Methodological problems in the study of sexuality and the menopause

McCoy, Norma L.

doi:10.1016/s0378-5122(98)00028-0

Cited by 46 publications

(24 citation statements)

References 32 publications

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“…The most bothersome symptoms reported were vasomotor symptoms and the least bothersome were sexual. This is in contrast to previous studies suggesting a decline in sexual interest, a decline in frequency of sexual intercourse, and a decrease of vaginal lubrication associated with menopause (McCoy, 1998;Roberts, Chambers, Blake, & Webber, 1992). One possible explanation may be due to a cultural differences and taboos with respect to sexuality.…”

Section: Discussioncontrasting

confidence: 99%

A Survey on the Climacteric Symptoms in Korean Women

Park

Kim

et al. 2001

Women & Health

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This study describes the climacteric symptoms experienced by Korean women during the peri-and postmenopausal periods, and examines relationships between the levels of bothersome menopausal symptoms and life-style behavior factors including smoking, alcohol use, physical activity, and diet. For this cross-sectional survey, 2,807 naturally postmenopausal women aged between 41-65 years living in 7 metropolitan areas and 6 provinces in Korea were recruited from December 1998 to May 1999. A menopause-related characteristic questionnaire, a climacteric symptoms/problems checklist, and a menopause-specific quality-of-life questionnaire were used to measure menopause-related information, peri-and postmenopausal symptoms, and levels of bothersome menopausal symptoms. Korean women in both peri-and postmenopausal periods most frequently indicated experiencing hot flashes, backaches, fatigue, and memory lapse. Based on the life-style behavior factors analysis, no differences were found in the levels associated with

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Section: Discussioncontrasting

confidence: 99%

A Survey on the Climacteric Symptoms in Korean Women

Park

Kim

et al. 2001

Women & Health

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“…Due to its multidimensional nature, the assessment of sexuality is not an easy task, not to mention methodological issues. However, several instruments have been developed during recent years to assess sexuality and diagnose sexual dysfunction 1,5,19,21,49 . The present study is the first to assess sexuality with the FSFI in a middleaged female Ecuadorian population.…”

Section: Discussionmentioning

confidence: 99%

Assessment of sexuality among middle-aged women using the Female Sexual Function Index

et al. 2009

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Objective The purpose of the present investigation was to assess sexual function among middle-aged women and determine related risk factors (personal and partner) for sexual dysfunction. MethodsIn this cross-sectional study, women aged 40-59 years were requested to fill out the Female Sexual Function Index (FSFI) and a general demographic questionnaire containing personal and partner data.Results A total of 409 women with a mean age of 47 + 5.3 years were surveyed. Of these, 42.1% were premenopausal, 24.4% perimenopausal and 33.5% postmenopausal. At the time of survey, 10.5% of women were hysterectomized, 1.5% used psychotropic drugs, and 9.8% were on hormone therapy (HT) for the menopause; 28.1% had less than 12 years of schooling and 80.4% had only one partner at the moment of survey. Among their male partners, 7.3% abused alcohol, 10.3% had erectile dysfunction, 11.2% premature ejaculation and 63.83% were faithful partners. Mean (+ standard deviation) scores for the FSFI domains were: desire (3.7 + 1.2), arousal (3.1 + 2.5), lubrication (3.3 + 2.6), orgasm (2.6 + 2.3), satisfaction (4 + 1.7), and pain/dyspareunia (3.2 + 2.6). The mean total FSFI score was 20.1 + 12.4 (median 24.7). In this series, the prevalence of female sexual dysfunction (FSFI score 26.55) was 55.7%, with women presenting difficulties across all domains of female sexual function but mostly in the dyspareunia and lubrication domains. Logistic regression analysis determined that female age (odds ratio (OR) 3.3, 95% confidence interval (CI) 1.6-6.8), p ¼ 0.001), postmenopausal status (OR 2.8, 95% CI 1.3-6.1, p ¼ 0.007), partner's age (OR 2.0, 95% CI 1-4, p ¼ 0.03), educational level (OR 2.7, 95% CI 1.5-5, p ¼ 0.001), and the presence of erectile dysfunction (OR 3.8, 95% CI 1.3-10.9, p ¼ 0.01) and premature ejaculation (OR 4.1, 95% CI 1.4-11.7, p ¼ 0.0001) significantly increased the risk for female sexual dysfunction. Partner faithfulness (OR 0.2, 95% CI 0.1-0.4, p ¼ 0.001) and menopausal HT use (OR 0.4, 95% CI 0.1-1, p ¼ 0.04) decreased this risk.Conclusions In this series, male sexual health and demographic profile and female HT use were relevant determinants for sexual functioning among middle-aged women.

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“…Measurement of health-related quality of life, using reliable and well-validated questionnaires, is accepted as an appropriate means of supplementing conventional efficacy evaluations to provide a comprehensive picture of the impact of symptoms and to assess the potential benefits of treatment (42). The questionnaires used for the THEBES were the WHQ-37 (43), which is designed to assess mood and physical symptoms in perimenopausal and postmenopausal women experiencing concurrent hormonal and psychosocial changes, and the MFSQ-SF (44,45), which assesses sexual functioning in postmenopausal women with respect to sexual problems, sexual satisfaction, and partner satisfaction.…”

Section: Tvus > 4mmmentioning

confidence: 99%