{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T14:34:03Z","timestamp":1762353243160,"version":"3.40.5"},"reference-count":27,"publisher":"Wiley","issue":"12","license":[{"start":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T00:00:00Z","timestamp":1662422400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Aim<\/jats:title><jats:p>This cross\u2010sectional study aimed to investigate the factors associated with dyspareunia in pre\u2010, peri\u2010, and postmenopausal Japanese women participating in the health and nutrition education program at a menopause clinic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>First\u2010visit records of 1702 pre\u2010, peri\u2010, and postmenopausal Japanese women (aged 40\u201379\u2009years) were analyzed. The relationship between severe dyspareunia and background characteristics was examined by multivariate logistic regression analysis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The average age of the participants was 53.0\u2009\u00b1\u20096.3\u2009years. The percentage of women who suffered from severe dyspareunia in the pre\u2010, peri\u2010, postmenopausal, and the hormone therapy receiving groups were 7.1%, 10.5%, 14.6%, and 7.8%, respectively. In the postmenopausal group, the percentage of women affected by severe dyspareunia was the highest between 2 and 5\u2009years after menopause (18.8%), presumably owing to the gradual postmenopausal decline in the number of sexually active women. In sexually active postmenopausal women, body weight, body mass index (BMI), and body fat percentage (BF%) differed significantly among those who had severe dyspareunia (<jats:italic>N<\/jats:italic>\u00a0=\u00a0119) and those who did not (<jats:italic>N<\/jats:italic>\u00a0=\u00a0334). BMI and BF% were negatively associated with severe dyspareunia, even after adjustment for age and years since menopause (adjusted odds ratio [95% confidence interval]: BMI, 0.894 [0.825\u20130.964],<jats:italic>p<\/jats:italic>\u00a0=\u00a00.003; BF%, 0.947 [0.909\u20130.985],<jats:italic>p<\/jats:italic>\u00a0=\u00a00.006).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>BMI and BF% were negatively associated with dyspareunia in sexually active postmenopausal women. In addition to aging, the loss of body weight and fat could negatively impact intercourse in sexually active postmenopausal women.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jog.15418","type":"journal-article","created":{"date-parts":[[2022,9,6]],"date-time":"2022-09-06T09:59:16Z","timestamp":1662458356000},"page":"3279-3285","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Body weight and body fat are negatively associated with severe dyspareunia in postmenopausal women"],"prefix":"10.1111","volume":"48","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5577-0094","authenticated-orcid":false,"given":"Masakazu","family":"Terauchi","sequence":"first","affiliation":[{"name":"Department of Women's Health Tokyo Medical and Dental University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tamami","family":"Odai","sequence":"additional","affiliation":[{"name":"Department of Women's Health Tokyo Medical and Dental University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiyoko","family":"Kato","sequence":"additional","affiliation":[{"name":"Department of Women's Health Tokyo Medical and Dental University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Naoyuki","family":"Miyasaka","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Tokyo Medical and Dental University Tokyo Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,9,6]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_8_2_1","DOI":"10.1097\/GME.0000000000001609"},{"doi-asserted-by":"publisher","key":"e_1_2_8_3_1","DOI":"10.3109\/13697137.2014.946279"},{"doi-asserted-by":"publisher","key":"e_1_2_8_4_1","DOI":"10.1111\/jsm.12190"},{"doi-asserted-by":"publisher","key":"e_1_2_8_5_1","DOI":"10.3109\/13697130903353478"},{"doi-asserted-by":"publisher","key":"e_1_2_8_6_1","DOI":"10.1016\/j.maturitas.2012.01.014"},{"doi-asserted-by":"publisher","key":"e_1_2_8_7_1","DOI":"10.1097\/GME.0000000000000200"},{"doi-asserted-by":"publisher","key":"e_1_2_8_8_1","DOI":"10.1097\/GME.0000000000000432"},{"doi-asserted-by":"publisher","key":"e_1_2_8_9_1","DOI":"10.1080\/13697137.2016.1186160"},{"doi-asserted-by":"publisher","key":"e_1_2_8_10_1","DOI":"10.1016\/j.maturitas.2016.11.008"},{"doi-asserted-by":"publisher","key":"e_1_2_8_11_1","DOI":"10.1080\/13697137.2017.1293647"},{"doi-asserted-by":"publisher","key":"e_1_2_8_12_1","DOI":"10.1080\/13697137.2019.1609440"},{"doi-asserted-by":"publisher","key":"e_1_2_8_13_1","DOI":"10.1080\/13697137.2019.1653841"},{"doi-asserted-by":"publisher","key":"e_1_2_8_14_1","DOI":"10.1097\/GME.0000000000001776"},{"doi-asserted-by":"publisher","key":"e_1_2_8_15_1","DOI":"10.1016\/0378-5122(86)90029-0"},{"doi-asserted-by":"publisher","key":"e_1_2_8_16_1","DOI":"10.1016\/0378-5122(92)90004-n"},{"doi-asserted-by":"publisher","key":"e_1_2_8_17_1","DOI":"10.3390\/nu12113437"},{"doi-asserted-by":"publisher","key":"e_1_2_8_18_1","DOI":"10.1111\/j.1600-0447.1983.tb09716.x"},{"doi-asserted-by":"publisher","key":"e_1_2_8_19_1","DOI":"10.2147\/IJWH.S44579"},{"doi-asserted-by":"publisher","key":"e_1_2_8_20_1","DOI":"10.3109\/13697137.2011.647840"},{"doi-asserted-by":"publisher","key":"e_1_2_8_21_1","DOI":"10.1016\/j.maturitas.2017.11.007"},{"doi-asserted-by":"publisher","key":"e_1_2_8_22_1","DOI":"10.1080\/13697137.2018.1446930"},{"doi-asserted-by":"publisher","key":"e_1_2_8_23_1","DOI":"10.1080\/13697137.2021.1889498"},{"doi-asserted-by":"publisher","key":"e_1_2_8_24_1","DOI":"10.1056\/NEJMoa067423"},{"doi-asserted-by":"publisher","key":"e_1_2_8_25_1","DOI":"10.1016\/j.maturitas.2010.08.001"},{"doi-asserted-by":"publisher","key":"e_1_2_8_26_1","DOI":"10.3109\/13697137.2010.522875"},{"doi-asserted-by":"crossref","unstructured":"CecchiniM VuikS.The heavy burden of obesity. 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