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EVALUATION OF SEXUAL FUNCTION AND QUALITY OF LIFE IN MENOPAUSAL WOMEN

Yıl 2023, Cilt: 1 Sayı: 1, 9 - 13, 27.11.2023

Öz

Purpose:
The aim of this study is to evaluate sexual function and quality of life in women with menopausal period.
Methods:
131 menopausal women (age: 60.81 years, Body Mass Index: 25.98 kg/m 2 ) participated in this study. The
Female Sexual Function Index (FSFI) and Menopause Specific Quality of Life Questionnaire (MENQOL) were used to
determine the sexual function and quality of life. Data were analyzed with descriptive statistics, normality te sts, and
Spearman tests. The significance level was set at p <
Results:
According to the FSFI total score, 125 of 131 women (95.40%) had sexual dysfunction. All the sub scales and
total scores of the FSFI and MENQOL were low. A negative and strong correlation was found between the FSFI and
MENQOL total scores (rho= 0.827; p= 0.001).
Conclusion:
Sexual dysfunction during menopausal period negatively affects the quality of life. It is important to provide
sufficient support to women who are in the menopausal period in terms of management of sexual dysfunction.

Kaynakça

  • 1. Kadıoğlu A, Başlar M, Semerci B, Orhan I, Aşcı R, Yaman MÖ, et al, editors. Sexual Health in Men and Women. Istanbul: Turkish Journal of Andrology. 2004; p. 652-63.
  • 2. Greenberg S. Washington DC: U.S. Department of Health and Human Services; 2009.
  • 3. Depp C, Vahia IV, Jeste D. Successful aging: Focus on cognitive and emotional health. Annu Rev Clin Psychol. 2010; 6:527–50.
  • 4. Beckman N, Waern M, Östling S, Sundh V, Skoog I. Determinants of sexual activity in four birth cohorts of Swedish 70-year-olds examined 1971-2001. J Sex Med. 2014; 11:401–10.
  • 5. Mitchell KR, Mercer CH, Ploubidis GB, Jones KG, Datta J, Field N, et al. Sexual function in Britain: Findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). Lancet. 2013; 382:1817–29.
  • 6. Corona G, Lee DM, Forti G, O'Connor DB, Maggi M, O'Neill TW, et al. Age-related changes in general and sexual health in middle-aged and older men: Results from the European Male Ageing Study (EMAS). J Sex Med. 2010; 7(4pt1):1362–80.
  • 7. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub. 2013.
  • 8. Santos-Iglesias P, Byers ES, Moglia R. Sexual well-being among older men and women. Can J Hum Sex. 2016; 25(2):86–98.
  • 9. Sarrel Philip M. Effects of Hormone Replacement Therapy on Sexual Psychophysiology and Behavior in Postmenopause. Journal of Women's Health & Gender-Based Medicine 9 (supplement 1). Mary Ann Liebert, Inc. 2000;25–32.
  • 10. Palma F, Volpe A, Villa P, et al; Writing group of AGATA study. Vaginal atrophy of women in postmenopause. Results from a multicentric observational study: The AGATA study. Maturitas. 2016; 83:40–44.
  • 11. Simon JA, Nappi RE, Kingsberg SA, et al. Clarifying Vaginal Atrophy's Impact on Sex and Relationships (CLOSER) survey: Emotional and physical impact of vaginal discomfort on North American postmenopausal women and their partners. Menopause. 2014; 21(2):137–142.
  • 12. Aygin D, Eti Aslan F. Adaptation of the Female Sexual Function Index into Turkish. Turkish Clin J Med Sci. 2005; 25:393-399.
  • 13. Kharbouch SB, Şahin NH. Determination of quality of life in menopausal women. Florence Nightingale Nurs J. 2007; 15(59): 82-90.
  • 14. Rosen CB, J. Heiman, S. Leiblum, C. Meston, R. Shabsigh, D. Ferguson, R. D'Agostino, R. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy. 2000;26(2):191-208.
  • 15. Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg. 2018;126:1763-1768.
  • 16. Johnston S, Bouchard C, Fortier M, Wolfman W. Guideline No. 422b: Menopause and Genitourinary Health. J Obstet Gynaecol Can. 2021;43(11):1301-1307.
  • 17. Wendy Wolfman, Yonah Krakowsky, Michel Fortier, Guideline No. 422d: Menopause and Sexuality, J Obstet Gynaecol Can. 2021;43(11):1334-1341.
  • 18. Ye L, Knox B, Hickey M. Management of Menopause Symptoms and Quality of Life during the Menopause Transition. Endocrinol Metab Clin North Am. 2022;51(4):817-836.
  • 19. Ishak IH, Low WY, Othman S. Prevalence, Risk Factors, And Predictors Of Female Sexual Dysfunction In A Primary Care Setting: A Survey Finding. J Sex Med. 2010; 7(9): 3080-3087.
  • 20. Jonusiene G, Zilaitiene B, Adomaitiene V, Aniuliene R, Bancroft J. Sexual Function, Mood And Menopaus Symptoms In Lithuanian Postmenopausal Women. Climacteric. 2013;16(1): 185-193.
  • 21. Trompeter SE, Bettencourt R, Barrett-Connor E. Sexual Activity And Satisfaction In Healthy Community-Dwelling Older Women. Am J Med. 2012;125(1): 37-43.
  • 22. Rossella E. Nappi, Sheryl Kingsberg, Ricardo Maamari, James Simon. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) Survey: Implications of Vaginal Discomfort in Postmenopausal Women and in Male Partners. The Journal of Sexual Medicine. 2013;10(9):2232-2241.
  • 23. Roisin Worsley, Robin J. Bell, Pragya Gartoulla, Susan R. Davis. Prevalence and Predictors of Low Sexual Desire, Sexually Related Personal Distress, and Hypoactive Sexual Desire Dysfunction in a Community-Based Sample of Midlife Women. The Journal of Sexual Medicine. 2017;14(5):675-686.
  • 24. Biddle AK, West SL, D'Aloisio AA, Wheeler SB, Borisov NN, Thorp J. Hypoactive sexual desire disorder in postmenopausal women: quality of life and health burden. Value Health. 2009;12(5):763-72.
  • 25. Davison SL, Bell RJ, LaChina M, Holden SL, Davis SR. The relationship between self-reported sexual satisfaction and general well-being in women. J Sex Med. 2009;6(10):2690-7.
  • 26. Nguyen TM, Do TTT, Tran TN, Kim JH. Exercise and Quality of Life in Women with Menopausal Symptoms: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Int J Environ Res Public Health. 2020;26;17(19):7049.
  • 27. Ye L, Knox B, Hickey M. Management of Menopause Symptoms and Quality of Life during the Menopause Transition. Endocrinol Metab Clin North Am. 2022;51(4):817-836.
Yıl 2023, Cilt: 1 Sayı: 1, 9 - 13, 27.11.2023

