اختلالات عملکرد جنسی زنان در قبل و بعد از یائسگی

Introduction & Objective: Sexual instinct which is the cause of  numerous changes in one’s life could be influenced with numerous factors such as menopause and aging. This study was focused on comparison of women’s sexual functioning disorders before and after menopause. Materials & Methods: This is a analytic cross sectional study in which the data related to before and after menopause sexual activities of 174 married women (living with their spouses) , referring to health centers in Isfahan in 2003 and being qualified to enter the study , were collected and investigated. The data were collected by self constructed sexual dysfunction inventory in that reliability and validity were reached by content validity and a  chorenbach index. The findings were investigated and analyzed through descriptive and inferential (MC – Nemar) statistical tests by spss. Results: The findings showed that relative frequency of sexual functioning disorders in productive period was 38% and in menopausal period as 72.4%. There was a significant association between sexual functioning disorders before and after menopausal period (P< 0.001). Frequency distribution of sexual functioning disorders in productive period of these women in according to severity of disorders are include: sexual disire disorder (49.2%), dyspareunia (34.3%), Arousal dysfunction (26.8%), orgasmic dysfunction (23.8%), and vaginismus (16.4%). Frequency distribution of sexual functioning disorders in monopausal period of these women are include: Arousal dysfunction(75.3%) sexual disire disorder (62.6%), orgasmic dysfunction(56.3%), dyspareunia (34.9%) and vaginismus (15.8%). Conclusions: As revealed by the findings of the study,a high percentage of women experience sexual functioning disorders in productive and menopausal periods Menopause  can be a cause to occur,  or continue there disorders. The role of related experts in respect to conselling and education is emphasized.