Resilience associated with better sexual function, quality of life in menopause

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January 20, 2022

2 minute read


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According to a study published in Menopause.

“This study highlights the potential protective effects of resilience with respect to the sexual health of postmenopausal women,” Stephanie S Faubion, MD, MBA, FACP, NCMP, IF, medical director of NAMS, said in a press release.

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Resilience allows individuals to adapt to change, resist the negative effects of stressors, and recover normal function more quickly after adverse events, Faubion added.

Stephanie S Faubion

“Fortunately, this skill set can be strengthened, potentially representing another tool that clinicians can use to help women with sexual dysfunction,” Faubion said.

Agustin Oliva, MD, a gynecologist at the Women’s Health Institute at Clínico San Carlos Hospital in Madrid, Spain, and colleagues interviewed 101 symptomatic postmenopausal women about resilience, sexual function, climacteric symptoms, and demographics.

Participants had a median age of 54.41 years (interquartile range [IQR], 50.19-57.72), with a median time of 24 months (IQR, 3.5-60) since their last menstrual period. They were also sexually active, meaning they had had sex at least once in the 4 weeks before the study.

The women completed the 14-item Wagnid and Young Resilience Scale (WYRS-14). With 14 items scored between 1 and 7, total scores ranged from 14 to 98, with higher scores indicating greater resilience.

In addition, the women completed the Spanish version of the Female Sexual Function Index (FSFI). Its 19 items include questions about sexual desire, arousal, lubrication, orgasm, satisfaction and pain. With totals ranging from 2 to 36, higher scores indicate better sexual health, with scores of 26 and below indicating significant sexual problems.

The 16-item Cervantes Short Questionnaire (Cervantes-SF) was administered to assess the impact of climacteric symptoms such as vasomotor symptoms, health and aging, psychological problems, sexuality and partner relationships on the quality of life. Total scores range from 0 to 100, with lower scores indicating better quality of life.

Finally, the women completed a general socio-demographic questionnaire on age, parity, level of education, partner status, employment status, last menstrual period, tobacco and alcohol consumption and treatment. climacteric symptoms.

The median WYRS-14 survey score was 81 (IQR, 74-91). The researchers considered 74 points to be the threshold between low and medium-high resilience.

Women with FSFI scores greater than 26 compared to women with FSFI scores of 26 or less had significantly higher WYRS-14 scores (86; IQR, 80-94 versus 74; IQR, 66-79.5). The researchers also found a significant correlation coefficient between WYRS-14 and FSFI total scores of 0.689 (P

Women with low resilience scores had significantly worse sexual function, with an FSFI total score of 18.9 (IQR, 14.1-24), compared to an FSFI total score of 29.4 (IQR, 24 ,6-33) for women with high resilience scores (P

The researchers further found a significant correlation coefficient of -0.71 (P P = .004)

Women with low resilience scores also had significantly worse menopause-related quality of life, with a Cervantes-SF total score of 42.5 (IQR, 34.17-56.7), compared to women with medium-high resilience scores, which had a total Cervantes-SF score of 30.8 (IQR, 20.8-44.9; P = 0.004).

However, there were no statistically significant differences in resilience scores based on level of education, alcohol or tobacco use, BMI, marital status, employment or parity.

Concluding that resilience is linked to sexual health and quality of life in postmenopausal women, the researchers noted that further investigation through studies with larger sample sizes is needed to better understand these relationships.

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