Función sexual femenina y factores relacionados

Abstract

Objectives. To appraise female sexual function and to describe the factors that most commonly accompany dysfunction. Design. Transversal, descriptive study. Setting. Primary care. Participants. Two-hundred and twenty-three women from 18 to 76 seen at an urban health centre between November 2004 and February 2005 and who wanted to take part in the study. Main measurements. These were collected in an anonymous questionnaire structured in 5 sections with 53 items. The questionnaire comprised social and economic, cultural and life-style variables; female sexual function (FSF); and perception of own state of health (SF-12). A binary logistical regression analysis was run. Results. Female sexuality reaches its maximum expression at 30-35 years (FSF=30.0, 95% CI, 28.3-31.6). Risk factors for sexual dysfunction were: age over 44 and religion (OR, 6.5; 95% CI, 2.8-15); physical component on the SF-12 below 37 (OR, 3; 95% CI, 1.3-7.2); mental component on the SF-12 below 31 (OR, 3.1; 95% CI, 1.2-7.8). Not having a stable partner was a risk factor for arousal (OR, 9.6; 95% CI, 2.8-24.0); for lubrication (OR, 9.3; 95% CI, 4.0-21.5); for orgasm (OR, 8.8; 95% CI, 3.1-24.8); and for dyspareunia (OR, 8.9; 95% CI, 3.9-20.5). It was not a risk factor for desire or satisfaction with sexual life. Conclusions. The profile of sexual dysfunction consisted of a woman aged over 44 without a stable partner, who practised religion, was unemployed and had perception of low quality of life.