scholarly journals Marital Adjustment, Sexual Function, and Body Image After Hysterectomy

2021 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Shima Mohammadi-Zarghan ◽  
Khodabakhsh Ahmadi

Background: Hysterectomy is a common surgery among women in which the uterus, cervix, and sometimes ovaries and fallopian tubes are removed. As women’s reproductive organs are important to their sexual image, hysterectomy can affect their psychological status, personal interactions, and especially marital adjustment and sexual function. Moreover, sexual function and marital adjustment can be affected by women’s thoughts about their body image. Objectives: The current study aimed at comparing marital adjustment and sexual function in women’s job, focusing on the moderating role of body image. Methods: This causal-comparative study was conducted among 200 women (100 with hysterectomy and 100 without hysterectomy) recruited via the purposive sampling method. The cases were assigned into two groups of control and study based on their age range, level of education, marital status, and lack of chronic mental and physical disorders. Data collection instruments were the female sexual function index (FSFI), dyadic adjustment scales (DAS), the body image concern inventory (BICI), and a demographic checklist. Results: Independent t-test showed that the total score of marital adjustment (t = -6.108, P = 0.001) and each of its subscales, dyadic agreement (t = -4.44, P = 0.001), marital satisfaction (t = -5.98; P = 0.001), dyadic cohesion (t = -4.38, P = 0.001), expressing affection (t = -5.91; P = 0.001), and sexual function (t = -6.55, P = 0.001) were significantly lower in women undergoing hysterectomy than in those not undergoing hysterectomy. However, according to regression analysis and results of bootstrapping, the upper and lower bounds of the effect of body image on marital adjustment and sexual function were within the overlapping section. Hence, these effects were similar in both groups of the study [95% confidence interval (CI)], and the differences were insignificant. Conclusions: According to the study, marital adjustment and sexual function decrease after hysterectomy. Therefore, specialist treatment and family counseling interventions seem to be essential in order to improve sexual performance and marital adjustment in women who underwent hysterectomy.

Sexes ◽  
2022 ◽  
Vol 3 (1) ◽  
pp. 20-39
Author(s):  
Sean M. McNabney

With approximately two-thirds of the United States adult population classified as overweight or obese, obesity remains a critical public health concern. Obesity not only contributes to several health complications including type 2 diabetes mellitus and cardiovascular disease, but the condition is also associated with sexual dysfunction in both women and men. Despite evidence linking obesity and its concomitant pathophysiology to sexual problems, the potential roles of psychosocial factors such as body image are understudied. This narrative review evaluates the research linkages between obesity and sexual dysfunction, with particular attention to the potential effects of body image dissatisfaction. A literature search of biomedical and psychological databases was used to identify research pertaining to obesity, sexual function, and/or body image constructs. The pathophysiological effects of obesity on sexual function are well-documented in mechanistic studies and animal trials, often with corroboration in human clinical samples. However, very few studies examine obesity, body image, and sexual function in tandem. Body image dissatisfaction appears to independently impinge upon the sexual response cycle and mental health outcomes, irrespective of body weight. While obesity is often associated with negative body image appraisal, it is unclear whether these constructs exert additive, synergistic, or antagonistic effects on sexual responsivity. Additionally, overweight/obese individuals who exhibit higher levels of body image satisfaction or self-confidence appear to be protected from the deleterious effects of obesity on sexual satisfaction, at least to some extent. Greater reliance upon conceptual/theoretical models from the body image literature may better clarify the relationships between these constructs.


2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
Biyu Shen ◽  
Yan He ◽  
Haoyang Chen ◽  
Chunmei Zhao ◽  
Li Zhu ◽  
...  

SLE might affect all aspects of life including sexual functioning; previous study found that body image disturbance (BID) was the most powerful predictors of impaired partner relationships and sexual function. The current study investigated the relationship among disease parameters, quality of life, the psychological status, BID, and sexual problems in Chinese patients with SLE. A self-report survey design was administered to 168 SLE patients and 210 healthy individuals. Our results showed that 86 (55.1%) SLE patients reported impaired relationships with a sexual partner or partners, and 100 (64.1%) patients reported impaired sexual function which were significantly higher than the control group (31.6%, 35.7%, rep.). Age, marital status, depression, and BIDQ were the most powerful predictors of impaired partner relationships, while BIDQ3 and education, disease activity, and depression were the most significant causes of impaired sexual function. The study for first time reported Chinese SLE patients had sexual problems and BID was associated with sexual problems. So, early detection and interventions might not only rehabilitate the patients and their loved ones, but also improve overall health outcomes and reduce the direct and indirect costs of their medical care.


