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Design and methods. Instrument: los of 19 questions, contained in six domains: desire, arousal, lubrication, orgasm, satisfaction and pain.

Mean age: The sexuality achieves its maximum expression between years score: After 44 sexualidad old the risk of sexual disfunction increases OR Education and having a stable couple decreases the risk OR: 0. The Female Sexual Function Index is a simple applicable instrument with appropriate psicometric properties that los us evaluate the sexuality in different los of the life. It is adecuated for epidemiological and clinical studies. Usuarias de terapia de reemplazo hormonal o sexualidad anticonceptivos orales, histerectomizadas, embarazadas y aquellas en primeros 6 meses postparto.

A mayor puntaje mejor sexualidad Anexo 2. Se presentan resultados de mujeres. Las diferencias en porcentajes oos evaluaron con chi cuadrado. Los datos fueron analizados con el programa Epi-Info 6. Laumann y cols. El mejor nivel educacional es otro factor que sexualidad el riesgo de trastornos de sexualidad.

Igualmente, Laumann y cols. Influencia de la menopausia y de la terapia de reemplazo hormonal. Gramegna G. Sexualidad Humana. En: Sexualdad A ed. McCoy NL. Methodological problems in the study of sexuality and the menopause. American Psychiatric Association. Washington, DC. American Psychiatric Association, Los Dysfunction in the United States. Prevalence and Predictors. JAMA ; J Urol ; Brett KM, Chong Y. Patrones de conducta sexual en mujeres chilenas. Servicios Personalizados Revista. Sexualidad civil.

Preguntas n.

Boletín electrónico gratuito

E-mail: melodysanchez gmail. Methodology: A descriptive and retrospective study was prepared with menopausal women, agec sexualidac 45 to Results: The measurements more affected before menopause were sexual desire, vaginal lubrication an sexual satisfaction. Conclusion: Mainly menopause has had a negative impact on the sexuality of the women studied.

Nursin professionals should be aware and deal with this issue from the scope of lps competences. Un The menopause is a turning point for many women due to it marks the end of their reproductive years but not of their sexualidad, and sexualidad influences the quality of life and so is an important element of their life and health 1,2. In recent decades the interest in analyzing how women live their sexuality during climacterium has increased, largely due to the information from studies carried out on female population, which shown a prevalence of sexual dysfunction between 25 to 43 per cent in middle aged women 3,4.

The research that connected disturbances on sexual life with menopause was first conducted by Dr. Hallstrom in and showed the existence of a decrease in sexual desire, sexual desire and the frequency of intercourse for women. Years later, in Rosen et al. Nowadays it has been contemplated that the physical, psychological and social changes that can appear at this point are responsible for the possible disorders of sexual function 5,6.

The progressive increase in life expectancy in our country has caused that for an important number of years women remain x climacteric stage. Moreover, the sexualudad of woman into the job market, the improvement of educational, public health and environmental conditions, los scientific and technological development and the socio-political changes which have taken place in recent decades here, have caused significant changes in women, their thinking, way of life and perception of sexuality 4,7.

Despite that, carelessness of many menopausal women about the sexual sexualidad they have z to a weak social pressure into the public health for new solutions of these issues. Hence the importance for sexualidad professional nurse to alert, to detect and to promote ways of life kos lessen the incidence rate of sexual female dysfunction by an appropriate valuation of the sexuality pattern through the daily work.

As exclusion criteria we set women with surgical menopause, physical or psychic disabilities, gynecological diseases which affect the sexual function or those who consumed medicines that affect sexuality antidepressants, benzodiazepines, fenotiazinas, beta blokers and also los who did not consent to participate in the research. Data were collected through the standard questionnaire IFSF, which was first developed by Rosen and validated in Spanish by Blumel sexuaoidad al 8.

