Abstract

<p>Women with gynaecological problems are at high risk of having sexual dysfunction because the problems could affect the marital relationship and sexual satisfaction. The purpose of this study is to determine the relationship between sexual dysfunction and marital relationships in women with gynaecological problems. This study was conducted using a cross-sectional study. The samples were women with gynaecological problems, aged above 18 years old, married, and able to communicate well. Patients with mental disorders were excluded from this study. Convenience sampling was used to select participants. The marital relationship was measured using a validated instrument, namely, Revised Dyadic Adjustment Scale (RDAS) and the Female Sexual Function Index (FSFI). A total of 82 women with gynaecological problems joined our study. The majority of the respondents experienced sexual dysfunction (90.2%) and more than half of the respondents (52.4%) experienced distress in marital relationships. There was a relationship between sexual dysfunction and marital relationship among women with gynaecological problems (<em>p</em> value < 0.005) and the coefficient correlation was 0.326. Sexual dysfunction may affect marital relationships in women with gynaecological problems. Healthcare professionals need to provide appropriate intervention to women with gynaecological problems as well as facilitate them to express their sexual activity.</p>

Highlights

  • A comprehensive understanding of Gynecological diseases involve the women's reproductive tract and include benign and malignant tumors, diseases associated with pregnancy, infection, and endocrine disorders (Mok et al, 2020), which malignant tumors are the leading cause of death among them (Hicks-Courant et al, 2018)

  • About 92% of women worldwide are affected by gynecological diseases (Puechl et al, 2019)

  • A study conducted in Aceh, Indonesia, reported that benign tumors (47.25%) were the most prevalent disease of gynecology problems in 2017 (Nora & Khalishah, 2018)

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Summary

Introduction

Gynecological diseases involve the women's reproductive tract and include benign and malignant tumors, diseases associated with pregnancy, infection, and endocrine disorders (e.g., myoma, endometriosis, dysmenorrhea, cyst, infertility, hypermenorrhea, ovarium cancer, cervical cancer, and endometrium cancer) (Mok et al, 2020), which malignant tumors are the leading cause of death among them (Hicks-Courant et al, 2018). Gynecological problems are influenced by menstrual hygiene, sex hygiene, socioeconomic status, cultural habits, and women's education (Beaulah, 2018). About 92% of women worldwide are affected by gynecological diseases (Puechl et al, 2019). A study conducted in Aceh, Indonesia, reported that benign tumors (47.25%) were the most prevalent disease of gynecology problems in 2017 (Nora & Khalishah, 2018). Data on gynecological diseases for the total of Indonesia remind limited.

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