Inclusion criteria:
Having a minimum education in primary school
Age 45 to 65 years old
Having a normal menopause (stopping menstruation for at least one year after 45 years old, without interfering with pregnancy and lactation, surgery, medication and pathology)
Married and living with her husband
Having sexual intercourse in the last month
Obtained at least 5 score from the initial MRS
Lack of known and treated medical diseases which affect the results of the study (cardiovascular, liver, kidney, chronic lung disorders, thyroid, neurology and psychiatry diseases, musculoskeletal, pelvic prolapse, urinary disorders and neurological diseases known and treated )
No history of cancer
Exclusion criteria:
Drug addiction, smoking and alcohol abuse
Taken medicine that improve menopausal symptoms in the last 6 months (Such as estrogen and progesterone, GnRH agonists and antagonists, clonidine, gabapentin, serotonin and norepinephrine inhibitors, paroxetine, venlafaxine, vitamin E, methyldopa, naloxone and tibolone)
Use of complementary medicine to improve menopausal symptoms (such as herbs, acupuncture and acupressure) during the last 6 months
Women professional athletes or women with severe mobility limitations who are unable to do housework