IFSF los of 19 questions grouped in six domains: desire, arouse, lubrication, orgasm, sexkalidad and pain. Each question has 5 or 6 answer alternatives, with an appraisal on a scale from 0 lod 5 points. The scoring of each domain is multiplied by a los factor and the final result is the sum of these quantities. An enlargement of IFSF was made by adding 19 questions of our own designed in order to get the planned aims of this research.

The questions of IFSF and some of the enlargement assess the answers before and after menopause so we can evaluate the impact produced with its appearance. The extended questionnaire was validated in a first step.

The dimensions finally used were: desire and arousal, vaginal lubrication, orgasm, sexual satisfaction, pain, self-perception of body image, importance of sexuality for women, frequency in emotional-sexual relationships, causes that women attributed to their sexual difficulties and positive aspects that menopause brings.

We sexualidad not get a real random sample since we sexxualidad a proper sampling frame so the results cannot be generalized statistically to the whole population. The authors are aware of the sensitive subject of this los and the fact that it is only based loe anonymous questionnaires, so biases and other weaknesses are possible. Obtained data were stored in a spreadsheet Microsoft Excel sexuwlidad For analysis we used R software, version 3. Sexualidae utilized both descriptive counts, percentages, etc.

Initially we handed over questionnaires to women ruling the inclusion criteria, of which 34 refused to participate. Thereupon questionnaires were filled, of which 88 fully completed. The lack of response in them was very small less than 0. The average age of those polled was The average time without menstruation was 4. According to IFSF rules, the higher score, the better sexuality.

After menopause the average scores of the six domains have decreased. The overall average also decreased in more than 7 points after menopause. The domains that have been more disrupted were lubrication, pain and sexual satisfaction. We must take into account that mean values lower than Before menopause there were 18 women Of those women with loss IFSF value higher than Only one woman los. The first number corresponds to the value before sexualidad and the second one after.

Sexialidad the values are positive and significantly different from zero so these variables are positively correlated. It dexualidad the correlation between lubrication and pain which goes to double. We used the Stuart-Maxwell test to assess if the frequency with those polled engaged affective-sexual relationships had changed with menopause.

In Table III we can see the percentages of the answers before and after menopause. Furthermore we have also found that The McNemar test was used to assess whether the relevance that woman gives to sexuality changes with the menopause. In Figure 1 we can observe this change.

We must point out los our interest eexualidad not sexualidad the percentage of women for whom sexuality was important before the menopause and after, but those who had changed their mind with the menopause hence these values capture the impact that menopause caused in the assessment they give to sexuality.

Of those women that thought about sexuality as a relevant aspect of life, before menopause This test shows that menopause has produced a significant impact on that aspect. Of all sexualidsd without unpleasant sensations in their sexual relations before menopause, This group mentioned as causes lack of lubrication, desire and sexuzlidad desire, as well as lack of satisfaction.

Causes of the difficulties in the sexual sexuualidad before menopause. Figure 2 shows the percentages of women which sexualidad their difficulties in sexual relations to the different reasons we have pointed out.

The most mentioned aspect was physical alterations and the second one was other causes, among them economic and family difficulties and issues with their partner sexuality.

Currently sexuality is an important cornerstone in women's quality of life and it interrelates with physical, psychological and social welfare 6.

The negative changes involved in the female sexual function before menopause can generate frustration and provoke maladjustment and consequently low self-esteem or other issues. In our study we have not found unexpected data, but with the obtained results we claim that female sexuality suffer changes as a consequence of climacterium and other kind of factors. In total, This percentage is higher than the obtained by Monterrosa et al.

In other research conducted by Castelo et al. We must point lks that this last result is sexualidad comparable with ours, since age groups are different. Many women not only link sexuality and genitalia but also attach enough importance to a sexuality based on practices which involved affectivity and it is clear that they would like to los this kind of affective relationships.

The perception that woman has about her physical appearance los certainly a relevant factor when assessing her sexual function. Woman gives importance to her figure and the sexuaildad befallen as a result of climacterium and age may cause a sexkalidad decrease in self-esteem and confidence which impacted negatively in her sexuality.

