title: Feelings of unattractiveness in peri- and postmenopausal women are associated with depressed mood, poor memory and unsatisfactory sexual relationships.
abstract: OBJECTIVE
  This study aimed to investigate the prevalence of, and risk factors associated with, the feeling of unattractiveness in peri- and postmenopausal women.
  
  
  METHODS
  The records of 351 women aged 40-76 who enrolled in a health and nutrition education program at a menopause clinic were analyzed in a cross-sectional manner. Perceptions of unattractiveness were estimated according to responses for the item 'feeling less attractive than before' on the Menopausal Health-Related Quality of Life Questionnaire. Age, menopausal status, body composition, cardiovascular parameters, physical fitness, and genitourinary, physical, and psychological symptoms of menopause were assessed for associations with feeling unattractive.
  
  
  RESULTS
  The percentage of women who felt they were less attractive than before for more than half of the previous week was 33.6%. Multivariate logistic regression analysis revealed that independent risk factors for feeling unattractive included depression (adjusted odds ratio (OR) 1.35; 95% confidence interval (CI) 1.24-1.47), dissatisfaction with sexual relationship (adjusted OR 1.74; 95% CI 1.21-2.57), and poor memory (adjusted OR 1.89; 95% CI 1.46-2.49).
  
  
  CONCLUSIONS
  Feelings of unattractiveness are highly prevalent in peri- and postmenopausal women. Such feelings are associated with depressed moods, poor memory, and unsatisfactory sexual relationships, rather than with age or body composition.
authors.affiliation: a Department of Women's Health , Tokyo Medical and Dental University , Tokyo , Japan.
authors.forename: M
authors.initials: M
authors.lastname: Terauchi
authors.affiliation: a Department of Women's Health , Tokyo Medical and Dental University , Tokyo , Japan.|b Department of Obstetrics and Gynecology , Tokyo Medical and Dental University , Tokyo , Japan.
authors.forename: A
authors.initials: A
authors.lastname: Hirose
authors.affiliation: b Department of Obstetrics and Gynecology , Tokyo Medical and Dental University , Tokyo , Japan.
authors.forename: M
authors.initials: M
authors.lastname: Akiyoshi
authors.affiliation: b Department of Obstetrics and Gynecology , Tokyo Medical and Dental University , Tokyo , Japan.
authors.forename: K
authors.initials: K
authors.lastname: Kato
authors.affiliation: b Department of Obstetrics and Gynecology , Tokyo Medical and Dental University , Tokyo , Japan.
authors.forename: N
authors.initials: N
authors.lastname: Miyasaka
mesh_terms: D000328:Adult; D000368:Aged; D060825:Cognitive Dysfunction / Q000453:epidemiology / Q000523:psychology; D003430:Cross-Sectional Studies; D003866:Depressive Disorder / Q000453:epidemiology / Q000523:psychology*; D005260:Female; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008569:Memory Disorders / Q000453:epidemiology / Q000523:psychology*; D008875:Middle Aged; D047648:Perimenopause / Q000523:psychology*; D017698:Postmenopause / Q000523:psychology*; D015995:Prevalence; D011788:Quality of Life; D012307:Risk Factors; D012735:Sexual Dysfunction, Physiological / Q000453:epidemiology / Q000523:psychology*; D011795:Surveys and Questionnaires
keywords: Self-esteem; cognitive dysfunction; cognitive impairment; depression; self-concept; sexual dissatisfaction; sexual dysfunction