Danaci A E, Oruç S, Adigüzel H, Yildirim Y, Aydemir O
Departments of Psychiatry and Obstetrics and Gynaecology, Celal Bayar University Medical School, Turkey.
West Indian Med J. 2003 Mar;52(1):27-30.
Women may experience some mental and sexual problems between the ages of 40 years and 60 years due to serious changes in the hormonal system. The aim of this study was to examine the relationships between the changes in sex hormones, sexual behaviours, depression and anxiety levels of women who were in either the premenopausal, perimenopausal or postmenopausal period. The subjects of this cross-sectional study consisted of 324 women who attended the Gynaecology and Obstetrics Out-Patient Ward of Celal Bayar University Hospital. Of this group, 37.0% (n = 124) were postmenopausal, 27.2% (n = 84) perimenopausal and 35.8% (n = 116) premenopausal. Beck Depression Inventory (BDI), State and Trait Anxiety Inventories (STAI-I and II) and a questionnaire on sexual behaviour which was prepared for this study by the authors, were applied to all of the attendees and serum sex hormone levels were analyzed. Beck Depression Anxiety, STAI-I and STAI-II scores and sexual behaviours did not show any statistically significant difference among these three groups. The frequency of sexual intercourse was lower in women with high BDI scores. The rate of painful intercourse was higher in women with high STAI-I scores. The frequency of sexual intercourse, sexual desire and orgasm decreased and painful intercourse increased in women with high STAI-II scores. The frequency of sexual intercourse decreased significantly as the age or follicle stimulating hormone level of women increased. These findings have revealed that the menopausal state did not affect the sexual behaviour, and psychological state of women between the ages of 40 and 60 years, but the increase in anxiety and depression scores affected the sexual life in a negative manner.
由于激素系统的严重变化，女性在40岁至60岁之间可能会经历一些心理和性方面的问题。本研究的目的是探讨处于绝经前、围绝经期或绝经后期的女性性激素变化、性行为、抑郁和焦虑水平之间的关系。这项横断面研究的对象包括324名到切拉尔·巴亚尔大学医院妇产科门诊就诊的女性。在这组人群中，37.0%（n = 124）为绝经后女性，27.2%（n = 84）为围绝经期女性，35.8%（n = 116）为绝经前女性。对所有参与者应用了贝克抑郁量表（BDI）、状态和特质焦虑量表（STAI - I和II）以及作者为本研究编制的性行为问卷，并分析了血清性激素水平。这三组之间的贝克抑郁焦虑量表、STAI - I和STAI - II得分以及性行为均未显示出任何统计学上的显著差异。BDI得分高的女性性交频率较低。STAI - I得分高的女性性交疼痛发生率较高。STAI - II得分高的女性性交频率、性欲和性高潮降低，性交疼痛增加。随着女性年龄或促卵泡激素水平的增加，性交频率显著降低。这些发现表明，绝经状态并未影响40至60岁女性的性行为和心理状态，但焦虑和抑郁得分的增加对性生活产生了负面影响。
