Female sexual function in climacteric women: Cross-sectional analysis in the gynecological service of a public hospital in Peru
Female sexual function in climacteric women: Cross-sectional analysis in the gynecological service of a public hospital in Peru
DOI:
https://doi.org/10.61286/e-RPM.2025.273Keywords:
Female sexual function; Menopausal women; FSFI index.Abstract
The climacteric stage represents a physiological and psychosocial transition that can significantly affect female sexual function. This study aimed to analyze sexual function in climacteric women attending the gynecological service of a public hospital in Huancayo, Peru, using the Female Sexual Function Index (FSFI). A descriptive, cross-sectional design with non-probability convenience sampling was used, including 297 women aged 45 years or older, without a history of hysterectomy or diagnosed mental disorders. The questionnaire incorporated sociodemographic variables, and the FSFI, composed of 19 items distributed across six domains—desire, arousal, lubrication, orgasm, satisfaction, and pain—was administered. The results showed a high prevalence of sexual dysfunctions, especially in desire (63.53%), arousal (50.89%), and pain (57.00%). Women between 46 and 50 years of age, with a secondary education, divorced marital status, and unemployed status, were most affected. Furthermore, tobacco and alcohol use were associated with arousal and pain dysfunction. These findings highlight the need to incorporate systematic sexuality assessment into gynecological care, considering biopsychosocial factors that influence women's sexual experience during menopause.References
- 1. Capote Bueno MI, Segredo Pérez AM, Gómez Zayas O. Climaterio y menopausia. Rev Cub Med Gen Integr. 2011;27(4):456–65. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-21252011000400013
- 2. Torres Jiménez AP, Torres Rincón JM. Climaterio y menopausia. Rev Fac Med (Méx). 2018;61(2):51–6. Disponible en: http://www.scielo.org.mx/scielo.php?script=sci_arttext&pid=S0026-17422018000200051
- 3. García RMC. Calidad de vida en el climaterio: acercamiento al estudio de la salud integral y la conformidad con normas de género femeninas [tesis doctoral]. Madrid: Universidad Complutense de Madrid; 2018. Disponible en: https://docta.ucm.es/entities/publication/a9cd7b8b-5591-48f8-ab6c-98118551b8b8
- 4. Santoro N, Epperson CN, Mathews SB. Menopausal symptoms and their management. Endocrinol Metab Clin North Am. 2015;44(3):497–515. https://doi.org/10.1016/j.ecl.2015.05.001
- 5. 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(2):191–208. https://doi.org/10.1080/009262300278597
- 6. Blümel JE, Binfa L, Cataldo P, Carrasco A, Izaguirre H, Sarrá S. Índice de función sexual femenina: un test para evaluar la sexualidad de la mujer. Rev Chil Obstet Ginecol. 2004;69(2):118–25. https://doi.org/10.4067/S0717-75262004000200006
- 7. Martínez-Madrid MM, Arnau-Sánchez J, González-Cuello AM. Assessing sexual function in middle-aged sexually active Spanish women: a community-based study focusing on the intimate partner. Menopause. 2021;28(6):686–92. https://doi.org/10.1097/GME.0000000000001745
- 8. Pérez-López FR, Chedraui P, Haya J, Cuadros JL. Respuesta sexual femenina y transición menopáusica. Maturitas. 2010;66(3):298–306. Disponible en: http://ve.scielo.org/scielo.php?script=sci_arttext&pid=S0048-77322012000200005
- 9. Sánchez F, Pérez Conchillo M, Borrás Valls JJ, Gómez Llorens O, Aznar Vicente J, Caballero Martín de las Mulas A. Diseño y validación del cuestionario de función sexual de la mujer (FSM). Aten Primaria. 2004;34(6):286–92. Disponible en: https://www.elsevier.es/es-revista-atencion-primaria-27-articulo-diseno-validacion-del-cuestionario-funcion-13067028
- 10. Manzini JL. Declaración de Helsinki: principios éticos para la investigación médica sobre sujetos humanos. Acta Bioeth. 2000;6(2):321–34. https://doi.org/10.4067/S1726-569X2000000200010
- 11. Nappi RE, Palacios S. Impact of vulvovaginal atrophy on sexual health and quality of life in postmenopausal women. Climacteric. 2014;17(1):3–9. https://doi.org/10.3109/13697137.2013.871696
- 12. Thornton K, Chervenak J, Neal-Perry G. Menopause and sexuality. Endocrinol Metab Clin North Am. 2015;44(3):649–61. https://doi.org/10.1016/j.ecl.2015.05.009
- 13. Belardo MA, Gelin M. Sexualidad y climaterio: una mirada integral. Rev Hosp Ital B Aires. 2016;36(1):19–28. Disponible en: https://ojs.hospitalitaliano.org.ar/index.php/revistahi/article/view/691
- 14. Moya DCR, Bayona SY. Climaterio y función sexual: un abordaje integral a la sexualidad femenina. Rev CES Salud Pública. 2014;5(1):70–6. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=4804768
- 15. Gallego-Vélez LI. Síndrome genitourinario de la menopausia (SGM). Curso de Actualización en Ginecología y Obstetricia. 2025;:221–8. Disponible en: https://www.scielo.cl/scielo.php?pid=S0717-75262017000600666&script=sci_abstract&tlng=es
- 16. Kingsberg SA, Wysocki S, Magnus L, Krychman ML. Vulvar and vaginal atrophy in postmenopausal women: findings from the REVIVE survey. J Sex Med. 2013;10(7):1790–9. https://doi.org/10.1111/jsm.12190
- 17. Sosa-Ortega M, Lagunes-Córdoba R, Martínez-Garduño MD, Marván ML. Menopause-related symptoms, meaninglessness, and life satisfaction in Mexican women. Health Care Women Int. 2022;43(10–11):1247–58. https://doi.org/10.1080/07399332.2021.2024833
- 18. Silva MA. Importancia de una intervención psicoeducativa sobre sexualidad en mujeres sometidas a una histerectomía: una revisión de la literatura. Rev Chil Obstet Ginecol. 2017;82(6):666–74. https://doi.org/10.1080/07399332.2021.2024833
- 19. Hayes RD, Dennerstein L. The impact of aging on sexual function and sexual dysfunction in women: a review of population-based studies. J Sex Med. 2005;2(3):317–30. https://doi.org/10.1111/j.1743-6109.2005.20356.x
