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Iranian postmenopausal women's perspectives on sexual satisfaction: A qualitative study
Nasim Shahrahmani1, Raheleh Babazadeh2,3, Abbas Ebadi4
1Department of Midwifery, Razi Nursing and Midwifery Faculty, Reproductive and family health research center, Kerman University of Medical Sciences, Kerman, Iran.
Plos One
|July 23, 2025
Summary
Sexual satisfaction in menopause is complex, influenced by sociocultural, psychological, and relationship factors. Postmenopausal women prioritize intimacy and emotional connection for sexual fulfillment, highlighting the need for tailored healthcare support.
Area of Science:
- Human Sexuality
- Menopause Studies
- Qualitative Research
Background:
- Sexual satisfaction is integral to overall well-being and the sexual response cycle.
- Menopause involves significant physical, psychological, and sexual changes impacting women's lives.
Purpose of the Study:
- To explore and explain the concept of sexual satisfaction among Iranian postmenopausal women.
- To understand the lived experiences influencing sexual satisfaction during and after menopause.
Main Methods:
- Qualitative study involving 22 married postmenopausal women (aged 40-70).
- Data collected through semi-structured interviews until data saturation.
- Analysis conducted using the Graneheim and Lundman method with MAXQDA software.
Main Results:
- Identified seven main categories influencing sexual satisfaction: sociocultural/religious factors, individual/contextual characteristics, psychological factors, marital life issues, positive sexual interactions, sexual helplessness in menopause, and sexual values.
- Sexual satisfaction is a dynamic, interactive concept shaped by perceptions of sexual experiences and marital life.
- Physiological menopausal changes can induce sexual helplessness, affecting satisfaction; intimacy and emotional closeness are often more crucial than physical acts.
Conclusions:
- Sexual satisfaction in postmenopausal women is multifaceted, influenced by a combination of personal, relational, and societal factors.
- Healthcare providers must offer culturally sensitive interventions addressing the unique sexual health needs of postmenopausal women.
- Improving access to sexual health education is vital for empowering women to communicate their needs and enhance their sexual satisfaction.
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