The association between depression and female sexual function in postmenopausal women.

IF 3.2 4区医学 Q1 OBSTETRICS & GYNECOLOGY

Climacteric Pub Date : 2025-08-14 DOI:10.1080/13697137.2025.2539850

Tevfik Yoldemir, Narmin Garibova

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引用次数: 0

Abstract

Objective: This study aimed to investigate the association between depression and female sexual function among postmenopausal women.

Study design: The study group was composed of 232 sexually active postmenopausal women. Serum testosterone, androstenedione, dehydroepiandrosterone sulfate, fasting glucose, insulin, sex hormone-binding globulin, total cholesterol, high-density lipoprotein, low-density lipoprotein and triglyceride levels were analyzed. Quantification of pelvic organ prolapse was performed for each patient. The Female Sexual Function Index (FSFI) questionnaire and the Beck Depression Inventory (BDI) were distributed and compared between postmenopausal and premenopausal women.

Results: The mean BDI score was 17.5 ± 9.8. Sexual dysfunction determined by the mean FSFI score was 64.2%. In total, 70.5% of the postmenopausal women with sexual dysfunction had moderate to severe depression. There was a low negative correlation between age and duration after menopause and mean FSFI scores (r = -0.334 and r = -386, respectively). There was a negligible positive correlation between age and duration after menopause and mean BDI scores (r = 0.281 and r = 0.276, respectively). The satisfaction domain of the FSFI was significantly decreased with postmenopausal depression.

Conclusion: Postmenopausal women with sexual dysfunction had higher depression scores. Age and time after menopause were weakly associated with both FSFI and BDI scores in postmenopausal women.

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绝经后妇女抑郁与女性性功能的关系。

目的：探讨绝经后妇女抑郁与女性性功能的关系。研究设计：研究组由232名性活跃的绝经后妇女组成。分析血清睾酮、雄烯二酮、硫酸脱氢表雄酮、空腹血糖、胰岛素、性激素结合球蛋白、总胆固醇、高密度脂蛋白、低密度脂蛋白和甘油三酯水平。对每位患者进行盆腔器官脱垂的定量分析。发放女性性功能指数（FSFI）问卷和贝克抑郁量表（BDI），并对绝经后和绝经前妇女进行比较。结果：BDI评分平均为17.5±9.8分。性功能障碍的平均FSFI评分为64.2%。总的来说，70.5%的绝经后性功能障碍妇女患有中度至重度抑郁症。绝经后年龄、持续时间与平均FSFI评分呈低负相关（r = -0.334、r = -386）。绝经后年龄和持续时间与平均BDI评分之间存在可忽略的正相关（r = 0.281和r = 0.276）。绝经后抑郁显著降低了FSFI的满意域。结论：绝经后性功能障碍妇女抑郁评分较高。绝经后妇女的年龄和绝经后时间与FSFI和BDI评分均呈弱相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Climacteric 医学-妇产科学

CiteScore

1.70

自引率

7.10%

发文量

审稿时长

1 months

期刊介绍： Climacteric is the official journal of the International Menopause Society (IMS). As an international peer-reviewed journal it publishes original research and reviews of all aspects of aging in women. Climacteric was founded by the IMS in 1998 and today has become a leading journal in the publication of peer-reviewed papers on the menopause, climacteric and mid-life health. Topics covered include endocrine changes, symptoms attributed to the menopause and their treatment, hormone replacement and alternative therapies, lifestyles, and the counselling and education of peri- and postmenopausal women. Climacteric, published bimonthly, also features regular invited reviews, editorials and commentaries on recent developments. The editorial review board of Climacteric includes leading scientific and clinical experts in the field of midlife medicine and research and is headed by its Editor-in-Chief, Professor Rod Baber of Australia. He and his team of Associate Editors act independently to set a clear editorial policy, co-ordinate peer review, and ensure a rapid response to submitted papers.