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Metrics details. This is particularly crucial for middle-aged women who frequently experience hormonal and psychosocial changes that may affect their sexual life. Women were recruited purposefully from clinical and non-clinical settings to get maximum sampling variation that provided rich information and deep understanding of the subject. Recordings were transcribed verbatim and analysed about the framework analysis.
Many strategies were adopted to ensure rigour. Once married, many women had very challenging sexual experiences. It emphasises the multidimensional nature of female sexual difficulties, particularly the gender-based norms that inhibit their sexual selves and profoundly affect their sexual wellbeing and capacity to claim their sexual likes and dislikes. Findings have implications on research and practice to help women prevent and overcome their sexual difficulties.
Peer Review reports. Satisfying sexual experiences throughout the life course and the perception of living a good quality of life and experiencing general wellbeing are associated [ 12 ]. However, with increasing age, sexual functioning and satisfaction may also change [ 3 ].
For women, the transition to menopause constitutes a ificant physical and psychosocial Women wants sex Arlington Illinois at middle-age. From a biomedical perspective, the literature abounds with epidemiological studies about different forms of female sexual disorders affecting women across cultures and age groups [ 456 ] in both developed and developing countries [ 789 ].
Sexual problems increase three folds in the climacteric [ 10 ] and are 2. A systematic review of quantitative studies from 41 countries identified a multitude of factors that predict female sexual problems, confirming their multidimensional nature [ 13 ]. The review revealed some protective factors such as having an intimate relationship and communication, getting married at an older age, being sexually educated and having a favourable body image.
Women scored less than men in their sexual wellbeing [ 815 ]. But whether and how these changes affect women depends mainly on the way they are perceived [ 18 ]. For instance, it is not certain that menopausal changes inexorably affect sexual desire. With ageing, many women report better sexual functioning [ 1920 ], an increased frequency of orgasm during intercourse and the of those who claimed never having had an orgasm decreased [ 212223 ]. A study by Berra and colleagues [ 24 ] also revealed that menopausal women For some women, a low sexual desire did not cause distress in the menopausal transition and did not threaten their relationship with the partner [ 25 ].
Moreover, anxiety during sex declined with ageing [ 16 ]. However, other women reported negative impacts of menopause on their interpersonal relationships, marital intimacy, satisfaction and stability that may lead to divorce [ 2526 ]. Female sexual dysfunction as described by the Diagnostic and Statistical Manual of Mental Disorders [ 2829 ], has is associated with debate and lack of consensus regarding the conceptualisation of this construct. Additionally, epidemiological studies have faced several methodological limitations [ 3031 ].
The samples are mostly drawn from clinical settings and do not consider the general population and women of different age groups. But, few of them have focused on sexual difficulties of the middle-aged women. Studies conducted in the middle-East with different samples of women reported one or more sexual problems with a prevalence rate ranging between 26 and Yet, there is a positive association with age [ 6 ]. Data generated from these epidemiological studies are indispensable to inform practice and offer appropriate services.
Women wants sex Arlington Illinois the Middle-East and Lebanon in particular, very little research has been conducted to understand sexual life from the perspective of women. As reported by Maaita and colleagues [ 36 ], in Arabic societies, talking about sexual disorders is very sensitive and may lead to inaccurate and non-comprehensive. In Lebanese culture, sexuality and sexual concerns are still taboo subjects, especially for the middle-aged and older generation.
At this age, there is still a tendency to position women as asexual. Sexual difficulties are neither discussed publicly nor privately. Healthcare providers seldom discuss the subject with their patients. Like men, women rarely seek help for sexual difficulties, probably because they are unaware of the nature of their problems or simply feel ashamed.
Just like in other parts of the world, Lebanese women view sexuality vital for marital stability [ 37 ]. Thus, women face the challenge Women wants sex Arlington Illinois navigating the tension between maintaining a satisfying sexual life and staying silent on the issue should sexual difficulties arise.
It may not be surprising that sexuality is under-researched and not visible as a topic in the Lebanese health care context. This paper contributes to opening up the discourse on sexuality and sexual concerns. An improved understanding of the sociocultural aspects of these experiences will provide critical information for healthcare professionals to engage with women purposefully about their sexuality and related concerns. This naturalistic and holistic paradigm guided by an interpretive and inductive process, is well suited to explore sexuality, which is a Women wants sex Arlington Illinois, tacit, sensitive and no well-known topic [ 38 ].
