Sains Malaysiana 42(7)(2013): 1011–1017

Prevalence and Associated Factors of Sexual Dysfunction in Malaysian Menopausal Women

(Prevalens dan Faktor-faktor yang Berkait Rapat dengan Disfungsi Seks dalam Kalangan Wanita Menopaus di Malaysia)

Hatta Sidi* & Marhani Midin

Department of Psychiatry, Universiti Kebangsaan Malaysia Medical Centre

56000 Kuala Lumpur, Malaysia

Malini Mat Napes & Mohd Zulkifli Mohd Kasim

Department of Obstetric & Gynaecology, Hospital Sultanah Nur Zahirah

20040 Kuala Terengganu, Terengganu, Malaysia

Rahima Dahalan

Department of Psychiatry and Mental Health, Hospital Kajang, 43000 Kajang,

Selangor, D.E. Malaysia

Shuhaila Ahmad & Norzilawati Mohd Naim

Department of Obstetric & Gynaecology, Universiti Kebangsaan Malaysia Medical Centre

56000 Kuala Lumpur, Malaysia

Ng Chong Guan & Tan Lee Khing

Jabatan Perubatan Psikologi, Fakulti Perubatan, Universiti Malaya

Lembah Pantai, 50603 Kuala Lumpur, Malaysia

Diserahkan: 12 Julai  2012/Diterima: 12 Julai 2012

ABSTRACT

The complexity of physical, homonal and psychocological changes in menopause may affect the sexual function in women. This study measured the prevalence of female sexual dysfunction (FSD) in Malaysian menopausal women. The associated factors were also examined in the study. A cross-sectional study involved 310 menopausal (defined as last menstrual period more than 12 months ago) who visited a menopausal clinic in a secondary referral hospital in the East Peninsular Malaysia. The prevalence and associated factors of female sexual dysfunction in the study subjects were determined. Sexual dysfunction was assessed using the Malay version of the female sexual function index (MVFSFI). Possible associated factors were collected in a pre-designed questionnaire. The prevalence of FSD for the menopausal women was 21.3%. Younger age was the only factor significantly associated with FSD in the study subjects (adjusted odds ratio=0.916, 95% CI=0.851-0.987). The prevalence of FSD was low in the Malaysian menopausal women and associated with younger age.

Keywords: Female sexual dysfunction; Malaysia; menopause; risk factor

ABSTRAK

Kepelbagaian perubahan daripada segi fizikal, pengaruh hormon dan psikologi ketika putus haid boleh memberi kesan terhadap fungsi seks wanita. Kajian ini bertujuan untuk mengkaji kadar prevalens dan faktor-faktor yang berkait rapat dengan disfungsi seksual dalam kalangan wanita yang telah menopaus di Malaysia. Kajian ini merupakan kajian hirisan lintang yang melibatkan 310 wanita berkahwin di klinik menopaus di Pantai Timur Semenanjung Malaysia yang menggunakan indeks fungsi seksual wanita versi Bahasa Melayu. Prevalens disfungsi seksual dalam kalangan wanita yang telah menopaus adalah 21.3%. Faktor usia muda berkait rapat dengan disfungsi seksual dalam kalangan subjek kajian (nisbah odds yang diperbetulkan = 0.916, 95% sela keyakinan = 0.851 – 0.987). Prevalens disfungsi seksual dalam kalangan wanita Malaysia yang telah menopaus yang berlaku dalam kalangan wanita muda memerlukan perhatian perubatan oleh pakar-pakar tempatan.

Kata kunci: Disfungsi seksual; faktor risiko; wanita menopaus

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*Pengarang untuk surat-menyurat; email: hattasidi@hotmail.com