Korean J Women Health Nurs.  2016 Dec;22(4):287-296. 10.4069/kjwhn.2016.22.4.287.

Factors Influencing Sexual Function in Postmenopausal Married Women

• Kim HY
• Ko E

• KMID: 2364631
• DOI: http://doi.org/10.4069/kjwhn.2016.22.4.287

Abstract

PURPOSE
This study identified the level of marital intimacy, menopausal symptom and sexual function, and examined factors affecting sexual function in postmenopausal married women.
METHODS
With cross-sectional survey, a sample of 245 subjects aged 45 to 60 years was recruited from January to March, 2014. Data were collected using self-reported questionnaires which included marital intimacy questionnaire (MIQ), menopause rating scale (MRS), and female sexual function index (FSFI). Data were analyzed by descriptive statistics, t-test, ANOVA, Pearson correlation coefficients and stepwise multiple regression.
RESULTS
Marital intimacy, menopausal symptom and sexual function scores of subjects were 3.46±1.14, 13.71±6.61, and 12.55±8.33, respectively. Marital intimacy and menopausal symptom were related to sexual function. Variables including marital intimacy, psychosocial and urogenital menopausal symptom, period since menopause and body mass index therapy explained 51.5% in sexual function of participants.
CONCLUSION
When nurses plan sexual counseling and education for sexual function of postmenopausal married women, it is necessary to consider marital intimacy, menopausal symptoms, and menopause-related factors.

Keyword

Postmenopause; Women; Marriage; Symptom; Sexual function

MeSH Terms

Body Mass Index
Counseling
Cross-Sectional Studies
Education
Female
Humans
Marriage
Menopause
Postmenopause

Reference

1. Statistics Korea. Expected life tables for Korea [Internet]. Seoul: Author;2012. cited 2016 September 20. Available from:http://kosis.kr/statHtml/statHtml.do?orgId=101&tblId=DT_1B01B03&conn_path=I3.

2. Melby MK, Lock M, Kaufert P. Culture and symptom reporting at menopause. Hum Reprod Update. 2005; 11(5):495–512.

4. Soules MR, Sherman S, Parrott E, Rebar R, Santoro N, Utian W, et al. Stages of reproductive aging workshop (STRAW). J Womens Health Gend Based Med. 2001; 10(9):843–848.

5. Nappi RE, Lachowsky M. Menopause and sexuality: Prevalence of symptoms and impact on quality of life. Maturitas. 2009; 63(2):138–141.

6. Kim MH. Menopausal symptoms according to sasang constitution and menopausal status among perimenopause women. Korean J Women Health Nurs. 2012; 18(1):28–37.

7. Blümel JE, Chedraui P, Baron G, Belzares E, Bencosme A, Calle A, et al. Menopausal symptoms appear before the menopause and persist 5 years beyond: A detailed analysis of a multinational study. Climacteric. 2012; 15(6):542–551.

8. Park NC. Hormonal change and spermatogenesis in aging male. Korean J Androl. 2000; 18(1):7–13.

9. World Health Organization. Defining sexual health: Report of a technical consultation on sexual health. . Geneva, Switzerland: WHO Press;2002. p. 111.

10. Kim HY, Lee ES. Sexual dysfunction and related factors in married Korean women. J Korean Acad Psychiatr Ment Health Nurs. 2010; 19(3):329–338.

11. Kim JH, Bae KE, Moon HS, Kang HI. The relationships among body image, depression and sexual function in postmenopausal women. J Korean Acad Adult Nurs. 2005; 17(2):239–247.

12. Park HS, Byun EK, Lee CY, Kim NH. Factors influencing sexual dysfunction among middle aged women. Korean J Health Serv Manag. 2012; 6(2):201–209.

13. Kim HY. Comparison of depression, marital intimacy, sexual function and quality of life in sexual active or inactive groups of post-menopausal married women. J Korean Acad Fundam Nurs. 2015; 22(3):258–267.

14. Bae J, Min K, Ahn S. Construction of an explanatory model of female sexual dysfunction. J Korean Acad Nurs. 2007; 37(7):1080–1090.

15. Kim JH, Moon HS. Health perception, body image, sexual function and depression in menopausal women according to menopausal stages. J Korean Acad Nurs. 2006; 36(3):449–456.

16. Sprecher S. Attachment style and sexual permissiveness: The moderating role of gender. Pers Individ Dif. 2013; 55(4):428–432.

17. Proulx CM, Helms HM, Buehler C. Marital quality and personal well-being: A meta-analysis. J Marriage Fam. 2007; 69(3):576–593.

18. Woo MS, Lim EJ. A study on the influencing factors ego identity of middle-aged men and women-focusing on marital communication and marital intimacy. J Soc Welf Dev. 2010; 16(4):393–415.

19. Waring EM, Reddon JR. The measurement of intimacy in marriage: The Waring Intimacy Questionnaire. J Clin Psychol. 1983; 39(1):53–57.

20. Kim SN. A structural model for quality of life in women having hysterectomies. J Korean Acad Nurs. 1999; 29(1):161–173.

21. Heinemann LA, Potthoff P, Schneider HP. International versions of the Menopause Rating Scale (MRS). Health Qual Life Outcomes. 2003; 1:28.

22. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): A multidimensional self-report instrument for the assessment of female sexual function. J Sex Marital Ther. 2000; 26:191–208.

23. Kim HY, So HS, Park KS, Jeong SJ, Lee JY, Ryu SB. Development of the Korean-version of Female Sexual Function Index (FSFI). Korean J Androl. 2002; 20(1):50–56.

24. Kim SJ, Kim SY. A study on the relationship of marital intimacy, depression, and menopausal symptoms in middle-aged women. Korean J Women Health Nurs. 2013; 19(3):176–187.

25. Koo BJ. The influence of resilience, hope, marital intimacy, and family support on quality of life for middle-aged women. J Korean Acad Psychiatr Ment Health Nurs. 2008; 17(4):421–430.

26. Kim JH, Lee MS, Yang JW, Ko YH, Ko SD, Joe SH. Risk factors affecting severity of menopausal symptoms in early and late postmenopausal woman. Korean J Psychosom Med. 2009; 17(2):52–61.

27. Islam MR, Gartoulla P, Bell RJ, Fradkin P, Davis SR. Prevalence of menopausal symptoms in Asian midlife women: A systematic review. Climacteric. 2015; 18(2):157–176.

28. Kim M. Factors influencing the sexual satisfaction of middleaged women. J Korea Acad Ind Coop Soc. 2014; 15(1):386–395.

29. Pazmany E, Bergeron S, Verhaeghe J, Van Oudenhove L, Enzlin P. Dyadic sexual communication in pre-menopausal women with self-reported dyspareunia and their partners: Associations with sexual function, sexual distress and dyadic adjustment. J Sex Med. 2015; 12(2):516–528.

30. Chedraui P, Pérez-López FR, Mezones-Holguin E, San Miguel G, Avila C. Assessing predictors of sexual function in mid-aged sexually active women. Maturitas. 2011; 68(4):387–390.