Tavoli Azadeh, Tavoli Zahra, Effatpanah Mohammad, Montazeri Ali
Department of Psychology, Faculty of Education and Psychology, Alzahra University, Tehran, Iran.
Department of Obstetrics and Gynecology, School of Medicine, Tehran University of Medical Science, Tehran, Iran.
Womens Midlife Health. 2021 Nov 27;7(1):10. doi: 10.1186/s40695-021-00069-0.
Female Sexual Dysfunction (FSD) is a distressing condition linked to menopause. This study aimed to determine the prevalence and contributing factors for FSD among postmenopausal women.
This was a cross-sectional study. A convenience sample of postmenopausal women attending a gynecology clinic in a teaching hospital affiliated with Tehran University of Medical Sciences was enrolled into the study. The Female Sexual Function Index (FSFI) was used to assess sexual function. In addition, demographic and psychosocial information were recorded. The association between sexual function and anxiety and depression were examined to explore the data.
In all 162 postmenopausal women were studied. We performed general linear regression analysis to assess the relationship between sexual function and anxiety while including demographic variables in the model. The results showed that the model could explain about 46% of the variance observed in sexual function (adjusted R = 0.467). The analysis indicated that among independent variables, age (p < 0.001), sexual frequency (p < 0.001), and anxiety (p = 0.003) were significant contributing factors associated with sexual function. A similar analysis evaluating the relationship between sexual function and depression in menopausal women found that age (p < 0.001), sexual frequency (p < 0.001), and depression (p = 0.003), were significant contributing factors associated with sexual function; explaining about 46% of the variance observed (adjusted R = 0.466).
The findings showed that nearly half of menopausal women had sexual dysfunction in this convenience sample of women seeking gynecologic care. Women reporting sexual dysfunction also reported a higher prevalence of anxiety and depression. Indeed, recognition of such factors requires a holistic therapeutic approach to sexual dysfunction among postmenopausal women.
女性性功能障碍（FSD）是一种与更年期相关的令人苦恼的病症。本研究旨在确定绝经后女性中FSD的患病率及其影响因素。
这是一项横断面研究。选取了在德黑兰医科大学附属教学医院妇科门诊就诊的绝经后女性作为便利样本纳入研究。采用女性性功能指数（FSFI）评估性功能。此外，记录了人口统计学和社会心理信息。通过检查性功能与焦虑和抑郁之间的关联来分析数据。
共研究了162名绝经后女性。我们进行了一般线性回归分析，在模型中纳入人口统计学变量，以评估性功能与焦虑之间的关系。结果表明，该模型可以解释性功能中约46%的方差（调整后R = 0.467）。分析表明，在自变量中，年龄（p < 0.001）、性交频率（p < 0.001）和焦虑（p = 0.003）是与性功能相关的显著影响因素。一项评估绝经后女性性功能与抑郁之间关系的类似分析发现，年龄（p < 0.001）、性交频率（p < 0.001）和抑郁（p = 0.003）是与性功能相关的显著影响因素；解释了约46%观察到的方差（调整后R = 0.466）。
研究结果表明，在这个寻求妇科护理的便利样本中，近一半的绝经后女性存在性功能障碍。报告性功能障碍的女性焦虑和抑郁的患病率也更高。事实上，认识到这些因素需要对绝经后女性的性功能障碍采取整体治疗方法。
