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LETTERS TO EDITOR
Year : 2018  |  Volume : 25  |  Issue : 3  |  Page : 220-221  

A comment on a study by Yazdanpanahi et al. (2018)


Department of Community Medicine, University College of Medical Sciences, New Delhi, India

Date of Web Publication30-Aug-2018

Correspondence Address:
Dr. Sabira A Dkhar
Department of Community Medicine, University College of Medical Sciences, New Delhi
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jfcm.JFCM_82_18

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How to cite this article:
Dkhar SA. A comment on a study by Yazdanpanahi et al. (2018). J Fam Community Med 2018;25:220-1

How to cite this URL:
Dkhar SA. A comment on a study by Yazdanpanahi et al. (2018). J Fam Community Med [serial online] 2018 [cited 2018 Dec 14];25:220-1. Available from: http://www.jfcmonline.com/text.asp?2018/25/3/220/240169

Sir,

A facility-based, descriptive, cross-sectional research conducted on postmenopausal women in Shiraz by Yazdanpanahi et al.(2018) showed the relationship between a mental state-like depression, anxiety, and stress with sexual dysfunction These findings draw the much-needed attention to the need to investigate the menopausal symptoms, the psychological problems of couples, and their lack of sexual knowledge in order to give them the necessary counseling and instruction.[1]

The following is a comment on an omission in the methodology and certain conclusions drawn by the authors:

  1. Yazdanpanahi et al. in their study mentioned that their participants were recruited from clinics with a high attendance, but it was not indicated whether it was the participants' first attendance at the clinic or they were follow-up cases. The study also did not mention the type of clinic in question. Since the participants attending the clinic were trying to manage their postmenopausal symptoms either with hormonal therapy or by means of counseling, whichever expertise the clinic presented, it was evident that hormonal therapy brought about relief in sexual dysfunction in postmenopausal women.[2] Similarly, counseling effected a lot of changes in the mental status of the women.[3] Therefore, the participants who had received some intervention and those who had not (treatment naïve) would have had differing opinions, which would have produced a clearer pictures of how sexual dysfunction affected their mental state. This would have helped clarify the efficacy of the health care delivery system of the area in dealing with postmenopausal symptoms
  2. The study put greater emphasis on the mental state of the participants as a result of sexual dysfunction. However, it is obvious that most other postmenopausal symptoms such as insomnia, hot flushes, and bone resorption are equally troublesome for most postmenopausal women. These symptoms could also affect the mental status. Similarly, not much stress was placed on the obstetric variable and family history unlike what some similar studies had done by emphasizing their importance in their mental status of postmenopausal women[4]
  3. The study indicated that sexual dysfunction is a cause of depression, anxiety, and stress. It is evident that postmenopause curtails reproduction; knowing the number of children the participants have becomes an important factor since not having the desired number of children tends to put a great pressure on the individual. Some of the several consequences of infertility are societal repercussions, personal suffering, marital discord, psychological disorders, and sexual dysfunction.[5] Furthermore, women with a history of infertility experience lower libido. This should be considered when studying sexual dysfunction in postmenopausal women.


Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
   References Top

1.
Yazdanpanahi Z, Nikkholgh M, Akbarzadeh M, Pourahmad S. Stress, anxiety, depression, and sexual dysfunction among postmenopausal women in Shiraz, Iran, 2015. J Family Community Med 2018;25:82-7.  Back to cited text no. 1
    
2.
Kovalevsky G. Female sexual dysfunction and use of hormone therapy in postmenopausal women. Semin Reprod Med 2005;23:180-7.  Back to cited text no. 2
    
3.
Huffman JW. Counseling the menopausal patient. Postgrad Med 1979;65:211-2, 214-5.  Back to cited text no. 3
    
4.
Bener A, Saleh NM, Bakir A, Bhugra D. Depression, anxiety, and stress symptoms in menopausal Arab women: Shedding more light on a complex relationship. Ann Med Health Sci Res 2016;6:224-31.  Back to cited text no. 4
[PUBMED]  [Full text]  
5.
Moghadam AD, Mozafari M. Exploring the experiences of living with infertility in menopausal women in Iran, a qualitative study. MOJ Womens Health 2017;5:00124.  Back to cited text no. 5
    




 

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