en Midwifery Orginal research <strong><em>Background:</em></strong> Sexual problems are very prevalent in climacteric periods due to hormonal, social, and physiological changes, and sexual dysfunction of women can affect women&rsquo;s self-confidence, marital relationship, and quality of life.<br> <strong><em>Objectives: </em></strong>This study was done to investigate the relationship between urinary incontinence, vaginal dryness, prolapse, hot flush, and education with the sexual function of menopause women.<br> <strong><em>Methods:</em></strong> This cross-sectional study was done on 408 women who were referred to health care centers in Zanjan, Iran between 2018 and 2019. Sampling was performed using a systematic randomized sampling method. Data collection tools were a checklist consists of questions about socio-demographic and reproductive information and the 19-item Female Sexual Function Index (FSFI) questionnaire. All data were analyzed using SPSS version 16 through regression analysis and a P-value<0.05 was considered significant.<br> <strong><em>Results</em>:</strong> The mean age of women was 47.90&plusmn;3.57 years. This study found the relationship between sexual function score and urinary incontinence (&beta;=0.18, t=3.70, p<0.001), vaginal dryness (&beta;=0.27, t=5.73, p<0.001), prolapse (&beta;=-0.14, t=-2.97, p<0.001), and hot flush (&beta;=0.16, t=3.35, p<0.001); however, there was no relationship between primary and university education with sexual function score (p<0. 343 and p<0.894, respectively).<strong><em>Conclusion:</em></strong> Based on the finding of this study, some factors, such as urinary incontinence, vaginal dryness, and hot flush were associated with lower sexual function scores and prolapse was correlated with a higher score of sexual function. There was no significant correlation between sexual function and education level sexual function, menopause, women, Iran 56 62 http://nmcjournal.zums.ac.ir/browse.php?a_code=A-10-626-1&slc_lang=en&sid=1 Zeinab Bayat z.bayat1995sb@gmail.com 10031947532846007276 10031947532846007276 No MSc of Student in Midwifery, Tehran University of Medical Sciences, Tehran, Iran Samaneh Youseflu s.yoseflu@yahoo.com 10031947532846007277 10031947532846007277 No MSc, Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran Majid Yousefi Afrashteh mjduosefi@gmail.com 10031947532846007278 10031947532846007278 No Ph.D. Psychology Department, University of Zanjan, Zanjan, Iran Soudabeh Niroomand s.niroomand.1984@gmail.com 10031947532846007279 10031947532846007279 Yes MSc, Department of Midwifery, School of Nursing and Midwifery, Zanjan University of Medical Sciences, Zanjan, Iran