Klimakterik Dönemde Cinsel Disfonksiyon: Female Sexual Function Index (FSFI) - Kadın Cinsel Fonksiyon İndeksi İle Yapılan Son 5 Yıllık Çalışmalar

Yıl 2016, Cilt: 5 Sayı: 1, 64 - 85, 01.01.2016

Aslı Karakuş Emre Yanıkkerem

Öz

Klimakterik dönemde vazomotor, ürogenital ve psikososyal değişimler kadının cinsel yaşamını etkilemektedir. Bu derlemede, klimakterik dönemde cinsel yaşamı etkileyen faktörler ile ilgili 29 araştırma incelenmiştir. Pubmed veri tabanına “Menopause” ve “Female Sexual Function Index” anahtar kelimeleri yazılmış ve 2010-2014 yılları arasında basılan makaleler değerlendirilmiştir. Klimakterik dönemde cinsellik ile ilgili yapılan çalışmalarda, en fazla Menopause” ve “Female Sexual Function Index kullanılması nedeniyle, bu derlemede Menopause” ve “Female Sexual Function Index kullanılarak yapılan çalışmalar incelenmiştir. Klimakterik dönemde cinselliği etkileyen faktörler yapılan araştırmalar doğrultusunda incelendiğinde; ileri yaşta olan kadınlarda cinsel ilişki sıklığının azaldığı, cinsel ilişki sıklığı fazla olan kadınlarda cinsel disfonksiyonun azaldığı belirlenmiştir. Evlilik süresi uzun, boşanmış ve düşük eğitim seviyesine sahip, sedanter bir yaşamı olan ve yaşam kalitesi düşük olan kadınlarda cinsel disfonksiyonunnun daha yaygın görüldüğü bulunmuştur. Bununla birlikte, cinsel disfonksiyonun ileri yaşta ve cinsel soruna sahip partnerleri olan kadınlarda yüksek bulunmuştur. Menopoz döneminde kadınlarda cinsel disfonksiyonun, cinsel istek, doyum, uyarılma, lubrikasyon ve ağrı bozukluğu görüldüğü, cerrahi menopoz olan kadınların fizyolojik menopoza giren kadınlara göre daha fazla cinsel disfonksiyonun yaşanmaktadır. Bazı araştırmalarda hormon replasman tedavisi kullanımının cinsel fonksiyona olumlu etkisi olduğu belirtilirken, bazı araştırmalarda bir etkisi olmadığı, menopozal semptomları yoğun yaşayan kadınlarda daha fazla cinsel disfonksiyonun görüldüğü bulunmuştur.

Anahtar Kelimeler

Menopoz, Kadın Cinsel Fonksiyon İndeksi, Cinsellik

Sexual Dysfunction In Climacteric Perıod: The Last 5 Years Studies Used Female Sexual Function Index (FSFI)

Öz

Vasomotor, urogenital and psychosocial changes affect women’s sexual life during climacteric period. In this review, 29 research studies about factors affecting sexual life during climacteric period  were examined. The keywords “Menopause” and “Female Sexual Function Index” were written on the Pubmed and researches published between 2010-2014 were evaluated. Since Female Sexual Function Index was the most used tool in the studies about sexuality in climacteric period, in the review studies with Female Sexual Function Index was evaluated. While factors affecting sexuality during climacteric period were examined in accordance with the researches, it was determined that the frequency of sexual intercourse decreased in women who were older age, and sexual dysfunction decreased in women who had higher coital frequency. It was observed that sexual dysfunction was seen more common among women who had longer duration of marriage, lower education level, sedentary life, low quality of life and divorced women. Moreover, sexual dysfunction was found higher in women who had a partner with older age and sexual disorders. Sexual dysfunction, sexual desire, satisfaction, orgasm, arousal, lubrication and pain disorders were seen among women in  menopause period, and sexual dysfunction was more common in women who had surgical menopause than in women who had natural menopause. Some studies have demonstrated that the use of hormone replacement therapy had positive effect on sexual function, while other studies have stated that it had not have any impact and sexual dysfunction was found to be higher in women having intensive menopausal symptoms.

Anahtar Kelimeler

Menopause, Female Sexual Function Index, Sexuality

Kaynakça

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