Öz

Amaç:
Bu çalışmanın amacı; menopozal dönemdeki kadınlarda cinsel fonksiyon ve yaşam kalitesinin değerlendirilmesidir.
Yöntem:
Bu çalışmaya, menopoz sonrası 131 kadın (yaş: 60,81 yıl, Vücut Kütle İndeksi: 25,98 kg/m 2 ) katıldı. Cinsel işlevi
ve yaşam kalitesini değerlendirmek için Kadın Cinsel Fonksiyon İndeksi (FSFI) ve Menopoza Özgü Yaşam Kalitesi Anketi
(MENQOL) kullanıldı. Veriler, tanımlayıcı istatistiksel yöntemler, normal dağılım testleri ve Spearman testleri il e analiz
edildi. İstatistiksel anlamlılık değeri p <0,05 kabul
Sonuçlar:
FSFI toplam skorlarına göre 131 kadından 125’inde (%95,40) cinsel disfonksiyon olduğu belirlendi. FSFI ve
MENQOL tüm alt boyutları ve toplam skorları puanlarının düşük olduğu bulundu. FSFI ve MENQOL toplam skorları
arasında negatif yönde kuvvetli korelasy on olduğu bulundu (rho: 0,827, p <0,05).
Tartışma:
Menopoz döneminde cinsel disfonksiyon, yaşam kalitesini negatif yönde etkilemektedir. Menopoz dönemindeki
kadınlara cinsel disfonksiyonun yönetimi açısından yeterli desteğin sağlanması önemlidir.