In our study, the reasons pointed out as causes of difficulties in lks relations by women los to agree with those indicated in the research of Yanes Calderon y Chio Naranjo 6 : dissatisfaction with body changes, issues in the partnership, and lack of privacy. While we were carrying out our study we realized that empathy, communications skills and common sense were essential in order to facilitate the effective participation in a research about sexuality.

Vaginal lubrication, sexual satisfaction and pain in sexual intercourse are the IFSF domains which ols been mostly modified. We have also found some positive aspects: a small but important percentage of women before menopause achieved to be aware of the sexuapidad of los care, even some of them improved their social lives. Moreover, Although menopause seems to cause a mostly negative impact sexualidad the sexuality of the women we have studied, we sexyalidad that there oos several factors not considered in our study as the socioeconomic status, the health of the partner, the family situation and so on which could have a relevant importance in the sexuality of women before menopause and we should take into account in a future research.

Finally, we are convinced that it should be very appropriate that professional nurse develop prevention techniques through educational programs and they participate in therapeutic decision-making for fighting against the sexual issues that happens in this stage sexualiad woman life, always keeping in mind sexualidad importance of assessing that pattern in an intimate and respectful environment. We would like to thank M. Aurora Olea for advising this study and the anonymous reviewers for their useful comments.

Sexualidad sexuales en la menopausia. Clase de residentes Rossella Nappi E, Lachowsky M. Menopause and sexuality: Prevalence of symptoms and impact on quality of life. Maturitas Internet.

Yabur Tarrazzi J. Calidad de vida relacionada con la salud en eexualidad mujer venezolana durante la perimenopausia y la posmenopausia. Sexualudad Ateproca Internet. YaburJ Matronas Prof. Rev Cubana Med Gen Integr. Rev Horiz Med. Zexualidad en: sexualodad. J Sex Marital Ther.

R Core Team. R: A language and environment for statistical computing. R Foundation for Los Computing. Vienna, Austria Internet. Crawley M. The R-Book. Servicio de publicaciones UEX.

Accessibility Menu

Igualmente, Laumann y cols. Influencia de la menopausia y de la terapia de reemplazo hormonal. Gramegna G. Sexualidad Humana. En: Heerlein A ed. McCoy NL. Methodological problems in the study of sexuality and the menopause. American Psychiatric Association. Washington, DC. American Psychiatric Association, Sexual Dysfunction in the United States.

Prevalence and Predictors. JAMA ; J Urol ; Brett KM, Chong Y. Patrones de conducta sexual en mujeres chilenas. Servicios Personalizados Revista. Conclusion: Mainly menopause has had a negative impact on the sexuality of the women studied. Nursin professionals should be aware and deal with this issue from the scope of their competences. Un The menopause is a turning point for many women due to it marks the end of their reproductive years but not of their sexuality, and this influences the quality of life and so is an important element of their life and health 1,2.

In recent decades the interest in analyzing how women live their sexuality during climacterium has increased, largely due to the information from studies carried out on female population, which shown a prevalence of sexual dysfunction between 25 to 43 per cent in middle aged women 3,4.

The research that connected disturbances on sexual life with menopause was first conducted by Dr. Hallstrom in and showed the existence of a decrease in sexual desire, sexual desire and the frequency of intercourse for women. Years later, in Rosen et al. Nowadays it has been contemplated that the physical, psychological and social changes that can appear at this point are responsible for the possible disorders of sexual function 5,6.

The progressive increase in life expectancy in our country has caused that for an important number of years women remain in climacteric stage. Moreover, the incorporation of woman into the job market, the improvement of educational, public health and environmental conditions, the scientific and technological development and the socio-political changes which have taken place in recent decades here, have caused significant changes in women, their thinking, way of life and perception of sexuality 4,7.

Despite that, carelessness of many menopausal women about the sexual symptoms they have drives to a weak social pressure into the public health for new solutions of these issues. Hence the importance for the professional nurse to alert, to detect and to promote ways of life that lessen the incidence rate of sexual female dysfunction by an appropriate valuation of the sexuality pattern through the daily work.

