Beigi Marjan, Fahami Fariba
MSc Student, Student Research Committee, Department of Midwifery, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.
Iran J Nurs Midwifery Res. 2012 Feb;17(2 Suppl 1):S72-5.
Sexual instinct which is the cause of numerous changes in an individual's life could be influenced by different factors such as menopause and ageing. This study was designed to compare sexual dysfunction before and after menopause.
This was a cross-sectional study. Participants were 174 menopausal women who referred to medical health centers of Isfahan, Iran. Data were collected through self constructed sexual dysfunctions questionnaire in relation to their sexual activities before and after menopause. The reliability and validity of this questionnaire was determined by content validity and Cronbach's alpha coefficient.
Findings showed that the relative frequency of sexual dysfunctions was 38% in the productive period and 72.4% in the menopause period. There was a significant association between sexual dysfunctions before and after the menopause period (p < 0.001). Sexual dysfunctions in these women in the productive and menopause period were 49.2% and 62.6% in desire disorder, 34.3% and 34.9% in dyspareunia, 26.8% and 75.3% in arousal disorder, 23.5% and 56.3% in orgasmic disorder and 16.4% and 15.6% in vaginismus, respectively.
A considerable percentage of women experienced sexual dysfunctions in productive and menopause periods, and menopause could be a factor to maintain or intensify sexual dysfunctions.
性本能是个体生活中诸多变化的根源，可能受到绝经和衰老等不同因素的影响。本研究旨在比较绝经前后的性功能障碍情况。
这是一项横断面研究。研究对象为174名前往伊朗伊斯法罕医疗保健中心就诊的绝经后女性。通过自行编制的与绝经前后性活动相关的性功能障碍问卷收集数据。该问卷的信效度由内容效度和克朗巴哈系数确定。
结果显示，性功能障碍的相对发生率在生育期为38%，在绝经后期为72.4%。绝经前后性功能障碍之间存在显著关联（p < 0.001）。这些女性在生育期和绝经后期性功能障碍中，性欲障碍分别为49.2%和62.6%，性交疼痛分别为34.3%和34.9%，性唤起障碍分别为26.8%和75.3%，性高潮障碍分别为23.5%和56.3%，阴道痉挛分别为16.4%和15.6%。
相当比例的女性在生育期和绝经后期经历了性功能障碍，绝经可能是维持或加剧性功能障碍的一个因素。
