THE CORRELATION BETWEEN MENOPAUSAL SYMPTOMS AND SEXUAL FUNCTION IN MENOPAUSAL WOMEN

  • Ida Ayu Ningrat Pangruating Diyu Institut Teknologi dan Kesehatan Bali
    (ID)
  • Ni Komang Tri Agustini Faculty of Health, Institute of technology and Health Bali

Abstract

Sexual function is important issue in women health. Sexual function could be affected by several factors in menopausal women. This study aimed to investigate relationship between menopausal symptoms and sexual function. Cross sectional study design was used in this study. This study conducted among 372 menopause women aged 45-65 years. The Stages of Reproductive Ageing Workshop (STRAW +10) was used to identified participant who were in pre, peri and post-menopausal stages. The instrument used for data collection were the Female Sexual Function Index (FSFI), the Menopause Rating Scale (MRS) and demographic questionnaire. Chi-square and Spearman correlation was used to analyze correlation between variables. The result showed the was 88.7 % of the participants had female sexual dysfunction (FSFI≤26.55). A significant correlation was observed between menopausal symptoms (somatic, psychology and urogenital) and sexual dysfunction (P<0.001). the results of  spearman correlation analysis showed significant negative correlation between urogenital symptoms and desire (r=-0.12,p=0.020), all subscale of menopausal symptoms and lubrication  (somatic [r=-0.30,p<0.001], psychology  [r=-0.29,p<0.001] dan urogenital [r=-0.27,p<0.001]), urogenital symptoms and orgasms  (r=-0.17,p=0.024),urogenital and somatic with  satisfaction (somatic [r=-0.11,p<0.027], urogenital [r=-0.11,p<0.034] and all of menopausal symptoms subscale with pain (somatic [r=-0.15,p=0.002], psychology [r=-0.21,p<0.001] dan urogenital [r=-0.16,p=0.002]). We conclude the importance of assessing menopausal symptoms as part of sexuality in menopausal women and need to be considered in the design health initiatives at menopause’s sexual function 

 

Keywords: Menopause, sexual dysfunction, Female Sexual Function Index (FSFI), menopausal symptoms, Menopause Rating Scale (MRS)

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Author Biography

Ida Ayu Ningrat Pangruating Diyu, Institut Teknologi dan Kesehatan Bali
Indonesia

References

Afiyanti, Y. 2019. Sexual self-efficacy: Affection, sexual communication, and self-acceptance as significant factors related to sexual function on menopausal women in Indonesia. Enfermeria Clinica, 29, 551-555.

Alder, B., Pinkerton, J. & Utian, W. 2002. Menopause Management Roundtable on Quality of Life (QOL). Menopause Management [serial on the Internet], 26-29.

Bachmann, G. A. & Leiblum, S. R. 2004. The impact of hormones on menopausal sexuality: a literature review. Menopause, 11, 120-130.

Beigi, M., Fahami, F., Hassanzahraei, R. & Arman, S. 2008. Associative factors to sexual dysfunction in menopause women. Iranian Journal of Nursing and Midwifery Research, 13.

Bromberger, J. T., Kravitz, H. M., Chang, Y.-F., Cyranowski, J. M., Brown, C. & Matthews, K. A. 2011. Major depression during and after the menopausal transition: Study of Women's Health Across the Nation (SWAN). Psychological medicine, 41, 1879-1888.

Çayan, S., Yaman, Ö., Orhan, İ., Usta, M., Başar, M., Resim, S., Aşcı, R., Gümüş, B. & Kadıoğlu, A. 2016. Prevalence of sexual dysfunction and urinary incontinence and associated risk factors in Turkish women. European Journal of Obstetrics & Gynecology and Reproductive Biology, 203, 303-308.

Chedraui, P., Pérez-López, F. R., Mezones-Holguin, E., San Miguel, G., Avila, C. & America, C. G. F. R. O. T. C. I. L. 2011. Assessing predictors of sexual function in mid-aged sexually active women. Maturitas, 68, 387-390.

Clayton, A. H. & Ninan, P. T. 2010. Depression or menopause? Presentation and management of major depressive disorder in perimenopausal and postmenopausal women. Primary Care Companion to the Journal of Clinical Psychiatry, 12.

Dąbrowska-Galas, M., Dąbrowska, J. & Michalski, B. 2019. Sexual dysfunction in menopausal women. Sexual Medicine, 7, 472-479.

Dennerstein, L., Dudley, E. & Burger, H. 2001. Are changes in sexual functioning during midlife due to aging or menopause? Fertility and sterility, 76, 456-460.

Dennerstein, L., Randolph, J., Taffe, J., Dudley, E. & Burger, H. 2002. Hormones, mood, sexuality, and the menopausal transition. Fertility and sterility, 77, 42-48.

Dhillon, H. K., Singh, H. J. & Ghaffar, N. A. A. 2005. Sexual function in menopausal women in Kelantan, Malaysia. Maturitas, 52, 256-263.

Elvira, D. (2006). Disfungsi seksual pada perempuan. Jakarta: Balai Penerbit FKUI.

Freeman, E. W., Sammel, M. D. & Sanders, R. J. 2014. Risk of long term hot flashes after natural menopause: evidence from the Penn Ovarian Aging Cohort. Menopause (New York, NY), 21, 924.

Greendale, G. A., Lee, N. P. & Arriola, E. R. 1999. The menopause. The Lancet, 353, 571-580.

Hayes, R. D., Dennerstein, L., Bennett, C. M., Sidat, M., Gurrin, L. C. & Fairley, C. K. 2008. Risk factors for female sexual dysfunction in the general population: Exploring factors associated with low sexual function and sexual distress. The journal of sexual medicine, 5, 1681-1693.

