Status of female sexual dysfunction among postmenopausal women in Bangladesh

Abstract

Background Women's sexual health and physical desire for sex are most important for their emotional and physical well-being. This study aimed to examine the status of sexual dysfunction among postmenopausal women in Bangladesh and assess the significant risk factors behind this. Methods A cross-sectional study was conducted among 45–55 years in four public and private hospitals in Bangladesh from April 2021 to June 2021 using a multi-stage sampling technique to enroll the study participants. The female sexual function index (FSFI) scale measured the prevalence of FSD, and the relationship of independent risk factors were assessed using a multivariate logistic regression model. Results The total score of FSFI among postmenopausal Bangladeshi women was 18.07 ± 8.51. Among 260 participants, the prevalence of FSD was 56.9%. Out of all the significant risk factors, increasing age, urban population group, multiparous, homemakers, duration of menopause, and postmenopausal women with no hormone therapy were significantly associated with FSD. In contrast, those with regular physical activity were protective of FSD. Conclusion In conclusion, a significant proportion of postmenopausal Bangladeshi women are enduring sexual dysfunction. Proper hormonal therapy and non-hormonal therapies such as physical activity and pelvic floor muscle (Kegel) exercise with adequate counseling are helpful to cope in this distressing situation.

Effects of Kegel exercise combined with rational emotive behavior therapy on pelvic floor muscle function and sexual life quality in patients with total hysterectomy: A retrospective study

“…Moreover, Kegel exercise promotes the early recovery of pelvic floor function and sexual function. [6,7] Rational emotive behavior therapy (REBT) is a way of cognitive psychotherapy, which guides patients to rebuild scientific disease cognition, change irrational ideas, reduce negative emotions, establish positive thinking beliefs, and ultimately improve compliance with treatment and rehabilitation training. [8,9] Since 2019, Kegel exercise with or without the combination of REBT has been applied in our center.…”

“…Moreover, Kegel exercise promotes the early recovery of pelvic floor function and sexual function. [6,7]…”