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DOI: 10.1055/s-0041-1735128
Sexual Function and Associated Factors in Postmenopausal Women
Função sexual e fatores associados em mulheres na pós-menopausa
Abstract
Objective To assess the sexual function and associated factors in postmenopausal women.
Methods This a descriptive, cross-sectional study with 380 women aged 40 to 65 years, users of public health services in 2019. Questionnaires were applied on demographic characteristics, on climacteric symptoms (menopause rating scale) and on sexual function (sexual quotient, female version). Bivariate and multiple analyses by logistic regression were performed, with adjusted odds ratios (ORad) and 95% confidence intervals (95%CIs).
Results More than half (243/64%) of the participating women were at risk of sexual dysfunction, with lower scores in the domains of sexual desire and interest, comfort, orgasm, and satisfaction. Women with a partner (ORad 2.07; 95%CI 1.03–4.17) and those who reported sleep problems (ORad 2.72; 95%CI 1.77–4.19), depressed mood (ORad 2.03; 95%CI 1.32–3.10), sexual complaints (ORad 8.16; 95%CI 5.06–13.15), and vaginal dryness (ORad 3.44; 95%CI 2.22–5.32) showed greater chance of sexual dysfunction.
Conclusion There was a high prevalence of sexual dysfunction, with the influence of conjugality and climacteric symptoms on sexual function.
Resumo
Objetivo Avaliar a função sexual e fatores associados em mulheres na pós-menopausa.
Métodos Este é um estudo descritivo, transversal, com 380 mulheres de 40 a 65 anos, usuárias de serviços de saúde públicos em 2019. Foram aplicados questionários sobre características demográficas, sobre sintomas climatéricos (menopause rating scale) e sobre a função sexual (Quociente Sexual, versão feminina). Análises bivariada e múltipla por regressão logística foram realizadas, com cálculo de odds ratio ajustado (ORaj) e intervalos de confiança de 95% (ICs95%).
Resultados Mais da metade (243/64%) das mulheres participantes no estudo apresentou risco de disfunção sexual, com escores mais baixos dos domínios desejo e interesse sexual, conforto, orgasmo e satisfação. Mulheres com companheiro (ORaj 2,07; IC95% 1,03–4,17) e aquelas que relataram problemas de sono (ORaj 2,72; IC95% 1,77–4,19), ânimo depressivo (ORaj 2,03; IC95% 1,32–3,10), queixas sexuais (ORaj 8,16; IC95% 5,06–13,15) e ressecamento vaginal (ORaj 3,44; IC95% 2,22–5,32) apresentaram maior chance de disfunção sexual.
Conclusão Houve prevalência elevada de disfunção sexual, com influência da conjugalidade e dos sintomas climatéricos sobre a função sexual.
Keywords
sexuality - sexual dysfunctions - psychological - climateric - women's health - postmenopausePalavras-chave
sexualidade - disfunções sexuais psicogênicas - climatério - saúde da mulher - pós-menopausaContributions
All authors participated in the concept and design of the present study; analysis and interpretation of data; draft or revision of the manuscript, and they have approved the manuscript as submitted. All authors are responsible for the reported research.
Publication History
Received: 24 August 2020
Accepted: 21 July 2021
Article published online:
30 August 2021
© 2021. Federação Brasileira de Ginecologia e Obstetrícia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
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