title: Metabolic syndrome and sexual function in postmenopausal women.
abstract: OBJECTIVE
  The purpose of this study was to evaluate whether female sexual dysfunction (FSD) is associated with metabolic syndrome (MS) and to identify factors that contribute to FSD in postmenopausal women.
  
  
  METHODS
  This was a cross-sectional study in 111 sexually active women aged 45-65 years. We applied the Female Sexual Function Index (FSFI) to evaluate the participant's sexual function and a structured questionnaire to collect demographic, socioeconomic, clinical, anthropometric, and laboratory data.
  
  
  RESULTS
  The prevalences of MS and FSD were 68.5% and 70.3%, respectively. After logistic regression analysis, we identified the following variables associated with FSD: married status (prevalence ratio [PR] 1.69, 95% confidence interval [95% CI] 1.16-2.47, p < 0.01), 6-10 years elapsed since menopause (PR 1.60, 95% CI 1.22-2.09, p < 0.01), occurrence of climacteric symptoms (PR 1.01, 95% CI 1.00-1.02, p = 0.03), and history of sexual abuse (PR 1.40, 95% CI 1.12-1.73, p < 0.01).
  
  
  CONCLUSIONS
  We found a high prevalence of MS and FSD, but no association between both. Married status, time elapsed since menopause, climacteric symptoms, and history of sexual abuse emerged as factors associated with FSD on multivariate analysis.
authors.affiliation: Departamento de Endocrinologia, Ginecologia e Obstetrícia, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz (IFF/Fiocruz), Rio de Janeiro, RJ, Brasil.
authors.forename: Kathiussa
authors.initials: K
authors.lastname: Dombek
authors.affiliation: Departamento de Endocrinologia, Ginecologia e Obstetrícia, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz (IFF/Fiocruz), Rio de Janeiro, RJ, Brasil.
authors.forename: Emille Joana Medeiros
authors.initials: EJ
authors.lastname: Capistrano
authors.affiliation: Departamento de Estatística, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz (IFF/Fiocruz), Rio de Janeiro, RJ, Brasil.
authors.forename: Ana Carolina Carioca
authors.initials: AC
authors.lastname: Costa
authors.affiliation: Departamento de Endocrinologia, Ginecologia e Obstetrícia, Instituto Nacional de Saúde da Mulher, da Criança e do Adolescente Fernandes Figueira, Fundação Oswaldo Cruz (IFF/Fiocruz), Rio de Janeiro, RJ, Brasil.
authors.forename: Lizanka Paola Figueiredo
authors.initials: LP
authors.lastname: Marinheiro
mesh_terms: D000368:Aged; D002979:Climacteric / Q000502:physiology; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D017533:Marital Status / Q000706:statistics & numerical data; D024821:Metabolic Syndrome / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D008875:Middle Aged; D017698:Postmenopause / Q000502:physiology* / Q000523:psychology; D015995:Prevalence; D012742:Sex Offenses / Q000523:psychology / Q000706:statistics & numerical data; D012735:Sexual Dysfunction, Physiological / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D011795:Surveys and Questionnaires; D013997:Time Factors