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Introduction&#xa0; <p>Genital self-image plays a significant role in women’s sexual well-being and relational satisfaction, yet little is known about its impact in the postmenopausal period. This study aimed to investigate the relationship between genital self-image and sexual quality of life, marital adjustment, and life satisfaction among postmenopausal Turkish women.</p> Methods <p>This cross-sectional study was conducted with 268 postmenopausal women attending outpatient clinics at a State Hospital in Türkiye. Participants completed the Female Genital Self-Image Scale, the Sexual Quality of Life-Female Scale, the Marital Adjustment Scale, and the Life Satisfaction Scale. Data were analyzed using descriptive statistics, Pearson correlation, and hierarchical linear regression analyses.</p> Results <p>The mean score for the Female Genital Self-Image Scale was 17.24 ± 3.34, within the possible range of 7–28, indicating a moderate level of genital self-image among participants. The findings showed a moderate positive correlation between genital self-image and sexual quality of life (<i>r</i> = 0.512, <i>p</i> &lt; 0.001), marital adjustment (<i>r</i> = 0.480, <i>p</i> &lt; 0.001), and life satisfaction (<i>r</i> = 0.422, <i>p</i> &lt; 0.001). In the hierarchical regression analysis, demographic and clinical characteristics were entered in the first step, and genital self-image was added in the second step. Genital self-image accounted for 31% of the variance in sexual quality of life, 23% in marital adjustment, and 24% in life satisfaction.</p> Conclusions <p>Postmenopausal women with a more positive genital self-image demonstrated significant associations with higher sexual quality of life, marital adjustment, and overall life satisfaction.</p> Policy Implications <p>These results highlight the need for multifaceted education and support programs during the postmenopausal period. In addition to health professionals, other stakeholders—including media, educators, and community organizations—can play a crucial role in promoting sexual quality of life, strengthening marital adjustment, and enhancing overall life satisfaction among postmenopausal women.</p>

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Genital Self-Image and its Effects on Sexual Quality of Life, Marital Adjustment, and Life Satisfaction among Postmenopausal Turkish Women

  • 期刊论文

  • 发表日期：

    2025年12月29日

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  • Nur Sifa Yavuz,
  • Fatma Uslu Sahan

摘要

Introduction 

Genital self-image plays a significant role in women’s sexual well-being and relational satisfaction, yet little is known about its impact in the postmenopausal period. This study aimed to investigate the relationship between genital self-image and sexual quality of life, marital adjustment, and life satisfaction among postmenopausal Turkish women.

Methods

This cross-sectional study was conducted with 268 postmenopausal women attending outpatient clinics at a State Hospital in Türkiye. Participants completed the Female Genital Self-Image Scale, the Sexual Quality of Life-Female Scale, the Marital Adjustment Scale, and the Life Satisfaction Scale. Data were analyzed using descriptive statistics, Pearson correlation, and hierarchical linear regression analyses.

Results

The mean score for the Female Genital Self-Image Scale was 17.24 ± 3.34, within the possible range of 7–28, indicating a moderate level of genital self-image among participants. The findings showed a moderate positive correlation between genital self-image and sexual quality of life (r = 0.512, p < 0.001), marital adjustment (r = 0.480, p < 0.001), and life satisfaction (r = 0.422, p < 0.001). In the hierarchical regression analysis, demographic and clinical characteristics were entered in the first step, and genital self-image was added in the second step. Genital self-image accounted for 31% of the variance in sexual quality of life, 23% in marital adjustment, and 24% in life satisfaction.

Conclusions

Postmenopausal women with a more positive genital self-image demonstrated significant associations with higher sexual quality of life, marital adjustment, and overall life satisfaction.

Policy Implications

These results highlight the need for multifaceted education and support programs during the postmenopausal period. In addition to health professionals, other stakeholders—including media, educators, and community organizations—can play a crucial role in promoting sexual quality of life, strengthening marital adjustment, and enhancing overall life satisfaction among postmenopausal women.