Kaynakça

  • 1. Kadıoğlu A, Başlar M, Semerci B, Orhan I, Aşcı R, Yaman MÖ, et al, editors. Sexual Health in Men and Women. Istanbul: Turkish Journal of Andrology. 2004; p. 652-63.
  • 2. Greenberg S. Washington DC: U.S. Department of Health and Human Services; 2009.
  • 3. Depp C, Vahia IV, Jeste D. Successful aging: Focus on cognitive and emotional health. Annu Rev Clin Psychol. 2010; 6:527–50.
  • 4. Beckman N, Waern M, Östling S, Sundh V, Skoog I. Determinants of sexual activity in four birth cohorts of Swedish 70-year-olds examined 1971-2001. J Sex Med. 2014; 11:401–10.
  • 5. Mitchell KR, Mercer CH, Ploubidis GB, Jones KG, Datta J, Field N, et al. Sexual function in Britain: Findings from the third National Survey of Sexual Attitudes and Lifestyles (Natsal-3). Lancet. 2013; 382:1817–29.
  • 6. Corona G, Lee DM, Forti G, O'Connor DB, Maggi M, O'Neill TW, et al. Age-related changes in general and sexual health in middle-aged and older men: Results from the European Male Ageing Study (EMAS). J Sex Med. 2010; 7(4pt1):1362–80.
  • 7. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5®). American Psychiatric Pub. 2013.
  • 8. Santos-Iglesias P, Byers ES, Moglia R. Sexual well-being among older men and women. Can J Hum Sex. 2016; 25(2):86–98.
  • 9. Sarrel Philip M. Effects of Hormone Replacement Therapy on Sexual Psychophysiology and Behavior in Postmenopause. Journal of Women's Health & Gender-Based Medicine 9 (supplement 1). Mary Ann Liebert, Inc. 2000;25–32.
  • 10. Palma F, Volpe A, Villa P, et al; Writing group of AGATA study. Vaginal atrophy of women in postmenopause. Results from a multicentric observational study: The AGATA study. Maturitas. 2016; 83:40–44.
  • 11. Simon JA, Nappi RE, Kingsberg SA, et al. Clarifying Vaginal Atrophy's Impact on Sex and Relationships (CLOSER) survey: Emotional and physical impact of vaginal discomfort on North American postmenopausal women and their partners. Menopause. 2014; 21(2):137–142.
  • 12. Aygin D, Eti Aslan F. Adaptation of the Female Sexual Function Index into Turkish. Turkish Clin J Med Sci. 2005; 25:393-399.
  • 13. Kharbouch SB, Şahin NH. Determination of quality of life in menopausal women. Florence Nightingale Nurs J. 2007; 15(59): 82-90.
  • 14. Rosen CB, J. Heiman, S. Leiblum, C. Meston, R. Shabsigh, D. Ferguson, R. D'Agostino, R. The Female Sexual Function Index (FSFI): a multidimensional self-report instrument for the assessment of female sexual function. Journal of Sex & Marital Therapy. 2000;26(2):191-208.
  • 15. Schober P, Boer C, Schwarte LA. Correlation coefficients: appropriate use and interpretation. Anesth Analg. 2018;126:1763-1768.
  • 16. Johnston S, Bouchard C, Fortier M, Wolfman W. Guideline No. 422b: Menopause and Genitourinary Health. J Obstet Gynaecol Can. 2021;43(11):1301-1307.
  • 17. Wendy Wolfman, Yonah Krakowsky, Michel Fortier, Guideline No. 422d: Menopause and Sexuality, J Obstet Gynaecol Can. 2021;43(11):1334-1341.
  • 18. Ye L, Knox B, Hickey M. Management of Menopause Symptoms and Quality of Life during the Menopause Transition. Endocrinol Metab Clin North Am. 2022;51(4):817-836.
  • 19. Ishak IH, Low WY, Othman S. Prevalence, Risk Factors, And Predictors Of Female Sexual Dysfunction In A Primary Care Setting: A Survey Finding. J Sex Med. 2010; 7(9): 3080-3087.
  • 20. Jonusiene G, Zilaitiene B, Adomaitiene V, Aniuliene R, Bancroft J. Sexual Function, Mood And Menopaus Symptoms In Lithuanian Postmenopausal Women. Climacteric. 2013;16(1): 185-193.
  • 21. Trompeter SE, Bettencourt R, Barrett-Connor E. Sexual Activity And Satisfaction In Healthy Community-Dwelling Older Women. Am J Med. 2012;125(1): 37-43.
  • 22. Rossella E. Nappi, Sheryl Kingsberg, Ricardo Maamari, James Simon. The CLOSER (CLarifying Vaginal Atrophy's Impact On SEx and Relationships) Survey: Implications of Vaginal Discomfort in Postmenopausal Women and in Male Partners. The Journal of Sexual Medicine. 2013;10(9):2232-2241.
  • 23. Roisin Worsley, Robin J. Bell, Pragya Gartoulla, Susan R. Davis. Prevalence and Predictors of Low Sexual Desire, Sexually Related Personal Distress, and Hypoactive Sexual Desire Dysfunction in a Community-Based Sample of Midlife Women. The Journal of Sexual Medicine. 2017;14(5):675-686.
  • 24. Biddle AK, West SL, D'Aloisio AA, Wheeler SB, Borisov NN, Thorp J. Hypoactive sexual desire disorder in postmenopausal women: quality of life and health burden. Value Health. 2009;12(5):763-72.
  • 25. Davison SL, Bell RJ, LaChina M, Holden SL, Davis SR. The relationship between self-reported sexual satisfaction and general well-being in women. J Sex Med. 2009;6(10):2690-7.
  • 26. Nguyen TM, Do TTT, Tran TN, Kim JH. Exercise and Quality of Life in Women with Menopausal Symptoms: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. Int J Environ Res Public Health. 2020;26;17(19):7049.
  • 27. Ye L, Knox B, Hickey M. Management of Menopause Symptoms and Quality of Life during the Menopause Transition. Endocrinol Metab Clin North Am. 2022;51(4):817-836.
Toplam 27 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Fizyoterapi
Bölüm Araştırma Makalesi
Yazarlar

Hatice Gülşah Kürne Bu kişi benim 0000-0002-6719-2954

Türkan Akbayrak 0000-0001-5840-5252

Yayımlanma Tarihi 27 Kasım 2023
Gönderilme Tarihi 15 Ekim 2023
Kabul Tarihi 1 Kasım 2023
Yayımlandığı Sayı Yıl 2023 Cilt: 1 Sayı: 1

Kaynak Göster

Vancouver Kürne HG, Akbayrak T. EVALUATION OF SEXUAL FUNCTION AND QUALITY OF LIFE IN MENOPAUSAL WOMEN. HUFTR. 2023;1(1):9-13.