[Factors related to frequency of sexual activity of postmenopausal women]

To identify factors related to the frequency of sexual activity of postmenopausal women

A cross-section study of 206 postmenopausal women between 45 and 60 years of age was made at a university health care service in the South of Brazil between June and October 2002. Evaluations were made of sexual activity according to the number of sexual intercourses in the previous month and the climacteric symptoms using the Kupperman index. Statistical analysis was performed with multiple linear regression analysis.

Of those surveyed 176 (85%) women were sexually active. Although 60.6% reported a decrease in sexual activity after menopause, mostly attributing it to the husband's sexual impotence (41.7%). Approximately 25.7% stated they had no satisfaction with sexual intercourse. By means of multiple linear regression analysis the following aspects were associated to sexual activity: age (p<0.1), degree of sexual satisfaction (p=0.01), and climacteric symptomatology (p=0.02). As age increased the climacteric symptoms were more intense and sexual activity was less frequent with lower sexual satisfaction. The climacteric symptoms correlated with sexual activity were: hot flashes (p=0.05), irritability (p=0.04), melancholy/sadness (p=0.04), arthralgia/myalgia (p<0.01) and weakness/tiredness (p<0.01).

Findings of this study were similar to those in literature. They agree with the hypothesis that sexuality of climacteric women is not only influenced by factors related to hypoestrogenism, but also by psychosocial and cultural aspects associated with aging itself. Nevertheless, longitudinal studies are necessary to provide more conclusive data. Special attention should be given to the sexual dysfunction of men.