Heinemann, L. A., Dominh, T., Strelow, F., Gerbsch, S., Schnitker, J. & Schneider, H. P. 2004. The Menopause Rating Scale (MRS) as outcome measure for hormone treatment? A validation study. Health and Quality of Life Outcomes, 2, 67.

Holmberg, D., Blair, K. L. & Phillips, M. 2010. Women's sexual satisfaction as a predictor of well-being in same-sex versus mixed-sex relationships. Journal of Sex Research, 47, 1-11.

Jamali, S., Rahmanian, A. & Javadpour, S. 2016. Examining the sexual function and related attitudes among aged women: A cross-sectional study. International Journal of Reproductive BioMedicine, 14, 29.

Laumann, E. O., Paik, A. & Rosen, R. C. 1999. Sexual dysfunction in the United States: prevalence and predictors. Jama, 281, 537-544.

Levine, K. B., Williams, R. E. & Hartmann, K. E. 2008. Vulvovaginal atrophy is strongly associated with female sexual dysfunction among sexually active postmenopausal women. Menopause, 15, 661-666.

Lianjun, P., Aixia, Z., Zhong, W., Feng, P., Li, B. & Xiaona, Y. 2011. Risk factors for low sexual function among urban Chinese women: A hospital‐based investigation. The journal of sexual medicine, 8, 2299-2304.

Lin, T. Sexuality and the menopause. First Consensus Meeting on Menopause in the East Asian Region, 2013.

Makara-Studzińśka, M. T., Kryś-Noszczyk, K. M. & Jakiel, G. 2014. Epidemiology of the symptoms of menopause–an intercontinental review. Przeglad menopauzalny= Menopause review, 13, 203.

Mccool, M. E., Zuelke, A., Theurich, M. A., Knuettel, H., Ricci, C. & Apfelbacher, C. 2016. Prevalence of female sexual dysfunction among premenopausal women: a systematic review and meta-analysis of observational studies. Sexual medicine reviews, 4, 197-212.

Minkin, M. J., Reiter, S. & Maamari, R. 2015. Prevalence of postmenopausal symptoms in North America and Europe. Menopause, 22, 1231-1238.

Nappi, R. E. & Lachowsky, M. 2009. Menopause and sexuality: prevalence of symptoms and impact on quality of life. Maturitas, 63, 138-141.

Nazarpour, S., Simbar, M. & Tehrani, F. R. 2016. Factors affecting sexual function in menopause: A review article. Taiwanese Journal of Obstetrics and Gynecology, 55, 480-487.

Nazarpour, S., Simbar, M., Tehrani, F. R., Tohidi, M. & Majd, H. A. Study on the correlation between serum androgens and sexual function in post-menopausal women. 17th European Congress of Endocrinology, 2015. BioScientifica.

Nuring, P., Iman, S. B., Denny, A. & Ova, E. 2018. Validation test of Indonesian Female Sexual Function Index (Indonesian FSFI). Bali Med J, 8, 164-168.

Ozerdogan, N., Sayiner, D., Kosgeroglu, N. & Unsal, A. 2009. The prevalence of sexual dysfunction and depression and other factors associated in women 40 to 65 years old. Maltepe University Journal of Nursing Science and Art, 2, 46-59.

Palacios, S., Henderson, V., Siseles, N., Tan, D. & Villaseca, P. 2010. Age of menopause and impact of climacteric symptoms by geographical region. Climacteric, 13, 419-428.

Pérez-López, F. R., Fernández-Alonso, A. M., Trabalón-Pastor, M., Vara, C., Chedraui, P. & Group, M. R. A. R. 2012. Assessment of sexual function and related factors in mid-aged sexually active Spanish women with the six-item Female Sex Function Index. Menopause, 19, 1224-1230.

Santoro, N. & Chervenak, J. L. 2004. The menopause transition. Endocrinology and Metabolism Clinics, 33, 627-636.

Sharma, S. & Mahajan, N. 2015. Menopausal symptoms and its effect on quality of life in urban versus rural women: A cross-sectional study. Journal of mid-life health, 6, 16.

Vale, F. B. C., Coimbra, B. B., Lopes, G. P. & Geber, S. 2017. Sexual dysfunction in premenopausal women could be related to hormonal profile. Gynecological Endocrinology, 33, 145-147.

Verit, F. F., Verit, A. & Billurcu, N. 2009. Low sexual function and its associated risk factors in pre-and postmenopausal women without clinically significant depression. Maturitas, 64, 38-42.

WHO 2009. Women and health: today's evidence tomorrow's agenda, World Health Organization.

Woods, N. F., Mitchell, E. S. & Smith-Di Julio, K. 2010. Sexual desire during the menopausal transition and early postmenopause: observations from the Seattle Midlife Women's Health Study. Journal of women's health, 19, 209-218.

Yohanis, M. 2013. Women in the rural areas experience more severe menopause symptoms. Indonesian Journal of Obstetrics and Gynecology.

Zhang, C., Cui, L., Zhang, L., Shi, C. & Zang, H. 2017. Sexual activity and function assessment in middle-aged Chinese women using the female sexual function index. Menopause, 24, 669-676.

Published
2021-09-10
How to Cite
Pangruating Diyu, I. A. N., & Tri Agustini, N. K. (2021). THE CORRELATION BETWEEN MENOPAUSAL SYMPTOMS AND SEXUAL FUNCTION IN MENOPAUSAL WOMEN. Journal of Islamic Nursing, 6(1), 19-22. https://doi.org/10.24252/join.v6i1.17887
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