Evaluating the Effect of Religious-Based Sex Education on Sexual Function of Married Women

Document Type : Original Quantitative and Qualitative Research Paper


1 Msc student of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad ,Iran

2 Instructor of Midwifery, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad ,Iran

3 Associate in Biostatistics, School of medical science, Mashhad University of Medical Sciences, Mashhad, Iran

4 Associate professor, Department of Islamic Studies, Mashhad University of Medical Sciences.

5 Assistant professor of clinical psychology, Research center of psychiatry and behavioral science, Mashhad University of Medical Sciences, Mashhad ,Iran


Background: Spirituality forms major parts of human life. Sexual need is one of the natural instincts and it is in dimension of spiritual needs, and neglecting it causes family and social problems. Sexual education is weak in our country and must be conform to religious beliefs.
Aim: Determining the effect of religious-based sex education on sexual function of married women
Methods: This single-group, semi-experimentalresearch was performed in 1391.Two health centers were randomly chosen among health centers of Mashhad. Thirty referred women were selected based on inclusion and exclusion criteria. They took part in sex education classes combining religious education for 6 weeks. Data was gathered by personal characteristic form and Female Sexual Function Index (FSFI) questionnaire. Data was analyzed by SPSS 11.5 software using statistic descriptive, paired T-test and linear regression.
Results: The mean age of participants was 33.9±7.2, and 90% of them had secondary school education, and 83.3% were housewives. The total score of Female Sexual Function Index (FSFI) increased from 25.86±5.25 to 27.29±5 and there was significant statistical difference in sexual desire (p=0.007) and sexual satisfaction (p=0.01).
Conclusion: religious-based sex education to married women can improve sexual function, components of sexual satisfaction and sexual desire.


