Libido and orgasm in middle-aged woman

Area of Science:

• Reproductive Health
• Sociology of Health
• Sexual Medicine

Background:

• Female sexual function, particularly desire and orgasm, can be affected by various psychosocial and demographic factors.
• Understanding these influences is crucial for developing targeted interventions to improve women's sexual well-being.

Purpose of the Study:

• To identify social, demographic, and sexual function variables that significantly impact libido (desire) and orgasm domains in premenopausal and postmenopausal women.
• To provide insights for developing cost-effective interventions to enhance female sexual health.

Main Methods:

• Cross-sectional analysis of 231 Colombian women aged 40-62.
• Sexual function assessed via self-questionnaire, including domains of desire, arousal, lubrication, orgasm, pain, and satisfaction.
• Statistical analysis using chi-squared test and multivariate regression.

Main Results:

• Higher education and partner satisfaction positively correlated with desire.
• Age and lack of a sexual partner negatively impacted desire.
• Low satisfaction, lack of emotional closeness, and low education negatively affected orgasm in sexually active women.
• Adequate lubrication and desire scores were linked to better orgasm.
• Hormone therapy (HT) showed association with improved orgasm scores.

Conclusions:

• Key factors influencing desire and orgasm include age, education, partner presence/absence, relationship satisfaction, emotional closeness, and lubrication.
• Interventions could involve improving lubrication, educating partners, and public campaigns to destigmatize sexuality in middle-aged women.