ARI 
 JRI 
 ISERB 
blogger delicious digg diigo facebook googleplus linkedin netlog reddit twitter
Skip Navigation LinksJRI > Archive > July-September 2005, Volume 6, Issue 3 > Evaluating the changes in sexual function after sterilization in women referring to some selected hospitals in Tehran during 2004



Volume 6, Issue 3, Number 23 / July-September
(pages 257-264)


Evaluating the changes in sexual function after sterilization in women referring to some selected hospitals in Tehran during 2004




 Corresponding Author
Department of Midwifery, Faculty of Nursing and Midwifery, Shaheed Beheshti University of Medical Sciences, Tehran, Iran

Department of Midwifery, Faculty of Nursing and Midwifery, Shaheed Beheshti University of Medical Sciences, Tehran, Iran

Department of Psychiatry, Faculty of Medicine, Shahid Beheshti University of Medical Sciences and Health Services, Tehran, Iran

Department of Biostatistics, Faculty of Paramedical, Shahid Beheshti University of Medical Sciences, Tehran, Iran


Related Articles
in Google Scholar in PubMed

 

Other Format
pdfPDF Full Text (En) pdfPDF Full Text (Fa) pdfePUB Full Text (En) pdfPDF Abstract (En) pdfPDF Abstract (Fa) pdf BibTeX pdfRefMan pdfEndNote xmlPMC XML online readerPMC Reader

 


Abstract
Introduction: Female Sterilization is the second most frequent method of contraception (%17.1) after oral contraceptive pills (%18.4) in Iran. Sexual function following the use of this method has not been adequately addressed. The effects of sterilization are different in different individuals. Female sterilization may lead to psychological changes. The positive effects result from the disappearance of the fear of unwanted pregnancies and also side effect of other contraceptive methods and negative effects arise from the sense of preserving the reproductive ability. Retrospective studies usually show an improvement or worsening of sexual functions, but prospective studies show no changes or improvement of female sexual functions. Regarding the impor-tance of sexual function and the high percentage of female sterilization in Iran, the present study was conduc-ted to determine the changes in sexual function of sterilized women referring to some selected hospitals of Tehran in 2004. Materials and Methods: In this study 106 women volunteering for sterilization were selected by stratified sampling and underwent the study before the operation and 3 months after sterilization. All subjects were Ira-nian and monogamous with an anxiety and depression score lower than 2 (by SCL90 test) and had no major stressful events six months before the study. None of them were in postpartum period at the time of surgery. The study included an interview form with two parts: demographic questions (18 items) and questions on sexual function (16 items regarding different phases of sexual desire, sexual arousal, orgasm and resolution) as well as sexual satisfaction items scored by Likert scale. The tool was validated by content validity and its reliability was measured by Cronbach's alpha test. The data were gathered by completion of the forms before and three months after sterilization by one of the researchers (a midwife). Data analysis was done by SPSS (10) software and paired t-test was performed. The significance level was considered 0.05. Results: Findings showed that mean age of women undergoing sterilization was 33.74.2 years. Most subjects were illiterate (%56.6), housewives (%87.7) and their husbands mostly had non-governmental jobs (%51.9). Mean number of gravidity and number of children were 3.71.3 and 3.20.9 respectively. The last contraceptive method used in most of them was OCPs. Their family income was mostly between 110- 165 dollars (%32.1) and most of them (%54.7) had a house of their own. The average percentages of sexual des-ire, sexual arousal, orgasms and sexual functions had no statistically significant differences before and after surgery but resolution phase and sexual satisfaction showed a significant difference (p<0.05) and changed from 68.220.7 to 71.621.4 and from 60.120.5 to 64.321.5 respectively. Conclusion: It seemed that sexual function would not change after 3 months of sterilization, except for the resolution phase and sexual satisfaction which improved postoperatively. There was also a slight increase in other phases over three months of follow-up. As different factors such as culture, religion, individual differ-rences, walks of life and the picture of women portrayed by mass media in the country and factors aside from contraceptive methods, have an exclusive effect on sexual function, these findings are justifiable. However, Long-term studies with longer follow-up periods are suggested for future studies.

Keywords: Female sterilization, Female sexual function index (FSFI), Orgasm, Sexuality, Sexual desire, Tubectomy


To cite this article:


