Abstract
The aim of this study was to investigate vaginal dryness (VD) problems among 40–65 year old married women in Southeastern Turkey and its effect on their sexuality and health. A cross-sectional study was conducted with 281 women aged 40–65 via face-to-face interview. The results of the study showed that participating women feel that they lose their sexual functions as a result of VD problems. Reported sexually related problems were as follows: decreased sexual desire was identified in 14 % of women, sexual coercion by her partner in 20.6 %, trouble receiving sexual pleasure in 54.4 %. The incidence of VD was found to be 47 %. About 8.9 % of the women stated that their partners complain about the dryness all the time, 73.6 % of the women did not take any action to improve dryness in order to facilitate sexual intercourse. Statistically significant relationships were found between a woman’s having VD and violence from her partner, sexual coercion by her partner, and decrease in sexual desire and sexual pleasure (p < 0.05). It is recommended that women who are in menopause or during transition stages be routinely assessed for VD and sexuality by nurses or physicians in a professional atmosphere in order to help relieve discomfort.
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References
The 2011 Statistical Abstract: Births, Deaths, Marriages & Divorces Life Expectancy. http://www.census.gov/compendia/statab/cats/births_deaths_marriages_divorces/life_expectancy html (2011). Accessed 08 Aug 2011
Turkish Statistical Institution: Population and Development Indicators. http://www.tuik.gov.tr (2011). Accessed 26 July 2011
Zapantis, G., Santoro, N.: The menopausal transition: characteristics and management. Best. Pract. Res. Clin. Endocrinol. Metab. 17(1), 33–52 (2003)
Dennerstein, L., Dudley, E.C., Hopper, J.L., Burger, H.: Sexuality, hormones and the menopausal transition. Maturitas 26, 83–93 (1997)
Yörük, P., Uygur, M., Erenus, M., Eren, F.: The Role of Vaginal Maturation Value Assessment in Prediction of Vaginal Ph, Serum FSH and E2 Levels. http://www.marmaramedicaljournal.org/pdf/fulltext/29.pdf (2006). Accessed 09 Aug 2011
Leiblum, S.R., Hayes, R.D., Wanser, R.A., Nelson, J.S.: Vaginal dryness: a comparison of prevalence and interventions in 11 countries. J. Sex. Med. 6(9), 2425–2433 (2009)
Avis, N.E.: Sexual function and aging in men and women: community and population-based studies. J. Gend. Specif. Med. 3(2), 37–41 (2000)
Oksuz, E., Malhan, S.: Prevalence and risk factors for female sexual dysfunction in Turkish women. J. Urol. 175(2), 654–658 (2006)
Huang, A.J., Moore, E.E., Boyko, E.J., Scholes, D., Lin, F., Vittinghoff, E., Fihn, S.D.: Vaginal symptoms in postmenopausal women: self-reported severity, natural history, and risk factors. Menopause 17(1), 121–126 (2010)
Rahman, S., Salehin, F., Iqbal, A.: Menopausal symptoms assessment among middle age women in Kushtia, Bangladesh. BMC Res. Notes 4, 188–191 (2011)
Bachmann, G.A., Nevadunsky, N.S.: Diagnosis and treatment of atrophic vaginitis. Am. Fam. Physician 61(10), 3090–3096 (2000)
Lombardi, G., Mondaini, N., Macchiarella, A., Del Popolo, G.: Female sexual dysfunction and hormonal status in spinal cord injured (SCI) patients. J. Androl. 28(5), 722–726 (2007)
DeLamater, J.D., Sill, M.: Sexual desire in later life. J. Sex. Res. 42(2), 138–149 (2005)
Tomic, D., Gallicchio, L., Whitemana, M.K., Lewis, L.M., Langenberg, P., Flawsa, J.A.: Factors associated with determinants of sexual functioning in midlife women. Maturitas 53, 144–157 (2006)
Gracia, C.R., Sammel, M.D., Freeman, E.W., Liu, L., Hollander, L., Nelson, D.B.: Predictors of decreased libido in women during the late reproductive years. Menopause 11(2), 144–150 (2004)
Woods, N.F., Mitchell, E.S.: Symptoms during the perimenopause: prevalence, severity, trajectory, and significance in women’s lives. Am. J. Med. 118(12), 14–24 (2005)
Carranza-Lira, S., Fragoso-Díaz, N., MacGregor-Gooch, A.L., Gardunõ-Hernańdez, M.P., Ríos-Calderoń, K., Aparicio, H.: Vaginal dryness assessment in postmenopausal women using pH test strip. Maturitas 45, 55–58 (2003)
Ziaei, S., Masoumi, R., Faghihzadeh, S.: Comparing the effects of continuous hormone replacement therapy and tibolone on the genital tract of menopausal women; a randomized controlled trial. J. Reprod. Infertil. 11(3), 183–187 (2010)
