The Metabolic Syndrome and Sexual Function in Climacteric Women: A Cross-Sectional Study

Autor(es)

Politano, Carlos A. ^[1] ; Valadares, Ana L. R. ^[1] ; Pinto-Neto, Aarao ^[1] ; Costa-Paiva, Lucia ^[1]

Afiliação do(s) autor(es)

^[1] Univ Estadual Campinas, Dept Obstet & Gynecol, Sch Med Sci, BR-13083881 Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: Journal of Sexual Medicine; v. 12, n. 2, p. 455-462, FEB 2015.
• Citações Web of Science: 6

Resumo

IntroductionStudies have associated the metabolic syndrome with poor sexual function; the results, however, are controversial. AimsTo evaluate the relationship between the metabolic syndrome and sexual function and to identify the factors associated with poor sexual function. MethodsA secondary analysis of a cross-sectional cohort study including 256 women of 40-60 years of age receiving care at the outpatient department of a university teaching hospital. Main Outcome MeasuresA specific questionnaire was applied to collect sociodemographic and behavioral data, and the Short Personal Experience Questionnaire was used to evaluate sexual function, with a score7 being indicative of poor sexual function. Anthropometric measurements, blood pressure, fasting glucose, high-density lipoprotein, total cholesterol, triglycerides, follicle-stimulating hormone and thyroid stimulating hormone levels were determined. ResultsThe prevalence of the metabolic syndrome, as defined by the International Diabetes Federation, was 62.1%, and the prevalence of poor sexual function was 31.4%. The only factor related to female sexual function that was associated with the metabolic syndrome was sexual dysfunction in the womans partner. The factors associated with poor sexual function in the bivariate analysis were age >50 years (P=0.003), not having a partner (P<0.001), being postmenopausal (P=0.046), the presence of hot flashes (P=0.02), poor self-perception of health (P=0.04), partner's age 50 years, and time with partner 21 years. Reported active (P=0.02) and passive (P=0.01) oral sex was associated with an absence of sexual dysfunction. In the multiple regression analysis, the only factor associated with poor sexual function was being 50 years of age or more. ConclusionsThe prevalence of the metabolic syndrome was high and was not associated with poor sexual function in this sample of menopausal women. The only factor associated with poor sexual function was being over 50 years of age. Politano CA, Valadares ALR, Pinto-Neto A, and Costa-Paiva L. The metabolic syndrome and sexual function in climacteric women: A cross-sectional study. J Sex Med 2015;12:455-462. (AU)

• Processo FAPESP: 10/06037-5 - Climatério em mulheres HIV soropositivas: sintomas menopausais, função sexual, síndrome metabólica e densidade mineral óssea
• Beneficiário: Lucia Helena Simões da Costa Paiva
• Linha de fomento: Auxílio à Pesquisa - Regular