Sexual Function and the Older Woman

Kaiser, Fran E.

doi:10.1007/0-387-22621-4_50

Cited by 17 publications

(23 citation statements)

References 60 publications

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“…Although many women with vulvovaginal atrophy are asymptomatic, 39 the decrease in moisture and natural lubrication can result in dyspareunia. 4,40,41 It is probable that women who are sexually active are more aware of vaginal dryness compared with women who are not sexually active. These findings suggest that vulvovaginal atrophy is largely asymptomatic in women who are not sexually active.…”

Section: Discussionmentioning

confidence: 98%

Patterns and predictors of sexual activity among women in the Hormone Therapy trials of the Women's Health Initiative

et al. 2011

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Most women in the WHI HT Trials were satisfied with their sexual activity. Of those who were dissatisfied, the majority preferred more, rather than less, sexual activity. Vaginal atrophy at baseline correlated with sexual inactivity, and sexual activity at baseline was the strongest identified predictor of sexual activity at year 1. HT use was not predictive of ongoing sexual activity in the intent-to-treat analysis. This report further characterizes the participants in the WHI HT trials and reveals the complexity of factors related to the prevalence of sexual activity and satisfaction.

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Section: Discussionmentioning

confidence: 98%

Patterns and predictors of sexual activity among women in the Hormone Therapy trials of the Women's Health Initiative

et al. 2011

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“…For example, surgical treatment of breast cancer can contribute to a loss of self-esteem and altered body image and affect her partner's response. 6 In women who have had a myocardial infarction, fear of another myocardial infarction, angina, or fatigue may alter the pattern of sexual activity. With regard to diabetes, type I diabetes appears to have little impact on sexual function in women.…”

Section: Illness and Medication Usementioning

confidence: 99%

Sexuality among Older Women

Gelfand¹

2000

Journal of Women's Health & Gender-Based Medicine

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The population of the world is living longer. Currently, the average life expectancy is 78.9 and 72 years of age for women and men, respectively. By the year 2030, it is estimated that elderly people will make up approximately 17% of the total United States population. Our responsibility as physicians is, therefore, very clear. The care of this population must provide an acceptable quality of life and allow elderly people to enjoy living. This is where the question of sexuality plays an important part. Hormonal transition encompasses decreased levels of estrogen and testosterone, the latter being associated with decreased sexual libido, sensitivity, and response. Additional genitourinary effects associated with menopause include atrophic changes in the vagina, vulva, urethra, and neck of the bladder. Vaginal atrophy and diminished vaginal lubrication interfere mechanically with sexual comfort and pleasure. In addition to hormonal changes with aging, disease and associated medications may also negatively affect sexuality. Determining the impact of medications, both alone and in combination with others, on quality of life must be considered when providing comprehensive care for elderly patients.

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“…According to Kaiser et al (48), organic, psychosocial and situational changes may influence women's sexuality. The occurrence of diseases affecting genital or pelvic organs caused by aging, vaginal atrophy, decreased pelvic floor tropism, decreased lubrication and prior surgeries also decrease sexual desire (49).…”

Section: Parameters Assessedmentioning

confidence: 99%

Physical therapy treatment in incontinent women provided by a Public Health Service

et al. 2011

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INTRODUCTION: Urinary incontinence affects more than 50 million people worldwide, it has a great impact on quality of life by affecting social, domestic, occupational and sex life, regardless of age. Objective: The objective of this study was to analyze the effectiveness of physical therapy treatment in women attending the Urogynecology service of Hospital and Maternity Leonor Mendes de Barros. METHOD: We retrospectively assessed 65 records of patients with diagnosis of urinary incontinence treated between November 2005 and November 2006. In order to have their data analyzed, patients were divided into two groups; group MF, which underwent medical treatment and physiotherapy, and group M, which had only medical treatment. In order to compare both groups' quantitative data, the analysis was performed in Statistica® software using Mann Whitney's non-parametric test. The analysis of association between the quantitative variables was performed through the Chi-Square test at 5% (p > 0.05) significance level. RESULTS: We observed that 60.6% of patients who underwent physical therapy treatment and medical treatment had the urinary incontinence symptoms decreased or completely cured, while 80% of women belonging to the medical treatmen only-group underwent surgery. CONCLUSION: Thus, we conclude that physical therapy is essential in treatment protocols of urinary incontinence outpatient clinics and to prevent surgery.

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Sexual Function and the Older Woman

Cited by 17 publications

References 60 publications

Patterns and predictors of sexual activity among women in the Hormone Therapy trials of the Women's Health Initiative

Patterns and predictors of sexual activity among women in the Hormone Therapy trials of the Women's Health Initiative

Sexuality among Older Women

Physical therapy treatment in incontinent women provided by a Public Health Service

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