Correlation between Menopause and Changes in Women's Sexual Function at Lubuk Buaya Public Health Center

Marcella Ilham(1*), Syahredi Adnani(2)

(1) Obstetrics and Gynecology Department, Faculty of Medicine, Andalas University, Dr. M. Djamil Central General Hospital Padang, West Sumatera, Indonesia
(2) Division of Obstetrics and Social Gynecology, Department of Obstetrics and Gynecology, RSUP Dr M. Djamil, Unversitas Andalas, Padang, Indonesia
(*) Corresponding Author



Background: Sexuality is a fundamental need, as is eating and sleeping. Post-menopausal women experience many psychological changes and have feelings about their negative reactions to menopausal transformations. Decreased sexual function is considered one of the important complications of this period that plays a negative effect on sexual function. This study aims to determine the relationship of menopause stage with sexual function of women in Lubuk Buaya Public Health Center (PHC).

Method: This research method is observational analytic with a cross-sectional method. This study was conducted starting in March 2021 until the number of samples was reached. The study was conducted in the working area of Lubuk Buaya PHC. The minimum number of samples studied in this study was determined 140 samples. The sampling technique is stratified random sampling. Univariate analysis of data in the form of tables and bivariate analysis using normality test using Kolmogorov-Smirnov test, if the data is normally distributed Anova test or Kruskal Wallis test. If the p-value <0.05 is significant.

Results: The average age of respondents was 48 years This study found the frequency of premenopausal stage found the most (43.6%), followed by postmenopausal stage (21.4%), perimenopause (17.9%), and menopause stage (17.1%). The domain of desire (2.7±1.0) and arousal (2.7±1.3) achieved the lowest score, indicating major sexual problems, while the domain of pain was the domain where women obtained the highest score (3.6±1.5) indicating minor sexual problems. In this study, it was found that the menopause stage affects five domains of sexual function changes in the FSFI, namely desire, arousal, lubrication, orgasm, and satisfaction, while in the pain domain, there was no significant relationship.

Conclusion: Menopausal status is significantly related to the domains of lust, lust, lubrication, orgasm, and satisfaction. There is a significant relationship between the stage of menopause with FSFI domain scores.


Menopause, women’s sexual function, elderly

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Sutarjo US. Indonesia Health Profile 2017. Ministry of Health RI; 2018.

BPS. Statistik Penduduk Lanjut Usia 2019. Badan Pusat Statistik; 2019.

Rifiana AJ, Rahmawati D. Faktor-faktor yang berhubungan dengan penurunan seksual pada ibu menopause di Puskesmas Menes Kabupaten Pandeglang Provinsi Banten tahun 2014. Published online 2015:23.

Gorga H, Lasmini PS, Amir A. Hubungan Jumlah Paritas dengan Usia Menopause. Jurnal Kesehatan Andalas. 2016 Aug 11;5(2).

Dhingra I, De Sousa A, Sonavane S. Sexuality in older adults: Clinical and psychosocial dilemmas. J Geriatr Ment Health. 2016;3(2):131. doi:10.4103/2348-9995.195629

Beckman N. Epidemiological studies of sexuality in old age. In: Epidemiological Studies of Sexuality in Old Age. Institute of Neuroscience and Physiology Neuropsychiatric Epidemiology Sahlgrenska Academy at University of Gothenburg; 2015:84.

Pfaus JG, Jones SL, Flanagan-Cato LM, Blaustein JD. Female Sexual Behavior. In: Knobil and Neill’s Physiology of Reproduction. Elsevier; 2015:2287-2370. doi:10.1016/B978-0-12-397175-3.00050-8

Pangkahila W. Seks Dan Kualitas Hidup. Kompas; 2014.

Hartati MA, Asrini A. Fungsi Seksual Perempuan Menopause Di Kota Makassar Tahun 2018. Al-Sihah Public Heal Sci J. 2018;10(1):40-8.

