The influence of hormonal status and socio-cultural determinants on postmenopausal sexual dysfunction.
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Clinical Investigation
P: 263-268
December 2008

The influence of hormonal status and socio-cultural determinants on postmenopausal sexual dysfunction.

Turk J Obstet Gynecol 2008;5(4):263-268
1. Mustafa Kemal University, School Of Medicine, Department Of Obstetrics And Gynecology, Hatay, Türkiye
2. Baskent University, Medicine Faculty, Dept. Of Obstetrics And Gynecology,
3. Mustafa Kemal University, Faculty Of Medicine, Department Of Public Health, Hatay, Türkiye
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ABSTRACT

Results:

FSFI scores were accordingly low in women who considered that they had a sexual dysfunction (50%) and, in those who felt menopausal transition had a negative impact in their sexual relations (52%) (p=0.00). While 6% of participants found sex after menopause as either shameful-unappropriate or unnecessary, other 17% stated that sex after menopause should continue as a duty of woman. 33% of the participants outlined that “motherhood” is the most important goal of their lives. Stepwise logistic regression analysis revealed a correlation between FSFI scores and FAI.

Conclusion:

FSD is prevalent in our country. Questioning the patient about the presence of sexual dysfunction may be sufficient to disclose the problem. FAI is a more reliable parameter in selecting candidates for androgen therapy.

Intervention:

FSFI questionaire was applied to the participants after initial interview that preset questions evaluating psychosocio-cultural determinants were directed. Vaginal pH, total testosterone, and SHBG levels were measured in addition to routine menopause investigations.

Patients:

50 volunteers fit for inclusion criteria.

Setting:

University hospital, Menopause clinics.

Design:

Case-control study.

Objective:

To evaluate the hormonal and psycho-socio-cultural determinants that effect postmenopausal sexual dysfunction.

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