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The effect of a midwife-based counseling education program on sexual function in postmenopausal women

a randomized controlled clinical trial

Naeij, Ehtram, MSc1; Khani, Soghra, PhD2,3; Firouzi, Armin, MSc4; Moosazadeh, Mahmood, PhD5; Mohammadzadeh, Farnaz, MSc6

doi: 10.1097/GME.0000000000001270
Original Articles
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Objective: The present study was conducted to investigate the effect of a midwife-based counseling education program on sexual function in postmenopausal women.

Methods: A randomized clinical trial was conducted on 52 eligible postmenopausal women. Participants’ sexual function was assessed using the Female Sexual Function Index (FSFI). The women were randomly allocated into two groups: (1) the intervention group, in which the participants received a midwife-based counseling education program in 4 sessions held at 10-day intervals, with each session lasting for 70 minutes; (2) the control group, in which the participants only received routine care. Data were collected 1 week before the start of the sessions, 2 weeks after the end of the sessions, and 2 months after the last follow-up.

Results: No statistically significant differences were reported between the groups in terms of personal and sociodemographic characteristics and sexual function before the intervention; the total FSFI score was 17.05 (±4.54) in the intervention group and 16.66 (±3.62) in the control group. After the program, in the first and second follow-ups, the scores reached 27.18 (±4.61) and 28.20 (±4.43) in the intervention group and 16.06 (±3.94) and 16.32 (±2.98) in the control group. Significant improvements were observed in the total score of sexual function and all the FSFI domains in the intervention group, but not in the control group (P < 0.001).

Conclusion: Midwife-based counseling education can be an appropriate approach to improving sexual function in postmenopausal women.

1Student Research Committee, Nasibeh Nursing and Midwifery Faculty, Mazandaran University of Medical Science, Sari, Iran

2Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran

3Diabetes Research Center, Nasibeh Nursing and Midwifery Faculty, Mazandaran University of Medical Sciences, Sari, Iran

4Member of Sexual and Reproductive Health Research Center, Mazandaran University of Medical Sciences, Sari, Iran

5Health Sciences Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran

6Department of Reproductive Health, Student Research Committee, School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Address correspondence to: Soghra Khani, PhD, Sexual and Reproductive Health Research Center, Nasibeh Nursing and Midwifery School, Vesal Street, Amir Mazandarani Boulvard, Sari, Mazandaran Province, Iran. E-mail: s.khani@mazums.ac.ir; khanisog343gmail.com

Received 5 July, 2018

Revised 9 October, 2018

Accepted 9 October, 2018

Funding/supoort: This study was part of a Master's thesis in Midwifery Counseling. The research project was funded by Mazandaran University of Medical Sciences in Sari, Iran.

Financial disclosure/conflicts of interest: None reported.

© 2019 by The North American Menopause Society.