The sample was recruited from clinical and non-clinical settings. The clinical settings included mammography units of two university hospitals, one private and one public and three outpatient clinics. The non-clinical settings included two organisations, a journalism agency and a business centre. The variation in the settings was suggested to optimise heterogeneity and enrich data generation [ 39 ].
Access to the participants required the approval of the administrators of the chosen settings. The first investigator of the study was involved in the recruitment process. She met the potential participants identified by the administrative personnel of the settings, provided them with information about the study in writing and orally. She answered all their questions and gave them time to make their decision.
Those who expressed an interest in participating consented to be interviewed after having read an information leaflet detailing their involvement in the research and the ethical considerations. Women were selected purposively by level of Women wants sex Arlington Illinois and menopausal status, acknowledging their implication in the perception and experience of sexuality [ 4243 ]. Demographic data included marital status, religion and occupation. Due to the sensitive nature of the topic and associated recruitment challenges snowball sampling was used.
This concerned only eight women who were identified in this way without compromising the heterogeneity of the sample [ 44 ]. The women were also asked their health. Those who declared having acute sudden and severe health problem or chronic physical and mental health problems non-controlled diabetes, hypertension, heart disease, cancer, depression, etc.
Their health condition might have interfered with the perception and experience of sexuality, adding another layer of complexity to the interpretation of findings [ Women wants sex Arlington Illinois ]. Data saturation was considered to have been reached when no new or conflicting information arose in the interviews [ 4647 ].
The first author MA conducted 37 individual interviews and three focus groups, each one composed of four to six participants. A topic guide was developed for the purpose of this study with a series of open-ended questions that allowed the participants to reflect on intimate issues and voice their sexual concerns.
It is provided as an Additional file 1. To overcome the potential sensitivity and embarrassment about discussing sexuality, a case description and vignette were used to facilitate the conversation [ 49 ]. Discussion prompts and questions focused on the disclosure of sexual problems and sexual changes during the menopausal period. The vignette introduced the study and prompted participants to reflect on their own experiences.
Learning from using this approach also informed how subsequent interviews were conducted. The first author who is Lebanese and qualified in reproductive health due to her background as a nurse and midwife conducted all interviews. Prompts were used to stimulate women to talk, such as: What words or phrases come to mind that are synonymous with sexual problems for you?
What would you consider to be problematic for you in sexual life? A notetaker assisted the researcher in Women wants sex Arlington Illinois group discussions. After each individual or focus group interview, field notes with verbal and non-verbal cues, memos and preliminary interpretations were summarised to guide the subsequent interviews and research questions and to get first insights into data generated.
The interviews were audio-recorded and transcribed verbatim. Informed by Framework Analysis [ 5152 ], data were analysed in an iterative, analytical and inductive process of comparing and contrasting propositions and developing patterns and themes. This implied different steps which are familiarisation with data, identification of a thematic frame that served to index and chart all transcripts and allow for organising, classifying, comparing and contrasting the extracted data.
Mapping and interpretation are the last steps whereby the Women wants sex Arlington Illinois and subthemes were identified and structured in a meaningful manner supported by relevant information. The first steps of the analysis were done in Arabic, the native language of the participants. At the level of charting, we translated codes and data extracts into English and grouped them under headings and subheadings. The rationale for this was to preserve the cultural meaning conveyed by the language and the implications this might have on the accuracy of findings [ 5354 ].
Credibility or internal validity of findings was checked through reflexivity that was facilitated by the use of an audit trail to keep methodological and analytic documentation, follow the thought processes, track all the decisions made and show transparency and rigour [ 5253 ].
Transferability was achieved by the thick description of data that was provided through individual and focus group interviews with different purposeful samples chosen from different settings. Within a comfortable environment and good rapport, women extensively reflected on their thoughts and experiences.
This generated detailed descriptions and lengthy transcripts. The three authors worked together to agree the coding and analysis process, thus enhancing transparency and dependability of the process.Women wants sex Arlington Illinois
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