González Marcela, Viáfara Gloria, Caba Fresia, Molina Temistocles, Ortiz Carlos
Center for Women's health, PROFAMILIA, Menopause Service, Cali. Colombia.
Maturitas. 2006 Jan 10;53(1):1-10. doi: 10.1016/j.maturitas.2004.07.003. Epub 2005 Oct 6.
Determine which social, demographic and sexual function variables that most influence libido or desire and orgasm domains in the premenopausal and postmenopausal women.
A cross-sectional analysis of 231 Colombian-born women, aged 40-62 years. The sexual function was measured by self-questionnaire. The analysis was performed by using the chi2-test and multivariate regression analysis. The sexual function was divided in five domains: desire, arousal, lubrication, orgasm, pain; additionally satisfaction was included.
The women with a higher level of education and with a good perception of their satisfaction with their partners, reported better performance in the desire. Age and the non existence of sexual partner influenced in a negative way on the desire. In sexual active women the orgasm was negatively influenced by low satisfaction scores, lack of emotional closeness with their partners and low educational level. High scores in lubrication and desire were associated with a good performance in the orgasm. The hormone therapy (HT) was associated with better scores in orgasm.
Age, level of education, the presence or lack of sexual partner, degree of satisfaction with emotional closeness with the partner and adequate lubrication, influence the desire and orgasm domains in a significant way. By identifying these associations we can then perform some inexpensive interventions. Improving lubrication for menopausal women. Including men in educational activities to sensitize them toward women's feelings. Organizing educational campaigns for middle-aged women to demystify that sexuality is only for young people.
确定哪些社会、人口统计学和性功能变量对绝经前和绝经后女性的性欲或性冲动以及性高潮领域影响最大。
对231名年龄在40 - 62岁、出生于哥伦比亚的女性进行横断面分析。通过自我问卷调查来测量性功能。采用卡方检验和多变量回归分析进行分析。性功能分为五个领域：性冲动、性唤起、润滑、性高潮、疼痛；此外还包括满意度。
教育水平较高且对伴侣满意度评价较好的女性，在性冲动方面表现更佳。年龄和没有性伴侣对性冲动有负面影响。在性活跃的女性中，性高潮受到低满意度得分、与伴侣缺乏情感亲密以及低教育水平的负面影响。润滑和性冲动得分高与性高潮表现良好相关。激素疗法（HT）与性高潮方面的更好得分相关。
年龄、教育水平、性伴侣的有无、与伴侣情感亲密的满意度程度以及充足的润滑，对性冲动和性高潮领域有显著影响。通过识别这些关联，我们随后可以进行一些低成本的干预措施。改善绝经后女性的润滑情况。让男性参与教育活动，使他们对女性的感受更敏感。为中年女性组织教育活动，消除她们认为性只属于年轻人的误解。
