Clinical Investigation

The influence of hormonal status and socio-cultural determinants on postmenopausal sexual dysfunction.

  • Erdoğan Aslan
  • Gürhan A. Poçan
  • Kenan Dolapçıoğlu
  • Nazan Savaş
  • Tayfun Bağış

Turk J Obstet Gynecol 2008;5(4):263-268


To evaluate the hormonal and psycho-socio-cultural determinants that effect postmenopausal sexual dysfunction.


Case-control study.


University hospital, Menopause clinics.


50 volunteers fit for inclusion criteria.


FSFI questionaire was applied to the participants after initial interview that preset questions evaluating psychosocio-cultural determinants were directed. Vaginal pH, total testosterone, and SHBG levels were measured in addition to routine menopause investigations.


FSFI scores were accordingly low in women who considered that they had a sexual dysfunction (50%) and, in those who felt menopausal transition had a negative impact in their sexual relations (52%) (p=0.00). While 6% of participants found sex after menopause as either shameful-unappropriate or unnecessary, other 17% stated that sex after menopause should continue as a duty of woman. 33% of the participants outlined that “motherhood” is the most important goal of their lives. Stepwise logistic regression analysis revealed a correlation between FSFI scores and FAI.


FSD is prevalent in our country. Questioning the patient about the presence of sexual dysfunction may be sufficient to disclose the problem. FAI is a more reliable parameter in selecting candidates for androgen therapy.

Keywords: free androgen index, FSFI, female sexual dysfunction, postmenopause, psycho-socio-cultural determinants