Assessment of female sexual health in Kazakhstan
1: Scientific Center of Urology named after B.U.Dzharbussynov, Kazakhstan
Objective of the study was to learn the main aspects of the sexual health of women and their attitude to erectile dysfunction in the partner.
Material and methods. Women from all regions of the Republic of Kazakhstan aged from 15 to 81 were questioned. The questionnaire contained 12 questions about the main aspects of the sexual life of women and their partners. ANOVA, Bonferroni test and Student’s t-test were used for statistical processing of data.
Results. In total, 12400 questionnaires were collected, after processing because of missing data, there were 11649 left. Mean age was 36,2±9,3 years. 98,3% were sexually active: 62,6% had regular sex with constant partner. The analysis showed that the percentage of women with regular sex life decreased significantly with age (p<0.0001). 50,5% of women noted that they have sex only 1 time per month or from time to time. Daily sex was in 17.9%. ANOVA's variance analysis revealed a statistically significant relationship between the frequency of sex with the age of the women (p = 0.0000). 61.3% of women feel excited during sex. Only 13.7% of women rarely or never felt sexually aroused. The ANOVA variance analysis revealed a statistically significant relationship between frequency excitation during sex with the age of the women (p = 0.0000). On the question of how often they reach orgasm, only 50.4% answered “always” or “usually”. 7% answered that they never had reached the orgasm. 44,3% of women said that they never noted signs of erectile dysfunction (ED) at their partner, a constant ED in the partner was noted by 11.4% of women. The main reasons of absence of sexual life in women were absence of partner (8.5%), low libido (7.2%), chronic disease (4.7%), ED of partner (4.2%), low libido in partners (4.4%).
Conclusion. Thus, the study of the problem of ED in men must necessarily include the study of the female factor. A men with ED, who do not admit a problem, are detached from the women, consciously avoids sexual contact, or do not pay attention to problems with erection. This can result in a sexual dissatisfaction of a women and a decrease the quality of a partner's life together. In addition, ED is an important marker of cardiovascular disorders, which requires early diagnostics for effective treatment. Prophylaxis of ED should necessarily include informing both men and women about the symptoms and consequences of the disease.
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