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Objective: Recent population-based surveys indicate that the prevalence of sexual dysfunction, particularly low sexual desire and arousal disorders, is increasing with age. However, there seems to be greater variability of the sexual experience and functioning in midlife and older women, suggesting a higher dependence on basic conditions like general well-being, physical and mental health, quality of relationship, and life situation. De: A series of studies was conducted in the authors' Female Sexual Dysfunction research group to assess differences in 1 determinants of sexual satisfaction, 2 personality factors, and 3 present sexuality between younger and older women in both patient and nonpatient populations.

: The of these studies highlight that in comparison with functional women, patients with hypoactive sexual desire are generally characterized by a vulnerable self-system with several rather inadequate self-regulatory mechanisms. The of the brief sexual function questionnaire indicate that the present sexuality of women seeking professional help for low sexual desire is ificantly different from the sexuality of a control group of nonpatients.

These between-group effects proved to be far more important than any age effects within both groups and showed that all domains of sexuality were negatively affected and overshadowed by the sexual dysfunction. Conclusions: These are supportive of the growing evidence against a simple model of midlife sexuality that depicts women as victims of their bodily and hormonal changes.

Instead, life stressors, contextual factors, past sexuality, and mental health problems are more ificant predictors of midlife women's sexual interest than menopause status itself. Evaluation and treatment approaches require consideration of the full range of contextual factors, including relationship quality, personality factors, past experience, and mental and physical health.

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Nappi RE. PMID: Review. Thomas HN, et al. J Womens Health Larchmt. Epub Oct Nappi RE, et al. Minerva Ginecol. Graziottin A. J Sex Med. PMID: Menopause and sexuality: prevalence of symptoms and impact on quality of life. Nappi RE, Lachowsky M. Epub May See all similar articles. Cited by 24 articles Association of depression with sexual function in women with history of recurrent pregnancy Loss: descriptive-correlational study in Tehran, Iran.

Azin SA, et al. Fertil Res Pract. Socio-demographic determinants of low sexual desire and hypoactive sexual desire disorder: a population-based study in Iran. Hamzehgardeshi Z, et al. BMC Womens Health. Mechanisms underlying the association between perceived discrepancy in sexual interest and sexual satisfaction among partnered older adults in four European countries.

Fischer N, et al. Eur J Ageing. Ricoy-Cano AJ, et al. J Clin Med. Cervix human papilloma virus positivity: Does it cause sexual dysfunction? Turk J Obstet Gynecol. Epub Feb See all "Cited by" articles. Publication types Case Reports Actions. Review Actions. MeSH terms Aged Actions. Female Actions. Humans Actions. Middle Aged Actions. Personality Actions. Prevalence Actions. Sexuality Actions. Surveys and Questionnaires Actions. Women's Health Actions.

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