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Sexuality and the menopause

L Dennerstein1, A M Smith, C A Morse

  • 1Key Centre for Women's Health in Society, Department of Public Health and Community Medicine, University of Melbourne, Australia.

Journal of Psychosomatic Obstetrics and Gynaecology
|March 1, 1994
PubMed
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Midlife women often experience decreased sexual interest, with natural menopause being a significant factor. Higher education levels may offer some protection against these changes.

Area of Science:

  • Women's Health
  • Reproductive Endocrinology
  • Epidemiology

Background:

  • Sexual problems are frequently reported by midlife women.
  • Limited epidemiological research exists on menopause's impact on female sexual function.
  • Midlife women's sexual health requires further investigation.

Purpose of the Study:

  • To investigate the relationship between menopause and sexual functioning in midlife women.
  • To identify factors associated with changes in sexual interest.
  • To explore the prevalence of sexual dysfunction in this demographic.

Main Methods:

  • Cross-sectional telephone survey of 2001 Australian women aged 45-55.
  • Assessed changes in sexual interest, intercourse frequency, and pain during intercourse.

Related Experiment Videos

  • Logistic regression analysis to identify explanatory variables for decreased sexual interest.

    • Main Results:

    • 62% reported no change in sexual interest; 31% reported a decrease.
    • Decreased sexual interest was linked to natural menopause, lower well-being, reduced employment, and specific symptoms (vasomotor, cardiopulmonary, skeletal).
    • 11-12 years of education correlated with a lower risk of decreased sexual functioning.

    Conclusions:

    • Natural menopause is a significant factor associated with decreased sexual interest in midlife women.
    • Factors like well-being, employment, and specific symptoms also influence sexual function.
    • Further longitudinal studies are necessary to understand the etiology and the role of hormone replacement therapies.