References
  1. ژان کلودشتلند. ژان، کلوتنه. جمعيت جهان، چالشها و مسايل آن. ترجمه سيدمحمد سعيد ميرزايي، تهران، انتشارات دانشگاه علوم پزشکي شهيد بهشتي 1380 صفحه 26.
  2. سبحانـي مـريم. بـررسي مشكلات روانـي بانوان ستـرون شـده اختيـاري. پايان‌نامـه جهـت اخـذ درجه دكترا، انستيتو روانپزشكي تهران، دانشگاه علوم پزشكي ايران. 1376.
  3. كانينگهام ك. مامايي ويليامز. ترجمة بزازبنايي نسرين، قطبي نادر. چاپ بيسـت و يكم. تهران. انتشارات تيمورزاده و نشر طبيب. 2001 صفحه 800.
  4. جدي تهراني محمود. نگاهي به استفاده از كنتراسپتيوها. پيام باروري و ناباروري. 1379، شماره13 ص 6- 3.
  5. ACOG practice bulletin. Benefits and Risks of sterili-zation. Gynecol Obstet.2003;46(83):339-350.
  6. جزوه وزارت بهداشت، درمان و آموزش پزشكي سيماي جمعيت و سلامت در جمهوري اسلامي ايران.1379. مهرماه.
  7. Yadav J., Gennarelli L.A., Ratakonda U.Female sexual-ity and common sexual dysfunction: evaluation and management in primary care setting. Prim.Care Update Ob Gyns.2001;(8):5-11.
  8. برقعي نرجس‌السادات و همكاران. بررسي تغييرات جنسي در استفاده كنندگان سه روش پيشگيري از بارداري. اولين همايش سراسري خانواده و مشكلات جنسي. تهران.24 – 23 مهرماه 1382. ص 17.
  9. Pati S., Cullins V.Female sterilization. Obstet Gynecol. 2000;27(4):859-887.
  10. كاپلان هارولد، سادوك بنيامين. روانپزشكي علوم رفتاري- روانپزشكي باليني. ترجمه پورافكاري نصرت ا.... چاپ اول. تهران. انتشارات شهرآب. 1381. صفحة 57.
  11. Costello C., Hillis S., Marchbanks P., Jamieson D., Peterson T. The effect of interval tubal sterilization on sexual interest and pleasure. Obstet Gynecol.2002;100 (3):511-517.
  12. Shain R., Miller W., Holden A., Rosenthal M. Impact of tubal sterilization and vasectomy on female marital sexuality. Am J Obstet Gynecol.1991;164(3): 763-771.
  13. جهانفر شايسته، مولايي‌نژاد م. درسنامة اختلالات جنسي. چاپ اول. تهران. انتشارات بيژه. 1380.
  14. ازگلي گيتي، احمدي محبوبه، گلي شادي، اكبرزاده باغبان عليرضا. مقايسه آگاهي و نگرش و عوامل مرتبط در خصوص عقيم‌سازي بين زوجين استفاده كننده از اين روش و استفاده كنندگان از ساير روش‌هاي پيشگيري از بارداري در شهر همدان در سال 1381. فصلنامه پزشكي باروري و ناباروري. سال پنجم. 1381، شماره 3.
  15. Bjorn C., Oddens S. Women’s satisfaction with birth control. Contraception.1999;59:227-239.
  16. آذر ماهيار، نوحي سيما. درمان اختلالات عملكرد جنسي. چاپ اول. تهران. انتشارات معين. 1382. صفحه 7.
  17. Okazaki S. Influences of culture on Asia American’s sexuality. J Sex Res.2002;39(2):34-41.
  18. Andrews G. Women’s Sexual Health. 2th Edition. Billier Tindal.2001.
  19. Bernhard O. Sexuality and sexual health care for women. Clin Obstet Gynecol.2000;45(4):1089-1098.
  20. Kumtang C., Chung T. Psychosexual adjustment following sterilization: A prospective study on chinese women. J Psychosomat Res.1997;42 (2):187-196.
  21. ايازي روزيتا. بررسي ارتباط تجربه ارگاسم با رضايت از رابطه زناشويي در خانمهاي مراجعه كننده به مراكز بهداشتي درماني شهر اراك. پايان‌نامه جهت اخذ كارشناسي ارشد مامايي، دانشكده پرستاري و مامايي دانشگاه تهران، 1382. صفحة 141- 125.
  22. ساكي كوروش. نگرش گروهي از زنان مراجعه‌كننده به مراكز بهداشتي درماني شهرستان خرم‌آباد پيرامون ابعاد مختلف زندگي زناشويي (بويژه مسائل جنسي) تابستان 1376. پايان‌نامه جهت اخذ درجه دكترا، دانشكده پزشكي، دانشگاه علوم پزشكي شهيد بهشتي. 1378. صفحة 41- 29.
  23. ازگلي گيتي و همكاران. بررسي رضايت و نگرش نسبت به رابطه جنسي در زنان مراجعه كننده به مراكز بهداشتي. دوماهنامه پژوهشي پژوهنده. سال 1382، شماره 2، صفحة 131-127.
  24. Basson R. sexuality response: A different model. J Sex.2000;26:51-69.



Home | About Us | Current Issue | Past Issues | Submit a Manuscript | Instructions for Authors | Subscribe | Search | Contact Us

"Journal of Reproduction & Infertility" is owned, published, and copyrighted by Avicenna Research Institute .
Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 3.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.

Journal of Reproductoin and Infertility (JRI) is a member of COMMITTEE ON PUBLICATION ETHICS . Verify here .

©2016 - eISSN : 2251-676X, ISSN : 2228-5482, For any comments and questions please contact us.