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Sexual experience among postmenopausal women in Yogyakarta: a qualitative study



Abstract

Background: Women in the postmenopausal period will experience a hormonal shift that makes them facing difficulties ranging from symptoms to complication. Vaginal dryness, hot flashes, decreased thinned vaginal mucosa may cause painful intercourse. This problem may adversely affect sexual activity among postmenopausal women such as a decrease in libido or sexual desire, inability to reach orgasm, pain during sexual intercourse, and fatigue. This study aims to explore the sexual experience among postmenopausal women in a rural area in Yogyakarta.

Methods: This was a descriptive qualitative study. Twelve participants aged 50-60 years old who met the criteria, were purposively enrolled in this study. Individual face to face, semi-structured and in-depth interviews were performed for data collection. All conversations were audio-recorded and transcribed. We employed a conventional content analysis to derive coding categories from raw data.

Results: Three main themes emerged from data analysis: (1)“negative changes in sexual function†(decreased in frequency of sex, low libido, vaginal dryness, anorgasmia, and fatigue), (2)†intimacy with the couple†(couple communication and romance, lack of physical intimacy),  (3)†coping with the symptoms in postmenopausal period†(acceptance of negative changes in sexual function, improve healthy diet and physical activity).

Conclusion: Postmenopausal women experienced negative changes in sexual function. Most of them related to the lack of intimacy with the couple and having a positive coping strategy to improve their sexual relationship. Health education intervention strategy is one of the alternative approaches to enhance women’s attitude and coping in the postmenopausal period.
Keywords: sexual experience postmenopausal women

References

  1. Cao J, Rammohan A. Social capital and healthy ageing in Indonesia. BMC Public Health. 2016;16:631
  2. Ministry Health of Indonesia. Analysis of the elderly in Indonesia. Data and Information Center Ministry of Health Indonesia. 2017
  3. Som N, Ray S. Menopause-specific quality of life of urban women in West Bengal , India. Menopause Int. 2012;18(3):99-105.
  4. Islam RM, Bell RJ, Davis SR. Prevalence of sexual symptoms in relation to menopause in women in Asia: A systematic review. Menopause. 2018;25(2):231-238.
  5. Ussher JM, Perz J, Parton C. Sex and the menopausal woman: A critical review and analysis. Feminism and Psychology. 2015;25(4):449–468.
  6. Javadivala Z, Merghati-Khoei E, Underwood C, Mirghafourvand M, Allahverdipour H. Sexual motivations during the menopausal transition among Iranian women: a qualitative inquiry. BMC Womens Health. 2018;18(1):191.
  7. Senturk Erenel A, Golbasi Z, Kavlak T, Dilbaz S. Relationship between menopausal symptoms and sexual dysfunction among married Turkish women in 40-65 age group. Int J Nurs Pract. 2015;21(5):575-83.
  8. Lo SS, Kok WM. Sexuality of Chinese women around menopause. Maturitas. 2013;74(2):190-5.
  9. Laumann EO, Nicolosi A, Glasser DB, Paik A, Gingell C, Moreira E, et al. Sexual problems among women and men aged 40-80 y: prevalence and correlates identified in the Global Study of Sexual Attitudes and Behaviors. Int J Impot Res. 2005;17(1):39-57.
  10. Santosa A, Ohman A, Högberg U, Stenlund H, Hakimi M, Ng N. Cross-sectional survey of sexual dysfunction and quality of life among older people in indonesia. J Sex Med. 2011;8(6):1594-602.
  11. Harlow SD, Gass M, Hall JE, Lobo R, Maki P, Rebar RW, et al. Executive summary of the Stages of Reproductive Aging Workshop + 10: addressing the unfinished agenda of staging reproductive aging. J Clin Endocrinol Metab. 2012;97(4):1159-68.
  12. Thomas HN, Hamm M, Hess R, Thurston RC. Changes in sexual function among midlife women: “i’m older... and I’m wiser.†Menopause. 2018;25(3):286-292.
  13. Yang CF, Kenney NJ, Chang TC, Chang SR. Sex life and role identity in Taiwanese women during menopause: A qualitative study. J Adv Nurs. 2016;72(4):770-81.
  14. Yoo H, Bartle-Haring S, Day RD, Gangamma R. Couple communication, emotional and sexual intimacy, and relationship satisfaction. J Sex Marital Ther. 2014;40(4):275-93.
  15. Bahri N, Latifnejad Roudsari R, Azimi Hashemi M. “Adopting self-sacrificeâ€: how Iranian women cope with the sexual problems during the menopausal transition? An exploratory qualitative study. J Psychosom Obstet Gynaecol. 2017;38(3):180-188.
  16. Kim M. . The Effect of Marital Intimacy, Sex Communication, and Sexual Satisfaction on the Marital Satisfaction for Korean Middle-aged Women. Journal of Next Generation Information Technology. 2013;4(8):441–448.
  17. Heidari M, Ghodusi M, Rafiei H. Sexual Self-concept and Its Relationship to Depression, Stress and Anxiety in Postmenopausal Women. J Menopausal Med. 2017;23(1):42-48.
  18. Potdar N, Shinde M. Psychological Problems and Coping Strategies Adopted By Post Menopausal Women. International Journal of Science and Research. 2014;3(2):293–300.

How to Cite

Vidayanti, V., & Retnaningsih, L. N. (2020). Sexual experience among postmenopausal women in Yogyakarta: a qualitative study. Bali Medical Journal, 9(1), 80–85. https://doi.org/10.15562/bmj.v9i1.1627
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Venny Vidayanti
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Listyana Natalia Retnaningsih
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