JR Guthrie, L Dennerstein, JR Taffe, P Lehert & HG Burger (2004) The menopausal transition: a 9-year prospective population-based study. The Melbourne Women's Midlife Health Project, Climacteric, 7:4, 375-389, DOI: 10.1080/13697130400012163

da Silva Lara LA, Useche B, e Silva JC, Ferriani RA, Reis RM, de Sá MF, de Carvalho BR, Carvalho MÂ, de Sá Rosa AC. Sexuality during the climacteric period. Maturitas. 2009 Feb 20;62(2):127-33.

Blumel JE, Castelo-Branco C, Binfa L, Gramegna G, Tacla X, Aracena B, Cumsille MA, Sanjuan A. Quality of life after the menopause: a population study. Maturitas. 2000 Jan 15;34(1):17-23.

Heidari M, Ghodusi M, Rezaei P, Abyaneh SK, Sureshjani EH, Sheikhi RA. Sexual function and factors affecting menopause: a systematic review. Journal of menopausal medicine. 2019 Apr 1;25(1):15-27.

Afghari A, Ganji J, Ahmad Shirvani M. Psycho-emotional changes in menopause: a qualitative study. J Mazandaran Univ Med Sci. 2012; 22:27–38.

Masliza W, Daud W, Yazid Bajuri M, Shuhaila A, Hatta S, Rohaizat Hassan M, et al. Sexual dysfunction among postmenopausal women. Clin Ter. 2014; 165:83–89. PMID: 24770809.

Borissova AM, Kovatcheva R, Shinkov A, Vukov M. A study of the psychological status and sexuality in middle-aged Bulgarian women: significance of the hormone replacement therapy (HRT). Maturitas. 2001 Aug 25;39(2):177-83.

Danaci AE, Oruç S, Adigüzel H, Yildirim Y, Aydemir O. Relationship of sexuality with psychological and hormonal features in the menopausal period. West Indian Med J. 2003; 52:27–30. PMID: 12806751.

Gerber JR, Johnson JV, Bunn JY, O'Brien SL. A longitudinal study of the effects of free testosterone and other psychosocial variables on sexual function during the natural traverse of menopause. Fertility and sterility. 2005 Mar 1;83(3):643-8.

Basson R. Women's sexual dysfunction: revised and expanded definitions. CMAJ. 2005; 172:1327–1333. PMID: 15883409.

Malacara JM, Canto de Cetina T, Bassol S, González N, Cacique L, Vera-Ramírez ML, et al. Symptoms at pre- and postmenopause in rural and urban women from three States of Mexico. Maturitas. 2002; 43:11–19. PMID: 12270577.

Dennerstein L, Dudley E, Burger H. Are changes in sexual functioning during midlife due to aging or menopause? Fertil Steril. 2001; 76:456–460. PMID: 11532464.

Gott M, Hinchliff S. How important is sex in later life? The views of older people. Soc Sci Med. 2003; 56:1617–1628. PMID: 12639579.

Tong J, Zheng C, Ziu L, Zheng Z, Jinghe L. Sexual dysfunction in perimenopausal women based on a national epidemiological survey in China. Climacteric. 2019 Mar 4;22(2):190–4.

Dąbrowska-Galas M, Dąbrowska J, Michalski B. Sexual Dysfunction in Menopausal Women. Sex Med. 2019 Dec 1;7(4):472–9.

Scavello I, Maseroli E, di Stasi V, Vignozzi L. Sexual health in menopause. Vol. 55, Medicina. MDPI AG; 2019.

Lett C, Valadares ALR, Baccaro LF, Pedro AO, Filho JL, Lima M, et al. Is the age at menopause a cause of sexual dysfunction? A Brazilian population-based study. Menopause. 2018 Jan 1;25(1):70–6.

Mehedintu C, Edu A, Sandru F, Carp-Veliscu A, Petca A, Dumitrascu M, et al. Menopause and sexuality. Romanian Journal of Medical Practice [Internet]. 2021 Dec 15;16(S6):86–93. Available from:

Zhang C, Tong J, Zhu L, Zhang L, Xu T, Lang J, et al. A Population-Based Epidemiologic Study of Female Sexual Dysfunction Risk in Mainland China: Prevalence and Predictors. Journal of Sexual Medicine. 2017 Nov 1;14(11):1348–56.

