Objectives To analyze the sexuality of Italian menopausal women. Design Cross-sectional study. Population Menopausal women consecutively observed during the study period in menopause clinics. Methods Women were interviewed about their current and premenopausal sexual activity: sexual intercourse frequency and self-rated sexual desire, capacity for orgasm and sexual satisfaction were recorded. Women were defined as having poor sexual functioning if they had one or less sexual intercourses per week or answered 'absent/poor' to the questions about the sexual domains. Results Oral hormone therapy (HT) use (odds ratio (OR) 0.43 for desire, 0.54 for orgasm and 0.56 for overall sexual satisfaction, all p<0.001) and transdermal HT (OR 0.38, 0.53 and 0.53, respectively, all p<0.001) were significantly associated with lower risk of poor sexual functioning. Higher physical and mental component scores (PCS and MCS, range 0-100) of the Short Form-12 are inversely related to poor sexual functioning (OR by point 0.96, 0.95, 0.95 for PCS and 0.96, 0.96 and 0.95, for MCS, respectively, all p<0.001). Pain during and symptoms after sexual intercourse were significantly related to desire (OR 1.96 and 1.78, respectively), orgasm (OR 2.22 and 2.06, respectively) and sexual satisfaction (OR 2.02 and 1.79, respectively). The partner's health problems were associated with low sexual intercourse frequency (OR 4.18, p<0.001) and absent/poor overall satisfaction (OR 2.61, p<0.001). Conclusions This study shows that, in menopausal Italian women attending menopause clinics, sexual function is associated with the quality of sexual life in reproductive age, partner's health status, current quality of life, HT and occurrence of pain during and symptoms after sexual intercourse.
Correlates of sexual functioning in Italian menopausal women / C. Donati Sarti, A. Graziottin, M. Mincigrucci, E. Ricci, F. Chiaffarino, S. Bonaca, A. Becorpi, S. Cipriani, F. Parazzini. - In: CLIMACTERIC. - ISSN 1369-7137. - 13:5(2010 Oct), pp. 447-456.
|Titolo:||Correlates of sexual functioning in Italian menopausal women|
PARAZZINI, FABIO (Ultimo)
|Parole Chiave:||cross-sectional study; hormone therapy; Menopause; quality of life; sexual functioning|
|Settore Scientifico Disciplinare:||Settore MED/40 - Ginecologia e Ostetricia|
|Data di pubblicazione:||ott-2010|
|Digital Object Identifier (DOI):||http://dx.doi.org/10.3109/13697130903491026|
|Appare nelle tipologie:||01 - Articolo su periodico|