Lyytinen, H., Pukkala, E., Ylikorkala, O.: Breast cancer risk in postmenopausal women using estrogen-only therapy. Obstet. Gynecol. 108, 1354–1360 (2006)
Holmberg, L., Iversen, O.E., Rudenstam, C.M., Hammar, M., Kumpulainen, E., Jaskiewicz, J., Jassem, J., Dobaczewska, D., Fjosne, H.E., Peralta, O., Arriagada, R., Holmqvist, M., Maenpaa, J.: HABITS study group.: increased risk of recurrence after hormone replacement therapy in breast cancer survivors. J. Natl. Cancer Inst. 100, 475–482 (2008)
Koebnick, C., Reimann, M., Carlsohn, A., Korzen-Bohr, S.M., Bügel, S.G., Hallund, J., Rossi, L., Branca, F., Hall, W., Williams, C., Zunft, H.F., Jensen, K.O.: The acceptability of isoflavones as a treatment of menopausal symptoms: a European survey among postmenopausal women. Climacteric 8(3), 230–242 (2005)
Dişcigil, G., Gemalmaz, A., Tekin, N., Söylemez, A., Çetin, G.: Menopause perception in a group of women living in Aydın and Muğla region. Turkiye Klinikleri J. Med. Sci. 28, 494–499 (2008)
Burich, R., DeGregorio, M.: Current treatment options for vulvovaginal atrophy. Expert Rev. Obstet. Gynecol. 6(2), 141–151 (2011)
Sen, E., Sevil, U.: Complementary therapies in menopause symptoms. J. Istanbul Univ. Florance Nightingale Nurs. Sch. 16(62), 136–142 (2008). http://www.istanbul.edu.tr/yuksekokullar/floren/Hemsirelik%20Dergisi/HD_Sayi_62/sayi_62_makale_9.pdf. Accessed 08 Aug 2011.
Çalışkan, E., Çorakçı, A., Doger, E., Coşkun, E., Ozeren, S., Çorapçıoğlu, A.: Evaluation of sexual function and quality of life in menopausal transition and menopausal in a Turkish cohort of women. Turkish Clin. J. Med. Sci. 30(5), 1517–1523 (2010). http://tipbilimleri.turkiyeklinikleri.com/abstract_59065.html. Accessed 08 Aug 2011
Schumm, L.P., Laumann, E.O., Levinson, W., O’Muircheartaigh, C.A., Waite, L.J.: A study of sexuality and health among older adults in the United States. N. Engl. J. Med. 357(8), 762–774 (2007)
Nappia, R.E., Kokot-Kierepa, M.: Women’s voices in the menopause: results from an international survey on vaginal atrophy. Maturitas 67, 233–238 (2010)
Turkish Ministry of Health (MOH): Turkey Burden of Disease Study. Hıfzıssıhha Mektebi Müdürlüğü, Ankara. (2006)
Obermeyer, C.M., Reher, D., Alcala, L.C., Price, K.: The menopause in Spain: results of the DAMES (Decisions at Menopause) study. Maturitas 52, 190–198 (2005)
Calleja-Agius, J., Brincat, M.P.: Urogenital atrophy. Climacteric 12(4), 279–285 (2009)
Bachmann, G.A., Leiblum, S.R.: The impact of hormones on menopausal sexuality: a literature review. Menopause 11, 120–130 (2004)
Castelo-Branco, C., Jeśus Cancelo, M., Villero, J., Nohales, F., Dolores Julía, M.: Management of post-menopausal vaginal atrophy and atrophic vaginitis. Maturitas 52, 46–52 (2005)
Nappia, R.E., Lachowskyc, M.: Menopause and sexuality: prevalence of symptoms and impact on quality of life. Maturitas 63(2), 138–141 (2009)
Herbenick, D., Reece, M., Hensel, D., Sanders, S., Jozkowski, K., Fortenberry, J.D.: Association of lubricant use with women’s sexual pleasure, sexual satisfaction, and genital symptoms: a prospective daily diary study. J. Sex. Med. 8(1), 202–212 (2011)
Laumann, E.O., Paik, A., Glasser, D.B., Kang, J.H., Wang, T., Levinson, B., Moreira, E.D.Jr., Nicolosi, A., Gingell, C.: A cross-national study of subjective sexual well-being among older women and men: findings from the global study of sexual attitudes and behaviors. Arch. Sex Behav. 35, 145–161 (2006)
Gökyıldız, Ş., Kızılkaya Bejı, N.: The effects of pregnancy on sexual life. J. Sex Marital Ther. 31(3), 201–215 (2005)
Onah, H.E., Iloabachie, G.C., Obi, S.N., Ezugwu, F.O., Eze, J.N.: Nigerian male sexual activity during pregnancy. Int. J. Gynecol. Obstet. 76, 219–223 (2002)
Malarewicz, A., Szymkiewicz, J., Rogala, J.: Sexuality of pregnant women. Ginekol. Pol. 77(9), 733–739 (2006)
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We greatly appreciate the support of Gaziantep University Faculty of Health Sciences Department of Nursing for the research.
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Kısa, S., Özdemir, N. Vaginal Dryness Problems Among Southeastern Women Aged 40–65 Years in Turkey. Sex Disabil 31, 71–82 (2013). https://doi.org/10.1007/s11195-012-9265-5
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DOI: https://doi.org/10.1007/s11195-012-9265-5