Heidari M, Ghodusi M, Rezaei P, Kabirian Abyaneh S, Sureshjani EH, Sheikhi RA. Sexual Function and Factors Affecting Menopause: A Systematic Review. J Menopausal Med. 2019;25(1):15.

Nateri NS, Beigi M, Kazemi A, Shirinkam F. Women coping strategies towards menopause and its relationship with sexual dysfunction. Iran J Nurs Midwifery Res. 2017 Sep 1;22(5):343–7.

Ahmadi K, Ranjebar-Shayan H, Raiisi F. Sexual dysfunction and marital satisfaction among the chemically injured veterans. Indian Journal of Urology. 2007;

Yazdanpanahi Z, Nikkholgh M, Akbarzadeh M, Pourahmad S. Stress, anxiety, depression, and sexual dysfunction among postmenopausal women in Shiraz, Iran, 2015. J Family Community Med. 2018 May 1;25(2):82–7.

Espitia-De la Hoz FJ. Menopause and sexuality: characterization of sexual dysfunctions during climacteric, in women of Quindío (Colombia). Obstet Gynecol Int J. 2019 Dec 23;10(6).

Parish SJ, Hahn SR, Goldstein SW, Giraldi A, Kingsberg SA, Larkin L, et al. The International Society for the Study of Women’s Sexual Health Process of Care for the Identification of Sexual Concerns and Problems in Women. Mayo Clin Proc. 2019 May 1;94(5):842–56.

Woods NF, Mitchell S, Julio KSD. Sexual Desire During the Menopausal Transition and Early Postmenopause: Observations from the Seattle Midlife Women’s Health Study. J Womens Health. 2010;19(2).

el Khoudary SR, Greendale G, Crawford SL, Avis NE, Brooks MM, Thurston RC, et al. The menopause transition and women’s health at midlife: A progress report from the Study of Women’s Health across the Nation (SWAN). Vol. 26, Menopause. Lippincott Williams and Wilkins; 2019. p. 1213–27.

Elaine Waetjen L, Crawford SL, Chang PY, Reed BD, Hess R, Avis NE, et al. Factors associated with developing vaginal dryness symptoms in women transitioning through menopause: A longitudinal study. Menopause. 2018;25(10):1094–104.

Baziad A. Diagnosis and management of vaginal dryness in menopause. Majalah Obstetri & Ginekologi. 2016;24(2):70–3.

Leventhal JL. Sexuality and Aging Management of Libido Problems in Menopause. Perm J. 2000;4(3).

Smith RL, Gallicchio L, Flaws JA. Factors Affecting Sexual Function in Midlife Women: Results from the Midlife Women’s Health Study. J Womens Health. 2017 Sep;26(9):923–32.

Khalesi ZB, Jafarzadeh-Kenarsari F, Mobarrez YD, Abedinzade M. The impact of menopause on sexual function in women and their spouses. Afr Health Sci. 2020;20(4):1979–84.

Deeks AA, Mccabe MP. Sexual Function and the Menopausal Woman: The Importance of Age and Partner’s Sexual Functioning. Vol. 38, Source: The Journal of Sex Research. 2001.

Kingsberg SA, Rezaee RL. Hypoactive sexual desire in women. Menopause. 2013 Dec;20(12):1284–300.

Harder H, Starkings RML, Fallowfield LJ, Menon U, Jacobs IJ, Jenkins VA. Sexual functioning in 4,418 postmenopausal women participating in UKCTOCS: A qualitative free-text analysis. Menopause. 2019 Oct 1;26(10):1100–9.

Siregar MFG, Azmeila S, Sitompul ANR, Siregar MEAG. Literature review: Menopause and sexual disorders. Open Access Maced J Med Sci. 2021 Jan 10;9(T3):298–304.


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