title: Libido and orgasm in middle-aged woman.
abstract: OBJECTIVE
  Determine which social, demographic and sexual function variables that most influence libido or desire and orgasm domains in the premenopausal and postmenopausal women.
  
  
  METHODS
  A cross-sectional analysis of 231 Colombian-born women, aged 40-62 years. The sexual function was measured by self-questionnaire. The analysis was performed by using the chi2-test and multivariate regression analysis. The sexual function was divided in five domains: desire, arousal, lubrication, orgasm, pain; additionally satisfaction was included.
  
  
  RESULTS
  The women with a higher level of education and with a good perception of their satisfaction with their partners, reported better performance in the desire. Age and the non existence of sexual partner influenced in a negative way on the desire. In sexual active women the orgasm was negatively influenced by low satisfaction scores, lack of emotional closeness with their partners and low educational level. High scores in lubrication and desire were associated with a good performance in the orgasm. The hormone therapy (HT) was associated with better scores in orgasm.
  
  
  CONCLUSIONS
  Age, level of education, the presence or lack of sexual partner, degree of satisfaction with emotional closeness with the partner and adequate lubrication, influence the desire and orgasm domains in a significant way. By identifying these associations we can then perform some inexpensive interventions. Improving lubrication for menopausal women. Including men in educational activities to sensitize them toward women's feelings. Organizing educational campaigns for middle-aged women to demystify that sexuality is only for young people.
authors.affiliation: Center for Women's health, PROFAMILIA, Menopause Service, Cali. Colombia. magonzz40@hotmail.com
authors.forename: Marcela
authors.initials: M
authors.lastname: González
authors.forename: Gloria
authors.initials: G
authors.lastname: Viáfara
authors.forename: Fresia
authors.initials: F
authors.lastname: Caba
authors.forename: Temistocles
authors.initials: T
authors.lastname: Molina
authors.forename: Carlos
authors.initials: C
authors.lastname: Ortiz
mesh_terms: D000328:Adult; D000367:Age Factors; D016009:Chi-Square Distribution; D003105:Colombia; D003430:Cross-Sectional Studies; D004522:Educational Status; D015914:Estrogen Replacement Therapy; D005260:Female; D006801:Humans; D007989:Libido / Q000187:drug effects / Q000502:physiology*; D008593:Menopause / Q000187:drug effects / Q000502:physiology / Q000523:psychology; D008875:Middle Aged; D009948:Orgasm / Q000187:drug effects / Q000502:physiology*; D012044:Regression Analysis; D012736:Sex Education / Q000379:methods; D012725:Sexual Behavior / Q000187:drug effects / Q000502:physiology* / Q000523:psychology; D012747:Sexual Partners; D011795:Surveys and Questionnaires