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• W2971396605 abstract "Sleep disorders can have a major impact on women’s general health, including on sexual function. Women are most likely to experience sleep problems during pregnancy and menopause, but they are also a common symptom of the menstrual cycle. Although there have been many studies on the effects of hormonal changes, particularly during menopause, on sleep and sexual function, the influence of sleep as an independent factor has not been extensively investigated. Moreover, there have been few studies on the impact of sleep on the sexual function of young women. This is an important research gap, because individuals with untreated sleep disorders in their youth can develop a chronic condition that can worsen over time, and, in some cases, this can also occur alongside sexual dysfunction. In a cross-sectional study conducted by our group, involving 1,101 adult women (age ≥40) living in São Paulo, Brazil, 44.8% reported subjective insomnia symptoms, and 32% had objective insomnia according to polysomnographic data.1 Insomnia is the most prevalent sleep disorder in women and often occurs in periods associated with significant hormonal changes such as puberty, pregnancy, and menopause.1 Insomnia can have a direct effect on affected individuals, causing daytime sleepiness, irritability, and decreased attention and memory.2 Sleep disorders can be a risk factor for sexual dysfunction.3 Hormonal fluctuations that occur during women’s lives, along with the ensuing mood and sleep disorders, can have an important impact on their desire and sexual response. Female sexual function, like sleep, is a very complex behavior and can be influenced by several factors across women’s lifespans.4 During pregnancy, women may experience a decrease in all phases of the sexual response cycle (desire, arousal and orgasm), along with pain during intercourse and a decrease in sexual satisfaction, especially with advancing gestational age.5 During this period, and especially in the third trimester of pregnancy, the quality of sleep also worsens, and this may exacerbate the perception of pain.6,7 With regard to the menopausal period, decreasing hormonal levels often lead to vasomotor and psychological symptoms that affect normal sleep.2 Low estrogen levels can also have a direct effect on female sexual function, reducing lubrication, vaginal contractions, and sexual desire, and causing genital atrophy that can lead to pain during penetration.3,4" @default.
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• W2971396605 date "2019-09-01" @default.
• W2971396605 modified "2023-10-01" @default.
• W2971396605 title "The Important Role of Sleep in Female Sexual Function" @default.
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• W2971396605 doi "https://doi.org/10.1016/j.jsxm.2019.06.005" @default.
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