| Summary: | 碩士 === 樹德科技大學 === 人類性學研究所 === 107 === Introduction:
The most common subtype of sexual dysfunction in postmenopausal women is Genito –pelvic pain / penetration disorder (GPPPD), for which women presented much lower treatment intention than those for other medical diseases. The aim of this study to investigate the associate factors of sexual therapy for GPPPD in postmenopausal women.
Methods:
Cross-sectional analysis was conducted. 93 sexually-active postmenopausal women was enrolled from Sep 2017 to May 2018 (response rate 44.5%). They were divided into two group: willing to be treated and unwilling to be treated. Main outcome measurements were physical, psychologic, and health belief model variables. Chi-Square and one-way ANOVA were used for statistic analysis.
Results:
The prevalence of GPPPD was 62.3% (only or combined with GPPPD, n=58; other sexual dysfunction, n=4; normal sexual function, n=31). The results were: 1) As to sociodemographic variables, comparing with unwillingness to be treated group, willingness to be treated group had less children numbers (p=.023). 2) As to physical and psychologic variables, willingness to be treated group had less medical diseases (p=.013), and higher sexual attraction of body image (p=.041). 3) As to health belief model variables, Willingness to be treated group presented greater agreement that sexual therapy could improve physical health (p=.010), more cues to action from partner’s love and request (p=.040 and p=.019), and other’s successful treatment experience (p=.001), higher self-efficacy on examination of sexual function (p=.002).
Conclusion:
The treatment intention of GPPPD among postmenopausal women was associated with less children numbers, less medical diseases, higher physical attraction, higher agreement with benefit of treatment, more cues to action, and higher self-efficacy.
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