الفهرس 
Anatomy and physiology of female reproductive organOnly 14 pages are availabe for public view
 |  | from | 171 |  |  |
| | | from | 171 | | |
Abstract
Sexuality is an important part of health, quality of life and general
well being (Basson, 2000). Sexual dysfunction impacts significantly on a
women’s self-esteem and quality of life and causes emotional distress,
leading to relationship problems (Ajlouni, 2007). Previous studies
showed that the prevalence rates of sexual dysfunction among all women
ranged between 25% and 63% (Elnashar et al., 2007(. In
postmenopausal women, the prevalence of sexual dysfunction varied
from 68% to 86.5 %. )Enzlin & Mathieu, 2002) Relatively little research
has focused on the social risk factors that are associated with sexual
dysfunction and the sexual attitudes of women. Islam is a religion that esteems women and places importance on
the marital relationship and foreplay in achieving satisfaction. Aspects
like preparation for coitus and proper knowledge about marital
relationships before getting married are integral parts of Islamic behavior.
Data on sexual behavior and sexuality among women in Islamic countries
are sparse. This study aimed to address most common type of sexual
dysfunction among women, Determine various factor associated with
sexual dysfunction and Provide nursing intervention in form of
educational cards for women with female sexual disorder. Sexual dysfunction or sexual malfunction is defined as difficulty
experienced by an individual or a couple during any stage of a
normal sexual activity, including physical pleasure, desire, preference,
arousal or orgasm. Sexual dysfunctions can have a profound impact on
quality of life and interpersonal relationships. Retrospective descriptive design was utilized to determine
various factors associated with current Female sexual dysfunction with use Female sexual function index to identify the different types of female sexual dysfunction and return evaluation one month after intervention to measure effect of that intervention. Convenience sample were used of most readily available married women with complain of any of sexual disorders whom attend and present to the setting of interest by non random choice. The study conducted at three sitting central Talla hospital at the obstetric and gynecological outpatient clinics, Maternal and child health center at Tall city and Maternal and child health center at village of Zawyt bemam. The total sample 600. Tow hundred participants from each setting, the study started from 7/01/2012 until 07/01/2013 four months at each setting. Female sexual functions are complex behaviors associated with various bio psychosocial factors. In the present study, the socio demographic data ,medical history of women and her husband ,obstetric and surgical history of the women and social aspect of women all are factors potentially affecting female sexual functions and dysfunctions were studied in a population based sample . The key findings of the present study were: 1. The prevalence rates of female sexual dysfunctions according to the FSFI for women 39.5% of the women were classified having desire dysfunction, 30.2% arousal dysfunction, 4% lubrication dysfunction 31% orgasm dysfunction, 31.7% sexual satisfaction dysfunction and finally 12% pain dysfunction as cleared in table 7 in the Result section . Thus, the woman suffering from one sexual dysfunction is likely to suffer from another as the percent of women suffer from combined sexual disorder are 18.2% as showed in table 8 in the Result section. 2. Many of the bio psychosocial factors included in this study were significantly associated with sexual dysfunctions: I: The sociodemographic characteristic of study population show that there was statistical significant difference between different subtypes of sexual dysfunction regarding educational level, occupation, BMI and genital mutilation as presented in table 9 in the result section. II: The medical history of study population show that there was statistical significant difference between different subtypes of sexual dysfunction regarding hypertension, diabetes mellitus, lower urinary tract infection, psychological stressor, family planning pills and antidepressant drugs as presented in table 10 in the result section. III: The surgical history of study population show that there was statistical significant difference between different subtypes of sexual dysfunction regarding gynecological and pelvic operation as presented in table 11 in the result section. IV: The obstetric history of study population show that there was statistical significant difference between different subtypes of sexual dysfunction regarding menstruation, pain during menstruation, type of delivery, date of last delivery, contraceptive methods and abnormal vaginal discharge as presented in table 12 in the result section. V: The medical history of husband of study population show that there was statistical significant difference between different subtypes of sexual dysfunction regarding suffering of husband from chronic disease as depression, liver cirrhosis, diabetes, hypertension, disc and asthmatic chest and suffering of husband from sexual disease as premature ejaculation, abstaining of sex, HSDD and poor husband performance and technique as presented in table 13 in the result section. VI: social aspects of women in studied group as factors that affecting female sexual function show that there was statistical significant difference between different subtypes of sexual dysfunction regarding some social aspect of women as women selection the most important person for her, husband marriage to another women, lake of hot water ,lake of privacy, presence of kids and their staying awake late at night ,lake of information about marital life prior to getting married, traditional marriage and who it to, women weight at marriage and the increase of weight after then, women preference to keep her self neat on daily basis while at home, women preference to keep her self neat if her husband tell her that he is coming home, women preference to keep her self neat if she going out for women meeting, women preference to keep her self neat if she had desire for sex ,women preference to keep her self neat if she fell that her husband want sex, women consider the friday night special day and her preparation for that, time of husband nicest, women ability to ask her husband for special excitement and special position during sex, husband kiss of his wife and time of that as presented in table 14 in the result section. VII: The mean of demographic and obstetric factors of women in studied group show that there was statistical significant difference between different subtypes of sexual dysfunction regarding the mean of Age at
marriage, weight, height, BMI, No of children, Gravidity, parity, No of abortions and Space between last 2 pregnancies as presented in table 15 in the result section. 3- sexual disorder among womans one month after nursing intervention: desire disorder was prevalent in 16% , arousal disorder in 16.5%, lubrication disorder in 3.9%, orgasm disorder in 11.2%, poor satisfaction in 10.7% and pain disorder in 5.6% which reflect that the six femal sexual dysfunction decreased after nursing intervention by the following rate(23.5%- 13.7%- .1%- 18.8%- 21%- 6.4% respectivily on desire, arousal, lubrication, orgasm, satisfaction and pain disorder )