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All Journal UG Journal Empathy : Jurnal Fakultas Psikologi Jurnal Kesehatan Vokasional JNKI (Jurnal Ners dan Kebidanan Indonesia) (Indonesian Journal of Nursing and Midwifery) EMBRIO : Jurnal Kebidanan NERSMID: Jurnal Keperwatan dan Kebidanan Poltekita : Jurnal Ilmu Kesehatan Al-Insyirah Midwifery : Jurnal Ilmu Kebidanan (Journal of Midwifery Sciences) Community Development Journal: Jurnal Pengabdian Masyarakat Jurnal Kesmas Untika Luwuk: Public Health Journal Jurnal Abdimas Berdaya : Jurnal Pembelajaran, Pemberdayaan dan Pengabdian Masyarakat Jurnal Perak Malahayati : Pengabdian Kepada Masyarakat JIDAN (JURNAL ILMIAH KEBIDANAN) Ahmar Metastasis Health Journal (AMHJ) Jurnal Kebidanan Sorong Jurnal Riset Rumpun Ilmu Kesehatan (JURRIKES) IDEA: Jurnal Psikologi Jurnal Kebidanan (JBd) Poltekkes Kemenkes Maluku Corona: Jurnal Ilmu Kesehatan Umum, Psikolog, Keperawatan dan Kebidanan Jurnal Pengabdian Kepada Masyarakat Darma Saskara DELIMA: Jurnal Kajian Kebidanan Indonesian Journal of Community Empowerment Protein: Jurnal Ilmu Keperawatan dan Kebidanan Jurnal Bidan Srikandi JKM-Bid: Jurnal Kesehatan Masyarakat kebidanan MEDICA (International Medical Scientific Journal) Sasambo: Jurnal Abdimas (Journal of Community Service) Jurnal Ilmu Kedokteran dan Kesehatan Indonesia Jurnal Pengabdian Masyarakat Indonesia Global Medical and Health Communication
Rochmawati Rochmawati
Midwifery Professional Education Study Program, Gunadarma University, Depok, West Java, Indonesia
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Association of Lubricants, Foreplay, and Communication with Lower Dyspareunia Pain among Perimenopausal Women Karwati Karwati; Damai Yanti; Sri Maryati; Rochmawati Rochmawati
Global Medical & Health Communication (GMHC) Vol. 14 No. 1 (2026): Accredited Sinta 2
Publisher : UPT Publikasi Ilmiah Universitas Islam Bandung

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.29313/gmhc.v14i1.9030

Abstract

Dyspareunia, or pain during sexual intercourse, is common among perimenopausal women, negatively affecting their quality of life, sexual satisfaction, and relationships. Limited observational data exists on non-pharmacological self-management strategies for pain relief, particularly in Indonesia. This study examines the associations between three self-management strategies—vaginal lubricants, enhanced foreplay, and couple communication—and the reduction of dyspareunia pain in Indonesian perimenopausal women. A cross-sectional study involving 63 women (aged 40–55) with dyspareunia who had used at least one self-management strategy for at least four weeks was conducted at Puskesmas Cimahi Utara, Cimahi, Indonesia, from January 2024 to June 2024. Participants were divided into four groups: lubricants (n=14), foreplay (n=30), communication (n=8), and combined approaches (n=11). Pain intensity was assessed using the Numerical Pain Rating Scale (NPRS). Pre-strategy scores were obtained retrospectively, and post-strategy scores reflected current pain levels. Welch ANOVA and Games-Howell post-hoc tests analyzed mean pain reduction across groups. Significant differences in pain reduction were found among the groups (F(3.59)=24.36, p<0.001, η2=0.553). Lubricants showed the greatest reduction in pain (mean=1.86±0.95 points; 95% CI=1.30–2.41), significantly more than communication (p=0.0295, Cohen's d=0.68) and approaching significance compared to foreplay (p=0.0542, Cohen's d=0.68). All groups reported statistically significant pain reductions. In conclusion, vaginal lubricant use led to the greatest reduction in self-management strategies for dyspareunia pain among perimenopausal women in Indonesia, outperforming enhanced and foreplay couple communication strategies.
Co-Authors Adjie, Dhea Firanti Alfida Faqih Alindawati, Rifka Amabel Kyla Charity Andi Misna Anggraini Anggraini Anita Deborah Anwar Arini Kusmintarti Arini Kusmintarti Arini Kusmintarti Aulia Wulandari Ayu Hendrati Rahayu Boy S Sabarguna Buka, Sisilia Prima Y. Damai Yanti Daniel Happy Putra Dhea Firanti Adjie Dinda Pramestya Utami Dwi Puji Astiti Ekawaty, Retno Ekowati, Erik Elfaristo, Liana Ermasari, Anissa Estu Lovita Pembayun Estu Lovita Pembayun Estu Lovita Pembayun Estu Lovita Pembayun Fairy Prudencia Fary, Veronica Fijri Rachmawati Gracea Petricka Gracea Petricka Hanny Desmiati Hanny Yuli Andini Hayuningsih, Sri Hellena Yollanita Hera Lestari Mikarsa Hera Lestari Mikarsa, Hera Lestari Herman Susanto Heti Mulyati Heti Mulyati Ina Sugiharti Ira Puspitawati Ira Puspitawati Johan Harlan Jusuf S. Effendi Karwati Karwati Kasyafia Jayanti Kasyafiya Jayanti Kasyafiya Jayanti Kusmintarti, Arini Liana Elfaristo Liana Elfaristo Liana Elfaristo Lina Fitriani Lusi Marlina Lusi Triwahyuni Lutfi Adisti Mardi Yana Marlina, Lusi Mira Fony Juliyanti Neneng Siti Lathifah Nina Herlina Ningsih, Sri Rahayu Nuntarsih Nuntarsih Nurliyani Nurliyani Octasila, Restu Pembayun, Estu Lovita Petricka, Gracea Prima, Sisilia Pujiati Pujiati Qorry Wahyuni Septica Reni Nofita Retno Ekawaty Rifka Alindawati Rini Damayanti Riza Fachmawati Rosdiana Rosdiana Santi, Lara Setyawati, Dyah Mieta Siallagan, Dorsinta Sisilia Prima Sisilia Prima Sisilia Prima Y Siti Dariyani Siti Sopiatun Sri Hayungingsih Sri Hayuningsih Sri Hayuningsih Sri Hayuningsih Sri Hayuningsih Sri Hayuningsih Sri Maryati Sri Maryati Sri Mukti Suhartini Sri Nawangsari Sunarsih Sunarsih Supriadi Supriadi Susiarno, Hadi Veronica Fary Veronica Fary Veronica Fary Veronica Fary Veronika Fary Vita Pratiwi Widjadjakusumah, Tony Widya Tri Hastuti Wina Chairunnisa Winnie Tunggal Mustikha Winnie Tunggal Mutika Yuliana Sari, Nina Yunani, Risa Zulyani, Febriyanti