Document Type : Original Article


1 Department of Reproductive Health, Isfahan University of Medical Sciences,

2 Nursing and Midwifery Care Research Center, School of Nursing and Midwifery, Isfahan University of Medical Sciences

3 Department of Community and Preventive Medicine, Medicine Faculty, Medical Sciences University of Isfahan, Isfahan, Iran


BACKGROUND: Securing a healthy sexual relationship during middle‑agedness would cause new
needs and expectations in women, considering the special changes of this period. Therefore, the
present study was conducted to determine the sexual needs of middle‑aged women.
METHODS: The present study was a qualitative study with content analysis approach. Participants
were 15 middle‑aged women; their expectations and needs about sexual relationship were gathered
using in‑depth semi‑structured interviews. Data were analyzed using Graneheim and Lundman
inductive content analysis.
RESULTS: The main themes that were appeared in the present study included “the need
for information” with subcategories of “the need for information about physiologic changes”
and “information about psychological changes;” “the need for sympathy” with subcategories of “the
need for receiving appropriate feedback” and “appropriate space for expressing the emotions;”
“the need for changing social norms” with subcategories of “accepting middle‑agedness by the society”
and “the need for changing the concept of femininity;” and finally “the need for repairing the sexual
relationship” with subcategories of “solutions for solving sexual problems” and “paying attention to
the new aspects of sexual relationship.”
CONCLUSIONS: Results showed that middle‑aged women have various sexual needs and
expectations and paying attention to these needs and expectations could affect the improvement of
the sexual and mental health of middle‑aged women and their families.


1. Soares CN. Can depression be a menopause‑associated risk? BMC
Med 2010;8:79.
2. Hofmann B. Simplified models of the relationship between health
and disease. Theor Med Bioeth 2005;26:355‑77.
3. Ayranci U, Orsal O, Orsal O, Arslan G, Emeksiz DF. Menopause
status and attitudes in a Turkish midlife female population: An
epidemiological study. BMC Womens Health 2010;10:1.
4. Pereira B, Andrew G, Pednekar S, Pai R, Pelto P, Patel V, et al.
The explanatory models of depression in low income countries:
Listening to women in India. J Affect Disord 2007;102:209‑18.
5. Krajewska‑Ferishah K, Krajewska‑Kułak E, Terlikowski S,
Wiktor H, Van Damme‑Ostapowicz K, Chadzopulu A, et al.
Analysis of quality of life of women in menopause period
in Poland, Greece, Belarus and Belgium using MRS scale.
A multicenter study. Adv Med Sci 2010;55:191‑5.
6. Abedzadeh MT, Saberi F, Sadat Z. Quality of life and related
factors in menopausal women in Kashan city. Iran South Med J
7. Karaçam Z, Seker SE. Factors associated with menopausal
symptoms and their relationship with the quality of life among
Turkish women. Maturitas 2007;58:75‑82.
8. Obermeyer CM. Menopause across cultures: A review of the
evidence. Menopause 2000;7:184‑92.
9. Vares T. Reading the’sexy oldie’: Gender, age (ing) and
embodiment. Sexualities 2009;12:503‑24.
10. Ramezani Tehrani F, Farahmand M, Simbar M, Malek Afzali H.
Factors associated with sexual dysfunction; a population based
study in Iranian reproductive age women. Arch Iran Med
11. Hoseini Tabaghdehi M, Haji Kazemi E, Hoseini F. The relative
frequency of sexual dysfunction and some related factors in the
women referred to the health centers of Sari city. J Mazandaran
Univ Med Sci 2012;22:102‑7.
12. Speziale HS, Streubert HJ, Carpenter DR. Qualitative Research
in Nursing: Advancing the Humanistic Imperative. Philadelphia,
Pa. London: Lippincott Williams & Wilkins; 2011.
13. Graneheim UH, Lundman B. Qualitative content analysis in
nursing research: Concepts, procedures and measures to achieve
trustworthiness. Nurse Educ Today 2004;24:105‑12.
14. Polit DF, Beck CT. Nursing Research: Principles and Methods.
4th ed. J.B. Lippincott Company, Philadelphia, New York,
Hagestown. 2004.
15. Soules MR, Sherman S, Parrott E, Rebar R, Santoro N, Utian W,
et al. Executive summary: Stages of reproductive aging
workshop (STRAW) Park city, Utah, July, 2001. Menopause
16. Basson R. Are the complexities of women’s sexual function
reflected in the new consensus definitions of dysfunction? J Sex
Marital Ther 2001;27:105‑12.
17. Llaneza P, Fernández‑Iñarrea JM, Arnott B, García‑Portilla MP,
Chedraui P, Pérez‑López FR, et al. Sexual function assessment
in postmenopausal women with the 14‑item changes in sexual
functioning questionnaire. J Sex Med 2011;8:2144‑51.
18. Cuadros JL, Fernandez‑Alonso AM, Cuadros‑Celorrio AM,
Fernández‑Luzón N, Guadix‑Peinado MJ, del Cid‑Martín N, et al.
Perceived stress, insomnia and related factors in women around
the menopause. Maturitas 2012;72:367‑72.
19. Yousefzadeh S, Golmakani N, Nameni F. The comparison of sex
education with and without religious thoughts in sexual function
of married women. J Midwifery Reprod Health 2017;5:904.
20. Kim JS, Kang S. A study on body image, sexual quality of life,
depression, and quality of life in middle‑aged adults. Asian Nurs
Res (Korean Soc Nurs Sci) 2015;9:96‑103.
21. Valadares AL, Pinto‑Neto AM, de Souza MH, Osis MJ,
da Costa Paiva LH. The prevalence of the components of low
sexual function and associated factors in middle‑aged women.
J Sex Med 2011;8:2851‑8.
22. Burri A, Hilpert P, Spector T. Longitudinal evaluation of sexual
function in a cohort of pre‑ and postmenopausal women. J Sex
Med 2015;12:1427‑35.
23. Woloski‑Wruble AC, Oliel Y, Leefsma M, Hochner‑Celnikier D.
Sexual activities, sexual and life satisfaction, and successful aging
in women. J Sex Med 2010;7:2401‑10.
24. Valdez‑Hernandez V, Bojorquez L, de Lourdes Eguiluz Romo L,
de LourdesEguiluz B, Unikel C. “You have to be slim!” epiphanies:
Body image construction in middle‑aged women. Rev Mexicana
Trastornos Alimentarios 2017;8:63‑71.
25. Hvas L. Menopausal women’s positive experience of growing
older. Maturitas 2006;54:245‑51.
26. Wright LK. Affection and sexuality in the presence of Alzheimer’s
disease: A longitudinal study. Sex Disabil 1998;16:167‑79.
27. George SA. The menopause experience: A woman’s perspective.
J Obstet Gynecol Neonatal Nurs 2002;31:77‑85.
28. Aumer K. The influence of culture and gender on sexual
self‑schemas and satisfaction in romantic relationships. Sex
Relationship Ther 2014;29:280‑92.