Sexual function, mood and menopause symptoms in Lithuanian postmenopausal women

Jonusiene, G.; Žilaitienė, Birutė; Adomaitienė, Virginija; Aniulienė, Rosita; Bancroft, John

doi:10.3109/13697137.2012.682746

Cited by 28 publications

(28 citation statements)

References 40 publications

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“…The negative effect of depression on sexual activity or satisfaction confirms findings in other studies for women in both early and late postmenopause [7,21,24,25].…”

Section: Discussionsupporting

confidence: 89%

Sexual Function in the Late Postmenopause: A Decade of Follow-Up in a Population-Based Cohort of Australian Women

Lonnée-Hoffmann

Dennerstein

Lehert

et al. 2014

The Journal of Sexual Medicine

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Introduction There is a paucity of longitudinal studies assessing sexual function of women in the late postmenopause. Aim This study aims to describe sexual function of women in the late postmenopause and to investigate change from early postmenopause. Methods Cross-sectional analysis of 2012/13 and longitudinal analysis from 2002/04 of the population based, Australian cohort of the Women's Healthy Ageing Project, applying validated instruments: Short Personal Experience Questionnaire (SPEQ), Female Sexual Distress Scale (FSDS), Hospital Anxiety and Depression Scale, Geriatric Depression Scale, and California Verbal Learning Test. Main Outcome Measures Sexual activity, SPEQ, and FSDS. Results Two hundred thirty women responded (follow-up rate 53%), mean age was 70 years (range 64–77), 49.8% were sexually active. FSDS scores showed more distress for sexually active women (8.3 vs. 3.2, P < 0.001). For 23 (23%) sexually active and for five (7%) inactive women, the diagnosis of female sexual dysfunction could be made. After adjustment, available partner (odds ratio [OR] 4.31, P < 0.001), no history of depression (OR 0.49, P = 0.036), moderate compared with no alcohol consumption (OR 2.43, P = 0.019), and better cognitive function score (OR1.09, P = 0.050) were significantly predictive for sexual activity. Compared with early postmenopause, 18% more women had ceased sexual activity. For women maintaining their sexual activity through to late postmenopause (n = 82), SPEQ and FSDS scores had not changed significantly, but frequency of sexual activity had decreased (P = 0.003) and partner difficulties had increased (P = 0.043). [Correction added on 10 July 2014, after first online publication: Mean age of respondents was added.] Conclusions In late postmenopause, half of the women were sexually active. Most important predictors were partner availability and no history of depression. However, being sexually active or having a partner were associated with higher levels of sexual distress. Compared with early postmenopause, sexual function scores had declined overall but were stable for women maintaining sexual activity. Further research into causes of sexual distress and reasons for sexual inactivity at this reproductive stage is warranted.

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“…The negative effect of depression on sexual activity or satisfaction confirms findings in other studies for women in both early and late postmenopause [7,21,24,25].…”

Section: Discussionsupporting

confidence: 89%

Sexual Function in the Late Postmenopause: A Decade of Follow-Up in a Population-Based Cohort of Australian Women

Lonnée-Hoffmann

Dennerstein

Lehert

et al. 2014

The Journal of Sexual Medicine

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“…Reduction in sexual pleasure or decreased libido, as one of its first symptoms, had a high prevalence in the general population of women (32). In the study by Jonusiene et al (33), the main risk factors for the onset of sexual dysfunction were reported to be depression, anxiety, menopausal symptoms, and age. Avellanet et al (32) also showed that depression symptoms and signs were significantly associated with decreased sexual pleasure.…”

Section: Discussionmentioning

confidence: 98%

The Relationship Between Menopausal Symptoms, Menopausal Age and Body Mass Index With Depression in Menopausal Women of Ahvaz in 2012

Ziagham

Sayhi

Azimi

et al. 2015

Jundishapur J Chronic Dis Care

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Background: Depression is the commonest psychiatric disorder in women. Menopausal symptoms include hot flashes, sleep disturbance, irritability, and vaginal dryness, which can give rise to depression in postmenopausal women. Objectives: This study aimed to determine the factors affecting and associated with depression in postmenopausal women. Patients and Methods: In this descriptive analytical research, 250 postmenopausal women who referred to health centers in Ahvaz were selected through an easy sampling method and studied. The beck depression inventory, the menopause rating scale (MRS) Questionnaire, and demographic information sheets were used to collect data. The collected data were analyzed with Pearson correlation coefficients, Spearman, chi-square, and one-way ANOVA. Results: The mean depression score was 12.17 ± 8. The total MRS mean in this study is 13.04 ± 8.01. The somatic dimension had the highest score, the mean of which was 5.48 ± 3.28. We found a significant relationship between depression score and MRS scores in all three dimensions (P < 0.001). The results did not show any correlation of depression score with mean age, age of menopause, body mass index, waist circumference, or waist-to-hip ratio (P > 0.05). However, the level of education was significantly associated with depression (P < 0.001). Conclusions: Increase in menopausal symptoms is associated with a higher severity of depression. Diagnosis and treatment of menopausal symptoms is therefore recommended to reduce depression.

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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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Sexual function, mood and menopause symptoms in Lithuanian postmenopausal women

Cited by 28 publications

References 40 publications

Sexual Function in the Late Postmenopause: A Decade of Follow-Up in a Population-Based Cohort of Australian Women

Sexual Function in the Late Postmenopause: A Decade of Follow-Up in a Population-Based Cohort of Australian Women

The Relationship Between Menopausal Symptoms, Menopausal Age and Body Mass Index With Depression in Menopausal Women of Ahvaz in 2012

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

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