Association of sleep disturbance and sexual function in postmenopausal women

Juliana M. Kling, Jo Ann E Manson, Michelle J. Naughton, M’hamed Temkit, Shannon D. Sullivan, Emily W. Gower, Lauren Hale, Julie C. Weitlauf, Sara Nowakowski, Carolyn J. Crandall

Research output: Contribution to journalArticle

18 Citations (Scopus)

Abstract

OBJECTIVE:: Sleep disturbance and sexual dysfunction are common in menopause; however, the nature of their association is unclear. The present study aimed to determine whether sleep characteristics were associated with sexual activity and sexual satisfaction. METHODS:: Sexual function in the last year and sleep characteristics (past 4 wk) were assessed by self-report at baseline for 93,668 women age 50 to 79 years enrolled in the Womenʼs Health Initiative (WHI) Observational Study (OS). Insomnia was measured using the validated WHI Insomnia Rating Scale. Sleep-disordered breathing (SDB) risk was assessed using questions adapted from the Berlin Questionnaire. Using multivariate logistic regression, we examined cross-sectional associations between sleep measures and two indicators of sexual function: partnered sexual activity and sexual satisfaction within the last year. RESULTS:: Fifty-six percent overall reported being somewhat or very satisfied with their current sexual activity, and 52% reported partnered sexual activity within the last year. Insomnia prevalence was 31%. After multivariable adjustment, higher insomnia scores were associated with lower odds of sexual satisfaction (yes/no) (odds ratio [OR] 0.92, 95% CI, 0.87-0.96). Short sleep duration (<7-8?h) was associated with lower odds of partnered sexual activity (yes/no) (≤5?h, OR 0.88, 95% CI, 0.80-0.96) and less sexual satisfaction (≤5?h, OR 0.88, 95% CI, 0.81-0.95). CONCLUSIONS:: Shorter sleep durations and higher insomnia scores were associated with decreased sexual function, even after adjustment for potential confounders, suggesting the importance of sufficient, high-quality sleep for sexual function. Longitudinal investigation of sleep and its impact on sexual function postmenopause will clarify this relationship.

Original languageEnglish (US)
JournalMenopause
DOIs
StateAccepted/In press - Jan 30 2017

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Sleep
Sleep Initiation and Maintenance Disorders
Orgasm
Sexual Behavior
Odds Ratio
Women's Health
Postmenopause
Social Adjustment
Sleep Apnea Syndromes
Berlin
Menopause
Self Report
Observational Studies
Logistic Models

ASJC Scopus subject areas

  • Obstetrics and Gynecology

Cite this

Kling, J. M., Manson, J. A. E., Naughton, M. J., Temkit, M., Sullivan, S. D., Gower, E. W., ... Crandall, C. J. (Accepted/In press). Association of sleep disturbance and sexual function in postmenopausal women. Menopause. https://doi.org/10.1097/GME.0000000000000824

Association of sleep disturbance and sexual function in postmenopausal women. / Kling, Juliana M.; Manson, Jo Ann E; Naughton, Michelle J.; Temkit, M’hamed; Sullivan, Shannon D.; Gower, Emily W.; Hale, Lauren; Weitlauf, Julie C.; Nowakowski, Sara; Crandall, Carolyn J.

In: Menopause, 30.01.2017.

Research output: Contribution to journalArticle

Kling, JM, Manson, JAE, Naughton, MJ, Temkit, M, Sullivan, SD, Gower, EW, Hale, L, Weitlauf, JC, Nowakowski, S & Crandall, CJ 2017, 'Association of sleep disturbance and sexual function in postmenopausal women', Menopause. https://doi.org/10.1097/GME.0000000000000824
Kling JM, Manson JAE, Naughton MJ, Temkit M, Sullivan SD, Gower EW et al. Association of sleep disturbance and sexual function in postmenopausal women. Menopause. 2017 Jan 30. https://doi.org/10.1097/GME.0000000000000824
Kling, Juliana M. ; Manson, Jo Ann E ; Naughton, Michelle J. ; Temkit, M’hamed ; Sullivan, Shannon D. ; Gower, Emily W. ; Hale, Lauren ; Weitlauf, Julie C. ; Nowakowski, Sara ; Crandall, Carolyn J. / Association of sleep disturbance and sexual function in postmenopausal women. In: Menopause. 2017.
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