Nazarpour Soheila, Simbar Masoumeh, Tehrani Fahimeh Ramezani
Department of Midwifery, Faculty of Nursing and Midwifery, Islamic Azad University, Chalus Branch, Chalus, Iran.
Department of Midwifery and Reproductive Health, School of Nursing and Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Reproductive Endocrinology Research Center, Research Institute for Endocrine Sciences, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Taiwan J Obstet Gynecol. 2016 Aug;55(4):480-7. doi: 10.1016/j.tjog.2016.06.001.
This study aimed to systematically review the articles on factors affecting sexual function during menopause. Searching articles indexed in Pubmed, Science Direct, Iranmedex, EMBASE, Scopus, and Scientific Information Database databases, a total number of 42 studies published between 2003 and 2013 were selected. Age, estrogen deficiency, type of menopause, chronic medical problems, partner's sex problems, severity of menopause symptoms, dystocia history, and health status were the physical factors influencing sexual function of menopausal women. There were conflicting results regarding the amount of androgens, hormonal therapy, exercise/physical activity, and obstetric history. In the mental-emotional area, all studies confirmed the impact of depression and anxiety. Social factors, including smoking, alcohol consumption, the quality of relationship with husband, partner's loyalty, sexual knowledge, access to health care, a history of divorce or the death of a husband, living apart from a spouse, and a negative understanding of women's health were found to affect sexual function; however, there were conflicting results regarding the effects of education, occupation, socioeconomic status, marital duration, and frequency of sexual intercourse.
本研究旨在系统回顾有关影响绝经期间性功能因素的文章。通过检索PubMed、Science Direct、Iranmedex、EMBASE、Scopus和科学信息数据库中的文章，共选取了2003年至2013年间发表的42项研究。年龄、雌激素缺乏、绝经类型、慢性疾病、伴侣的性问题、绝经症状严重程度、难产史和健康状况是影响绝经后女性性功能的生理因素。关于雄激素水平、激素治疗、运动/体育活动和产科病史，研究结果存在冲突。在心理情感方面，所有研究均证实抑郁和焦虑的影响。社会因素，包括吸烟、饮酒、与丈夫关系质量、伴侣忠诚度、性知识、获得医疗保健的机会、离婚或丈夫死亡史、与配偶分居以及对女性健康的负面认知，均被发现会影响性功能；然而，关于教育、职业、社会经济地位、婚姻持续时间和性交频率的影响，研究结果存在冲突。
