Journal of Reproduction & Infertility

Journal of Reproduction & Infertility

Sexual Satisfaction in Fertile and Infertile Women Attending State Clinics in Mashad

Authors
Shahla Nourani 1
Elham Jonaidy 1
Mohammad Taghi Shakeri 2
Naghmeh Mokhber 3
1 Department of Midwifery, Faculty of Nursing and Midwifery, Mashad University of Medical Sciences, Mashad, Iran
2 Department of Biostatistics, Faculty of Medicine, Mashad University of Medical Sciences, Mashad, Iran
3 Department of Psychiatry, Faculty of Medicine, Mashad University of Medical Sciences, Mashad, Iran
Abstract
Introduction: Marital satisfaction is correlated with mental health, general happiness, professional achievements and successful social interactions. It seems that sexual satisfaction is one of the necessities for a healthy and sustainable marital relationship. Some studies have revealed that sexual dissatisfaction is the underlying cause of nearly 80% of marital conflicts, while, some other studies have suggested infertility as one of the key factors affecting sexual satisfaction. This study was undertaken to compare marital and sexual satisfaction in fertile and infertile women.Materials & Methods: In this cross-sectional analytical study carried out during 2007, one hundred fertile women attending the family planning units of Mashad Urban Health Centers, and one hundred infertile women, attending Montaserieh Infertility Center were chosen by quota sampling. The participants were 22-45 years old and had no extramarital relationships. The fertile women used a contraceptive method but the infertile ones had been unable to conceive a child after a year of regular and unprotected intercourse. The subjects who were willing to participate in the study were asked to complete two sexual satisfaction and general health questionnaires (GHQ28).Results: There were no significant statistical differences between the fertile or the infertile women regarding the demographic data and the general health status of the participants. Sexual satisfaction was not significantly different between the fertile and infertile groups and both showed average degrees of sexual satisfaction (59.66±12.23 and 61.65±11.62, respectively; p=0.24).Conclusion: Average sexual satisfaction was noted in both fertile and infertile individuals, which depicts the inadequate sexual knowledge of the subjects and insufficient provision of pre- and post-marriage consultations. Holding educational sessions and providing consultations on subjects related to sexual satisfaction is suggested to increase the feeling in couples.
Keywords
Infertility
Marital conflict
Marital Relationship
Sexual Disorders
sexual health
sexual satisfaction
Salehy Fadardy J. [The development and validation of marital satisfaction questionnaire on a sample of students of ferdowsi university]. Psychother Novelties. 1999;4(13,14):84-108. Persian.
Jonaidy E, Noorani Sadodin SH, Mokhber N, Shakeri MT. [Comparing the marital satisfaction in infertile and fertile women referred to the public clinics in Mashhad]. Iran J Obstet Gynecol Infertil. 2009;12(1):7-16. Persian.
Ahmadi Kh , Azad Marzabady E, Molla Zamany A. [The study of marital adjustment in Islamic revo-lutionary guard corps(Sepah) staff ]. J Mi Med. 2005;7(7):141-52. Persian.
Kariman N, Tarverdi M, Azar M, Alavi Madjd H. [Evaluating the effects of colporrhaphy on the sexual satisfaction of women]. J Reprod Infertil. 2005;6(3): 254-60. Persian.
Jahanfar SH, Molaeenezhad M. [Text book of sexual disorders]. 1th ed. Tehran: Salemi & bizhe publication; 2002. 253 p. Persian.
Besharat MB. [Sexual psychogenesis and psycho-therapy: sexual problems, classification, etiology and treatment]. Psyhotherapical Novelties. 1999; 3(9&10):2-29. Persian.
Hosseini M. [Effect of sex education on couple sexual and marital satisfaction] [dissertation]. [Mashhad]: Mashhad University of Medical Sciences; 2003. 114 p. Persian.
Brezsnyak M, Wisman MA. [Sexual desire and relationship functioning: the effects of marital satisfaction and power]. Sex Marital ther. 2004; 30(3):199-217.
Bayrami R, Sattarzadeh N, Ranjbar Kouchaksarei F, Pezeshki MZ. [Sexual dysfunction in couples and its related factors during pregnancy]. J Reprod Infertil. 2008;9(3):271-82. Persian.
Guo B, Huang J. Marital and sexual satisfaction in Chinese families: exploring the moderating effects. J Sex Marital Ther. 2005;31(1):21-9.
Farahani MN. [Psychological aspects of coping and adjustment of infertility and role of psychologist]. J Reprod Infertil. 2001;2(4):52-9. Persian.
Tarlatzis I, Tarlatzis BC, Diakogiannis I, Bontis J, Lagos S, Gavriilidou D, et al. Psychosocial impacts of infertility on Greek couples. Hum Reprod. 1993; 8(3): 396-401.
Mazaheri MA, Kayghobadi F, Faghihi Imani Z, Ghashang N, Pato M. [Problem solving strategies and marital adjustment in infertile and fertile couples]. J Reprod Infertil. 2001;2(4):22-32. Persian.