  1. Ghobari Bonab B. Consultation and Psychotherapy Approach to Spirituality. 1st.Tehran: Arvan; 2009:2
  2. Danesh E. Increase of Marital Adjustment of Incompatible Couple with Consultant Islamic View. Psychol Res.  2010 sumer; 2(6)
  3. Mueller PS, Plevak DJ, Rummans TA. Religious Involvement, Spirituality, and Medicine: Implications for Clinical Practice. Mayo Clin Proc. 2001; 76: 1225-35.
  4. Ohadi B.  Sexual Desires and Behaviors Normal and Abnormal in Human. 2nd.  Esfehan: Atropat; 1379: 19
  5. Rosen R, Brown C, Heiman J, Leiblum S, Meston C, Shabsigh R, et al. The Female Sexual Function Index (FSFI): A multidimensional self-Report Instrument for the Assessment of Female Sexual Function. .J Sex & Marital Ther. 2000; 26:191–208
  6. Mohammadi K, Haydari M, Fagihzadeh S. Validated Persian Version of Women's Sexual Functioning Scale Instruction. Payesh J. 2008; 7(2):269-78 (Persian)
  7. Ali-Akbari M, Kayghobadi S. Sexual Relationship with Mental Health and Marital Adjustment of Women Referred to the Tehran psychiatric Institute. Tehran; Proceeding of the Global Congress on Family and Sexual Health. 2009 (Persian)
  8. Aliakbari Dehkordi M. Relationship between Women Sexual Function and Marital Adjustment. J Behav Med. 2010; 4 (3): 199-206.
  9. Hosain Zadeh A. Etiquette and Function Safe Sex Relations from Islamic View and its Psychology Injures. Psych J. 2001; 3(1): 77-132 (Persian)
  10. Tessler Lidau S, Laumann E, OMuircheartagh C. A Study of Sexuality and Health among Older Adults in the United States. N Engl J Med. 2010 June; 357: 762-74.
  11. .Edward O, Paik A, Raymond C, Rosen. Sexual Dysfunction in the United States Prevalence and Predictors. JAMA. 2010 June; (6): 281.
  12. Mahmodi GH, Hassanzadeh R, Heidari G. The Effect of Sex Education on Family Health on Mazandran Medical University Students.  Ofogh Danesh, GMUHS Journal. 2007; 13(2):64-76 (Persian)
  13. Forutan KH, Akhavan Tahhavi M. The Role of Sexual Health in Iranian Families. J Family Res. 2008; 4 (Persian)
  14. Dehghani A, Mohammad Khani P, Younesi J. Effectiveness of Sexual Education Training on Sexual Attitude in First Married Couples. Danesh Pagoh J. 2006; (30): 21-38 (Persian)
  15. Aganj N, Khosravi S, Esmaili M. Effectiveness of Sexual Function on Satisfaction of Life and Preventive of Divorce. The Fourth Overall Congress Family and Health. 1388 (Persian)
  16. Shah Siah M, Mohebi S, Bahram F,Etemadi O. Effect of Sex Education on Improving Couples Marital Satisfaction in Isfahan. Healt System of Research Journal. 1389 winter; 4: 690- 7 (Persian)
  17. Refahi Shyirpak Kh, Chinichian M, Eftekhar Ardabili H, Pour Reza A, Ramezan Khani A.  Educational Needs Sexual Health in Women Referred to Health Centers of Tehran Family Planning. Journal of Payesh 2010; (3): 251-60 (Persian)
  18. Pakgohar M, Mir Mohammad Aliei M, Mahmodi M. Envestigation of Effect of Consultant before Marriage on Sexual Health of Couples. Hayat J. 2005; 11(4): 39-46 (Persian)
  19. Mahoney A. Religion and Conflict in Marital and Parent Child Relationship. Journal 0f Social Issues. 1384; 61(4): 689-706 (Persian)
  20. Smerecnik CH, Schaalma H, Gerjo K, Meijer S, Poelman J. An Exploratory Study of Muslim Adolescents’ Views on sexuality: Implications for Sex Education and Prevention. BMC Public Health 2010; 10: 533.
  21. Hoseni Nasab D, Nosratabadi Hashemi T, Fotuhi Bonab S.  Effectiveness of Couples Therapy, Treatment, Analysis of the Interaction Between Self-incompatible Couples. Tabrees J Psychol Res 2009; 4(14): 82-95 (Persian)
  22. Mahini A, Diereh E. Research about Boys and Girls in the University and Investigation about Views. Pazhuohesh Nameh-Eakhlagh, A. J Res 2012: 5(16):86-109 (Persian)
  23. Basson R, Leiblum S, Brotto L, Derogatis L, Fourcroy J, Fugl-Meyeret  K, et al. Revised Definitions of Women’s Sexual Dysfunction. J Sex Med. 2004; 1(1).
  24. Witting K, Santtila P, Jern P, Varjonen M, Wager I, Ho¨glund M, et al. Evaluation of the Female Sexual Function Index in a Population a Based Sample from Finland. Arch Sex Behav 2008; 37: 912–24.
  25. Ahmadi KH, Fathi Ashtiyani A, Arabniya A. The relationship between religious adherence and marital adjustment. J Biomid Res 2006; 2(5):55-67 (Persian)
  26. Danesh A, kermani Mamazandi Z. Effect of Religious Attitude and Sensation on Marital Adjustment of Married Teachers Pakdasht. Faculty of Soc Sci Med University of Al-Zahra 2011; 7(2): 129-54 (Persian)
  27. Tadayon Najafabady M, Salmani Z, Abedi P. Prevalence & Related Factors for Anorgasmia among Reproductive aged Women in Hesarak. Iran. CLINICS 2011; 66(1): 83-6 (Persian)
  28. Ozgoli G, Dolatian M, Sheykhan Z, Valaei N. Study of Sexual Function and Satisfaction in Women with Vaginal Delivery and Cesarean Referring to Health Center of Shahid Beheshti Medical University-Pajouhandeh.  2011; 15(4): 257-63 (Persian)
  29. Jahanfar S, Molainejad M. Text book of sexual disorders. 1st ed. Tehran: Bigeh & Salemi; 1380: 64-5 (Persian)
  30. Goshtasbi A,VahdaniniaM, Rahimi Foroushani A, Mohammadi A. Reproductive Correlates of Female Sexual Dysfunctions in Kohgilouyeh- Boyerahmad Province: A Population-Based  Study.J Payesh. 2008 January; 7(1): 67-73 (Persian)
  31. The Third Summarized Articles of Overall Congress Family and Sexual Health. Center of Afarinesh art and Culture. 1388: 4(2).