those who were not. They assumed that sexual activity could include: intercourse, masturbation, petting or fondling. The dependant variables in this study were scores from cognitive tests of recall and a number sequencing. In the recall task, respondents heard a list of 10 everyday words and were asked to recall them immediately away and after a short delay. Wrigh et al. found that "there were significant associations between sexual activity and number sequencing and recall in men". The authors assumed that these parameters are good enough measurements of cognitive performance. They argue that "sexual activity is associated with higher scores on tests of memory and executive function, in adults aged 50-89".

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“…Lejos de todo mito, el climaterio y la menopausia como tal, deben ser entendidos y comprendidos con una perspectiva de género, puesto que así influye de forma contundente en la mujer y en su función sexual [62]; de esta manera, podemos asegurar que la menopausia no se traduce en una "sexopausia", y por lo tanto «no existe una sexualidad de las viejas», sino que cada mujer, en su individualidad, envejecerá con su peculiar forma de percibir y experimentar el deseo y la excitación sexual en el entorno de su biografía personal [63]; entendiendo y aceptando que la menopausia o el climaterio son causa y efecto de múltiples cambios, no solo hormonales o biológicos [30].…”

Section: Discussionunclassified

Fisiopatología del trastorno del deseo en el climaterio

Hoz¹,

Orozco-Gallego²

2018

Rev. Médica Risaralda

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Resultados: se revisaron 108 artículos y se seleccionaron 72, los cuales estaban relacionados de forma directa con el tema de investigación. A continuación, se describe la fisiopatología del trastorno del deseo sexual en la mujer en climaterio, mostrando la respectiva evidencia bibliográfica.Conclusiones: el bajo deseo sexual en la mujer en climaterio, está asociado a la disminución de las hormonas sexuales, tanto de los andrógenos suprarrenales como ováricos y al cese de la producción de estrógenos ováricos; sin embargo, la respuesta sexual es multifactorial y multidimensional, por lo tanto, depende de aspectos biológicos, psicológicos y sociales, más que de la carga hormonal circulante. Results: we reviewed 108 articles and selected 72, which were directly related to the research topic. Next, we describe the pathophysiology of sexual desire disorder in women in climacteric, showing the respective bibliographic evidence.Conclusions: low sexual desire in women in climacteric is associated with a decrease in the sexual hormones of both adrenal and ovarian androgens and the cessation of production of ovarian estrogens; However, the sexual response is multifactorial and multidimensional, therefore, it depends on biological, psychological and social aspects, rather than on the circulating hormonal load.Keywords: climacteric; Sexual dysfunction; Feminine; Physiopathology; Menopause; Women; Sexuality. Copyright © Facultad de Ciencias de la Salud de la Universidad Tecnológica de Pereira. 1995-2017. All rights reserved ®. IntroducciónEl climaterio es el periodo previo, concomitante y posterior a la menopausia, en el que se establecen cambios biológicos (debido a la disminución de la fertilidad), clínicos (resultantes de los cambios en el ciclo menstrual) y endocrinos (hipoestrogenismo por la disminución de la actividad ovárica) en la mujer; se caracteriza por la transición de la vida reproductiva a la no reproductiva [1,2]. Es una etapa de la mujer plagada de experiencias individuales, singularizada por una enrevesada interacción de factores biológicos y psicosociales, que impactan conjuntamente en su bienestar físico, mental y sexual [3], ya que aglutina síntomas somato-vegetativos, psicológicos y genito-urinarios, los que menoscaban de alguna manera su calidad de vida [4].En nuestros tiempos, la expectativa de vida de las mujeres se ha incrementado de tal forma que viven 30 años más allá del periodo pos reproductivo, puesto que una mujer de 54 años puede esperar llegar, sin tropiezos, a los 84,3 años de edad; lo que exige un manejo integral, con inclusión de la sexualidad, a fin de que se entienda la relevancia y magnitud de su salud sexual como factor que le genera bienestar [5,6,7].Son muchos los estudios epidemiológicos apoyando la idea de que el climaterio deteriora la sexualidad en la mujer [8,9], así como también se ha descrito que el envejecimiento puede afectar el deseo sexual [10]. Lo cierto es que en la etapa del climaterio la mujer sufre múltiples cambios: físicos, psicológicos, sociales y de la función sex...

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Low sexual desire in midlife and older women: personality factors, psychosocial development, present sexuality

Cited by 172 publications

References 21 publications

Women's sexual function and dysfunction: current uncertainties, future directions

Women's sexual function and dysfunction: current uncertainties, future directions

Sex on the Brain or the Sexual Self-Consciousness as Essential Factor Influencing Cognitive Performance of Older People?

Fisiopatología del trastorno del deseo en el climaterio

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