Mollaiy nezhad M, Jaaferpour M, Jahanfar SH, Jamshidi R. [Infertility related stress and marital life in Iranian infertile women who referred to Isfahan infertility treatment clinic]. J Reprod Infertil. 2001;2(1):26-39. Persian.
Mohammadi MR, Khalaj Abadi Farahani F. [Emotional and psychological problems of infer-tility and strategies to overcome them]. J Reprod Infertil. 2001;2(4):33-9. Persian.
Novak E, Berek J, Hillard P, Adashi E. Novak's Gynecology. 13th ed. London: Lippincott Williams & Wilkins; 2002. 1432 p.
Bahrami N, Sattarzadeh N, Ranjbar Koochaksariie F, Ghojazadeh M. [Comparing depression and sexual satisfaction in fertile and infertile couples]. J Reprod Infertil. 2007;8(1):52-9. Persian.
Vahidi S, Ardalan A, Mohammad K. [The epidemiology of primary infertility in the Islamic Republic of Iran in 2004-5]. J Reprod Infertil. 2006;7(3):253-51. Persian.
Younesi J, Salagegheh A. [Body image in fertile and infertile women]. J Reprod Infertil. 2001;2(4): 14-21. Persian.
Danforth D, Scott J. Danforth's Obstetrics and Gynecology. 9th ed. London: Lippincott Williams & Wilkins; 2003. 1155 p.
Xu L, Ke HX, He FF. [Psychological aspects of infertile couples in China]. Zhonghua Fu Chan Ke Za Zhi. 1994;29(4):232-4, 254-5. Chinese.
Kormi Nouri R, Akhondi MM, Behjati Ardakani Z. [Psychosocial aspects of infertility from viewpoint of infertility treating physicians]. J Reprod Infertil. 2001;2(3):13-26. Persian.
Sargolzaee MR, Moharreri F, Arshadi HR, Javadi K, Karimi S, Fayyazi bordbar MR. [Psychosexual and depression disorders in infertile female referring to Mashhad infertility treatment center]. J Reprod Infertil. 2001;2(4):46-51. Persian.
Najmi BD, Ahmadi SM, Ghassemi G. [Psycho-logical characteristics of infertile couples referring to Isfahan Fertility and Infertility Center (IFIC)]. J Reprod Infertil. 2001;2(4):40-5. Persian.
Litzinger S, Gordon KC. Exploring relationships among communication, sexual satisfaction and marital satisfaction. J Sex Marital Ther. 2005; 31(5):409-25.
Kormi nouri R. [Psycho-social aspect of Infertility]. J Reprod Infertil. 2000;1(2):57-68. Persian.
Leiblum SR, Aviv A, Hamer R. Life after infertility treatment: a long-term investigation of marital and sexual function. Hum Reprod. 1998; 13(12):3569-74.
Besharat MA. [The contribution of couple’s attach-ment style to the adjustment to infertility]. J Reprod Infertil. 2000;2(1):17-25. Persian.
Heidari P, Latifnejad R, Sahebi A, Jahaniyan M, Mazloum SR. [Impact of cognitive behaviour therapy on anxiety level of primary infertile women undergoing IUI]. J Reprod Infertil. 2002; 3(3):40-51. Persian.
Monga M, Alexandrescu B, Katz SE, Stein M, Ganiats T. Impact of infertility on quality of life, marital adjustment and sexual function. Urology. 2004;63(1): 126-30.
Andrews FM, Abbey A, Halman LJ. Stress from infertility, marriage factors and subjective well-being of wives and husbands. J Health Soc Behav. 1991;32(3):238-53.
Andrews FM, Abbey A, Halman LJ. Stress from infertility, marriage factors and subjective well-being of wives and husbands. J Health Soc Behav. 1991;32(3):238-53.
Norten JE, Schilling EA, Couchman GM. Sexual satisfaction and functioning in patients seeking infertility treatment. Fertil Steril. 2001;76(3):28-32.
Lee TY, Sun GH. Psychosocial response of Chinese infertile husbands and wives. Arch Androl. 2000;45(3):143-8.
Hirsch AM, Hirsch SM. The long-term psychosocial effects of infertility. J Obstet Gynecol Neonatal Nurs. 1995;25(6):517-22.
Burns LH, Covington SN. Infertility counseling: a comprehensive handbook for clinicians.1st ed. London: Informa Health Care; 2000. 648 p.
Lökös M, Tóth M, Czeizel E. [Sexual activity of infertile couples]. Orv Hetil. 1996;137(35):1929-34. Hungarian.
Rafiee F. [Assesment of the effect of aerobic group exercise program on psychological well-being in primigravidae] [dissertation]. [Mashhad]: Mashhad University of Medical Sciences; 2003. 117 p. Persian.
Shakeri J, Hossieni M, Golshani S, Sadeghi Kh, Fizollahy V. [Assessment of general health, stress coping and marital satisfaction in infertile women undergoing IVF treatment]. J Reprod Infertil. 2006; 7(3):269-75. Persian.
Khosh Nasab SH. [Effect of sexual satisfaction-ation on marital satisfaction] [dissertation]. [Mash-had]: Ferdowsi University of Mashhad; 1998. 132 p. Persian.
Bolourian Z, Ganjloo J. [Evaluating sexual dys-function and some related factors in women attending Sabzevar health care centers]. J Reprod Infertil. 2007;8(2):163-70. Persian.
Repokari L, Punamäki RL, Unkila-Kallio L, Vilska S, Poikkeus P, Sinkkonen J, et al. Infertility treatment and marital relationships: a 1-year prospective study among successfully treated ART couples and their controls. Hum Reprod. 2007;22(5):1481-91.
Journal of Reproduction & Infertility
Volume 10, Issue 4
Winter 2010
Pages 269-277