Published online Nov 16, 2023. doi: 10.12998/wjcc.v11.i32.7761
Peer-review started: August 16, 2023
First decision: August 31, 2023
Revised: September 19, 2023
Accepted: November 8, 2023
Article in press: November 8, 2023
Published online: November 16, 2023
Processing time: 91 Days and 18.8 Hours
Perimenopause is the period when women's ovarian function begins to decline before and after menopause. During this period, women experience a series of mental state changes, such as decreased hormone levels, decreased libido, and even female sexual dysfunction (FSD) in severe cases, which reduces their quality of life. Factors affecting the occurrence of FSD include physiological and non-physiological factors, among which physiological factors are uncontrollable. Therefore, it is particularly important to ascertain the related non-physiological factors that affect the occurrence of FSD for improving the quality of sexual life of perimenopausal women.
To observe the related non physiological factors that affect the occurrence of perimenopausal FSD, and to improve the quality of sexual life of perimenopausal women.
To investigate the mediating effect of depressive mood and body image on menopausal symptoms and sexual function in perimenopausal women.
Analysis of variance (ANOVA), Bonferroni method, rank-sum test, multivariate logistic regression, and Pearson correlation analysis.
The Hamilton Depression Scale (HAMD) and Body Image Scale (BIS) scores were higher in the FSD group than in the control group. Monthly income of < 2000 yuan, BIS score, and HAMD score were independent risk factors for FSD. The MRS scores were positively correlated with the BIS and HAMD scores and negatively correlated with the female sexual function index scores. Body image and depressive mood had partial mediating effects, accounting for 39.90% of the total effect.
Depression and body image play mediating roles between menopausal symptoms and sexual function in perimenopausal women.
This study shows that depression and body image play mediating roles between menopausal symptoms and sexual function in perimenopausal women, and reasonable countermeasures can be considered in clinic.