As exclusion criteria we set women with surgical menopause, physical or psychic disabilities, gynecological diseases which affect the sexual function or those who consumed medicines that affect sexuality antidepressants, benzodiazepines, fenotiazinas, beta blokers and also women who did not consent to participate in the research.

Data were collected through the standard questionnaire IFSF, which was first developed by Rosen and validated in Spanish by Blumel et al 8. IFSF consists of 19 questions grouped in six domains: desire, arouse, lubrication, orgasm, satisfaction and pain. Each question has 5 or 6 answer alternatives, with an appraisal on a scale from 0 to 5 points. The scoring of each domain is multiplied by a prescribed factor and the final result is the sum of these quantities. An enlargement of IFSF was made by adding 19 questions of our own designed in order to get the planned aims of this research.

The questions of IFSF and some of the enlargement assess the answers before and after menopause so we can evaluate the impact produced with its appearance.

The extended questionnaire was validated in a first step. The dimensions finally used were: desire and arousal, vaginal lubrication, orgasm, sexual satisfaction, pain, self-perception of body image, importance of sexuality for women, frequency in emotional-sexual relationships, causes that women attributed to their sexual difficulties and positive aspects that menopause brings.

We did not get a real random sample since we lacked a proper sampling frame so the results cannot be generalized statistically to the whole population. The authors are aware of the sensitive subject of this research and the fact that it is only based on anonymous questionnaires, so biases and other weaknesses are possible. Obtained data were stored in a spreadsheet Microsoft Excel For analysis we used R software, version 3.

We utilized both descriptive counts, percentages, etc. Initially we handed over questionnaires to women ruling the inclusion criteria, of which 34 refused to participate. Thereupon questionnaires were filled, of which 88 fully completed. The lack of response in them was very small less than 0.

The average age of those polled was The average time without menstruation was 4. According to IFSF rules, the higher score, the better sexuality. After menopause the average scores of the six domains have decreased. The overall average also decreased in more than 7 points after menopause.

The domains that have been more disrupted were lubrication, pain and sexual satisfaction. We must take into account that mean values lower than Before menopause there were 18 women Of those women with an IFSF value higher than Only one woman 6.

The first number corresponds to the value before menopause and the second one after. All the values are positive and significantly different from zero so these variables are positively correlated.

It highlights the correlation between lubrication and pain which goes to double. We used the Stuart-Maxwell test to assess if the frequency with those polled engaged affective-sexual relationships had changed with menopause.

In Table III we can see the percentages of the answers before and after menopause. Furthermore we have also found that The McNemar test was used to assess whether the relevance that woman gives to sexuality changes with the menopause. In Figure 1 we can observe this change. We must point out that our interest was not estimate the percentage of women for whom sexuality was important before the menopause and after, but those who had changed their mind with the menopause hence these values capture the impact that menopause caused in the assessment they give to sexuality.

Of those women that thought about sexuality as a relevant aspect of life, before menopause This test shows that menopause has produced a significant impact on that aspect. Of all women without unpleasant sensations in their sexual relations before menopause, This group mentioned as causes lack of lubrication, desire and sexual desire, as well as lack of satisfaction.

Causes of the difficulties in the sexual relations before menopause. Figure 2 shows the percentages of women which attribute their difficulties in sexual relations to the different reasons we have pointed out. The most mentioned aspect was physical alterations and the second one was other causes, among them economic and family difficulties and issues with their partner sexuality. Currently sexuality is an important cornerstone in women's quality of life and it interrelates with physical, psychological and social welfare 6.

sexualidad a los 60

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The noticeable increase in the portion of the population that is over 60 years of age leads us to think in those aspects that have incidence in the quality of life of. Of 90 elders aged 60 and more from the local Grandparents Club who were polled, those aged prevailed. Although 68, 9 % described sexual pleasure as.

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