Author(s):  
Tahereh Eftekhar ◽  
Marzieh Hajibabaei ◽  
Firoozeh Veisi ◽  
Zinat Ghanbari ◽  
Ali Montazeri

Objective: This study aimed to compare women’s body image, sexual function and satisfaction before and after gynecologic cosmetic surgery. The study also aimed to assess women husband’s sexual satisfaction. Materials and methods: This was a pretest-posttest study. A sample of 50 women attending the pelvic floor clinic of Tehran University of Medical Sciences for gynecologic cosmetic surgery was entered into the study. Surgeries included labiaplasty, clitoral hoodectomy, vaginoplasty, vaginal rejuvenation, anterior and posterior colporrhaphy, perineoplasty, and perineorrhaphy. Women were assessed for the Body Image Quality of Life Inventory (BIQLI), the Larson Sexual Satisfaction Questionnaire (LSSQ-F), and Female Sexual Function Inventory (FSFI-6) at two points in time: baseline (one week before surgery) and 3 months after surgery. Similarly, the male partners were assed for sexual satisfaction using the Larson Sexual Satisfaction Questionnaire (LSSQ-M). To analyze the data paired samples t-test was applied. Results: The mean (SD) age of women was 43.36 (8.6) years and the mean (SD) duration of marriage was 22.18 (9.7) years. Ninety-four percent had history of vaginal delivery and 58.7 percent attend surgery due to husband’s sexual dissatisfaction. The results showed that women’s body image, sexual function and couples’ sexual satisfaction improved significantly after gynecologic cosmetic surgery (p ≤ 0.001). Conclusion: The findings suggest that female genital cosmetic surgery improved the body image and sexual function of women and sexual satisfaction in couples that might lead to a more pleasurable and healthier marital relationship.


Author(s):  
Mahtab Senobari ◽  
Elham Azmoude ◽  
Marziyeh Mousavi

Background: The prevalence of sexual problems is high during pregnancy. Despite this, there are limited data about the impact of physical and psychological factors such as body weight and body image on sexual function in pregnant women. Objective: To investigate the relationship between body mass index, body image, and sexual function among pregnant women. Materials and Methods: In this cross-sectional study, a total of 206 Iranian pregnant women (106 with normal weight and 100 overweight women) in their 2nd and 3rd trimesters of pregnancy were surveyed. Survey instruments included the Female Sexual Function Index and Multidimensional Body-Self Relations Questionnaire. Results: The prevalence of female sexual disorder was 72.3% in this survey. Diminished sexual desire/appetite was the most common problem reported by the participants (37.9%). The mean score of sexual problem and body image were not significantly different among overweight and normal weight women in the 2nd (p = 0.945 and p = 0.800, respectively) and 3rd trimesters of pregnancy (p = 0.310 and p = 0.507, respectively). Further, there were no relationships between the body mass index plus body image and the total female sexual function score (p = 0.44 and p = 0.837, respectively). However, the relationship between the appearance evaluation with lubrication (p = 0.043) and subjective weight with two subscales of sexual satisfaction (p = 0.005) and orgasm (p = 0.019) were significant. Conclusion: The findings from this study revealed that there were no relationships between body mass index plus body image score and the sexual function in pregnancy. Therefore, a further research is recommended to study other potential factors affecting sexual function during pregnancy.


2019 ◽  
Vol 16 (1) ◽  
pp. 126-136 ◽  
Author(s):  
Rafael M. Moroni ◽  
Lucia Alves da Silva Lara ◽  
Cristine Homsi J. Ferreira ◽  
Michael de Mello Constantino ◽  
Luiz Gustavo Oliveira Brito

2018 ◽  
Vol 1 (1) ◽  
pp. 9-28
Author(s):  
Dessy Sumanty ◽  
Deden Sudirman ◽  
Diah Puspasari

This research attempts to relate the body image phenomenon with the level of subject religiosity. This research used correlational research design that was involving 332 respondents. The statistical testing which is used to test the hypothesis Rank Spearman. The calculation result with the significance level of trust 95% (a = 0.05) show that the correlation coefficient is 0.083 and p-value is 0.129. It means that Ho is accepted and H1 is rejected. It can be concluded that there is no relationship between religiosity with body image.


Author(s):  
Dwi Darwati

Reproductive  health education should be given since early childhood by using language that is adapted to the stage of development. If you procrastinate and wait until the teenager it is already too late because in the days of the digital era, as now, all the information can be easily accessed by anyone including children early age. If the early childhood misinformed about their reproductive organs it would disrupt the physical and psychological development due to the wrong behavior in caring for and maintaining reproductive organs. Qur’an as the holy book of Muslims describes the steps of reproduction and  imparting education wisely as well as how to apply such education. This kind of education must be in accordance with the conditions of children and there should not be a lie about it We can also use media and methods such as pictures, songs, tap or other visual  media which can give clearer information, so that children can clearly see parts of the body, their characteristics, and how to treat and care them. The impropriate approach in conveying this kind of knowledge will be very dangerous for children. The provision of early age reproductive organs education can prevent the occurrence of deviant behavior as well as protect children from dangerous influence in early childhood development.


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