Risk factors associated with sexual dysfunction in Brazilian postmenopausal women.

Area of Science:

• Reproductive Health
• Women's Health
• Psychology

Background:

• Sexual function is integral to overall health and quality of life.
• Menopause significantly impacts women's health, including sexual well-being.
• Understanding postmenopausal sexual dysfunction is crucial for targeted interventions.

Purpose of the Study:

• To evaluate female sexual function in postmenopausal women.
• To identify demographic, socio-economic, and clinical factors linked to sexual dysfunction in this population.

Main Methods:

• A cross-sectional study involving 111 sexually active postmenopausal women (aged 45-65).
• Utilized semi-structured questionnaires, the Female Sexual Function Index (FSFI), and the Menopause Rating Scale.
• Employed multiple regression analysis to determine risk factors for sexual dysfunction.

Main Results:

• A high prevalence of sexual dysfunction (70.3%) was observed, with desire and arousal domains most impacted.
• Key risk factors identified include marital status, urogenital dysfunction, history of bladder surgery, and sexual abuse.
• Statistical significance was found for all identified risk factors (P<0.01).

Conclusions:

• Postmenopausal sexual dysfunction is prevalent and multifactorial.
• Interventions should address socio-demographic, biological (urogenital, surgical history), psychological, and trauma-related factors.
• Further research is warranted to develop effective management strategies.