Abstract

Sexuality is an important factor that completes the lives of individuals and affects people in all age groups. To examine the sexual functions of women before and after menopause. This cross-sectional study was conducted at the Family Health Centers in Tunceli Turkey,\ between September 2014 and February 2015. The study data were obtained using a Questionnaire and the Female Sexual Function Index. The data were analyzed by number, percentage distribution, mean, standard deviation, t-test, and using binary logistic regression analysis. The mean Female Sexual Function Index score of the women was 23.8±8.0. The Female Sexual Function Index score of 59.7% of women was below the cut-off score (26.55) and was accepted indicative of sexual dysfunction. Low educational level (P < 0.01), low income (P < 0.01), and menopausal status (P < 0.0001) of the women were risk factors for sexual dysfunction. Prevalence of sexual dysfunction in the women was very high and they indicated no effort to seek medical care. Low educational and income level and menopausal status of the women were three factors increasing the risk of sexual dysfunction. Awareness of the society and the healthcare professionals about the issue should be increased.

Highlights

  • Sexuality is an important factor that completes the lives of individuals and affects people in all age groups

  • It was found that 74.2% of the women were aged 35 to 49 years (Mean±Sexual dysfunction (SD): 44.7±8.2 years), 46.8% had primary school level and lower education, 68.1% were unemployed, 23.2% had low income, 76.5% had a nuclear family structure, 97.4% gave birth at least once, and 30% were menopausal

  • Educational level, working status of women and their husbands, income level, family type, and menopausal status were found to be related to the Female Sexual Function Index (FSFI) score (P < 0.01)

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Summary

Introduction

Sexuality is an important factor that completes the lives of individuals and affects people in all age groups. Sexual dysfunction (SD) is defined as the inability of the individual to have the sexual experience he/she expects.[4] Female SD is believed to be associated with biological, cognitive, emotional, and social factors and is affected by beliefs, attitudes, and value judgments regarding sexuality.[5] SD causes a decrease in self-esteem and impairs the quality of life among women,[6] disrupts relationships between the couples, and may even lead to divorce.[7] The prevalence of sexual problems in pre-menopausal and post-menopausal periods increases. Low educational level (P < 0.01), low income (P < 0.01), and menopausal status (P < 0.0001) of the women were risk factors for sexual dysfunction. Low educational and income level and menopausal status of the women were three factors increasing the risk of sexual dysfunction.

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