ABSTRACTBackground: In the middle age, the woman was not perfect and always got psychologicaldisorders such as irritability, anxiety, impaired libido and sexual experience discomfort whichcaused by physical changes. In the village of Muruh, the female aged 44-60 years was(perimenopause) large enough. There was a perception in the community "wes tuwo arepngopo", it means tahat the middle-aged women consider sexual life was not important anymore.The conditions that affect the quality of life for women and household harmony. There is noreproductive health services for perimenopausal women in there.Objective: To analyze the relationship of anxiety with functions and sexual activity ofperimenopause women in Muruh village Gantiwarno district Klaten.Research methods: The research used analytical observation with cross sectional approach. Thepopulation was women aged 44-60 years as many as 293 people. Sampling techniques usedsimple random sampling, obtained 92 respondents. Data analysis used Spearman's test andcoefficient contingency.Results of the study: 1) Variable anxiety associated with sexual function with a correlationvalue and significance value 0.024 0.235 <0.05. 2) Anxiety was not related with sexual activity,the significance value 0.463> 0.05. 3) Variable sexual function associated with sexual activitycorrelation of 0.209 and significance 0.04 <0.05.Conclusion: 1) There was relationship of anxiety with sexual functions of perimenopausewomen in Muruh village Gantiwarno district Klaten. 2) There was no relationship of anxietywith sexual activity of perimenopause women in Muruh village Gantiwarno district Klaten. 3)There was a relationship of sexual functions with sexual activity of perimenopause women inMuruh village Gantiwarno district Klaten.Keywords: anxiety, sexual function, sexual activity, perimenopauseABSTRAKLatar belakang: Wanita pada usia pertengahan merasa sudah tidak sempurna dan mengalamigangguan psikologi seperti mudah tersinggung, gelisah, gangguan libido dan mengalamiketidaknyamanan seksual disebabkan perubahan fisik organ tubuhnya. Di desa Muruh populasiwanita usia 44-60 tahun (perimenopause) cukup besar. Ada anggapan dimasyarakat “wes tuwoarep ngopo”, jadi wanita usia pertengahan menganggap kehidupan seksual tidak penting lagi.Kondisi itu akan mempengaruhi kualitas hidup wanita dan keharmonisan rumahtangga. Ditempat penelitian belum ada pelayanan kesehatan reproduksi bagi wanita perimenopause.Tujuan penelitian: Menganalisis hubungan kecemasan dengan fungsi dan aktivitas seksual padawanita usia perimenopause di Desa Muruh Gantiwarno Klaten.Metode Penelitian: Jenis penelitian yang digunakan observasi analitik dengan pendekatan crosssectional. Populasinya wanita usia 44-60 tahun sejumlah 293 orang. Teknik samplingmenggunakan simple random sampling, didapatkan 92 responden. Analisis datanyamenggunakan uji Spearman dan koefisien kontingensi.Hasil penelitian: 1) Variabel kecemasan berhubungan dengan fungsi seksual dengan nilaikorelasi 0,235 dan nilai signifikansi 0,024<0,05. 2) Kecemasan tidak berhubungan denganaktivitas seksual, nilai signifikansi 0,463>0,05. 3) Variabel fungsi seksual berhubungan denganaktivitas seksual korelasi 0,209 dan signifikasi 0,04<0,05.Kesimpulan: 1) Ada hubungan kecemasan dengan fungsi seksual pada wanita perimenopause diDesa Muruh Gantiwarno Klaten.. 2) Tidak ada hubungan kecemasan dengan aktivitas seksualpada wanita perimenopause di Desa Muruh Gantiwarno Klaten.. 3) Ada hubungan fungsi seksualdengan aktivitas seksual pada wanita perimenopause di Desa Muruh Gantiwarno Klaten.Kata kunci: kecemasan, fungsi seksual, aktivitas seksual, perimenopause