Sexual function, menopause and hormone replacement therapy (HRT)

González, Marcela; Viáfara, Gloria Amparo; Caba, F; Molina, Esteban

doi:10.1016/j.maturitas.2003.10.005

Cited by 57 publications

(52 citation statements)

References 21 publications

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“…The National Health and Social Life Survey 46 reported that 43% of women and 31% of men between 18 and 59 years in the USA have sexual dysfunction, a prevalence that varies according to ethnicity and physical and psychological health status. In climacteric Hispanic populations, these rates have been found to be higher, ranging from 51.3% to 78.4% in Chile, Colombia and Ecuador 3,42,47 . The prevalence of female sexual dysfunction is quite high and tends to increase with age due to a decline in sexual interest, reduction of sexual intercourse and lubricating vaginal problems associated with the menopause (low estrogen secretion) 48 .…”

Section: Discussionmentioning

confidence: 99%

“…These conditions affected their sex life since they had stopped or avoided sex due to discomfort 56 . The prevalence of vaginal complaints is also high in other latitudes and cultures 28,47,57 . Contrary to male sexual dysfunctions, which in most cases are organically related 58 , female sexual dysfunctions are most likely to be due to psychogenic factors including depression/anxiety, prior physical or sexual abuse, stress, drug or alcohol abuse, interpersonal relationship issues, such as partner performance and technique, or lack of partnership quality 48 .…”

Section: Discussionmentioning

confidence: 99%

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Assessment of sexuality among middle-aged women using the Female Sexual Function Index

et al. 2009

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Objective The purpose of the present investigation was to assess sexual function among middle-aged women and determine related risk factors (personal and partner) for sexual dysfunction. MethodsIn this cross-sectional study, women aged 40-59 years were requested to fill out the Female Sexual Function Index (FSFI) and a general demographic questionnaire containing personal and partner data.Results A total of 409 women with a mean age of 47 + 5.3 years were surveyed. Of these, 42.1% were premenopausal, 24.4% perimenopausal and 33.5% postmenopausal. At the time of survey, 10.5% of women were hysterectomized, 1.5% used psychotropic drugs, and 9.8% were on hormone therapy (HT) for the menopause; 28.1% had less than 12 years of schooling and 80.4% had only one partner at the moment of survey. Among their male partners, 7.3% abused alcohol, 10.3% had erectile dysfunction, 11.2% premature ejaculation and 63.83% were faithful partners. Mean (+ standard deviation) scores for the FSFI domains were: desire (3.7 + 1.2), arousal (3.1 + 2.5), lubrication (3.3 + 2.6), orgasm (2.6 + 2.3), satisfaction (4 + 1.7), and pain/dyspareunia (3.2 + 2.6). The mean total FSFI score was 20.1 + 12.4 (median 24.7). In this series, the prevalence of female sexual dysfunction (FSFI score 26.55) was 55.7%, with women presenting difficulties across all domains of female sexual function but mostly in the dyspareunia and lubrication domains. Logistic regression analysis determined that female age (odds ratio (OR) 3.3, 95% confidence interval (CI) 1.6-6.8), p ¼ 0.001), postmenopausal status (OR 2.8, 95% CI 1.3-6.1, p ¼ 0.007), partner's age (OR 2.0, 95% CI 1-4, p ¼ 0.03), educational level (OR 2.7, 95% CI 1.5-5, p ¼ 0.001), and the presence of erectile dysfunction (OR 3.8, 95% CI 1.3-10.9, p ¼ 0.01) and premature ejaculation (OR 4.1, 95% CI 1.4-11.7, p ¼ 0.0001) significantly increased the risk for female sexual dysfunction. Partner faithfulness (OR 0.2, 95% CI 0.1-0.4, p ¼ 0.001) and menopausal HT use (OR 0.4, 95% CI 0.1-1, p ¼ 0.04) decreased this risk.Conclusions In this series, male sexual health and demographic profile and female HT use were relevant determinants for sexual functioning among middle-aged women.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Assessment of sexuality among middle-aged women using the Female Sexual Function Index

et al. 2009

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“…Psychosexual and biological (muscular, endocrine, immune, neurological, vascular, and iatrogenic) factors that predispose to, precipitate, and maintain the condition may variably interact in the individual woman contributing to a continuum of symptoms of increasing severity that have the potential to impair sexual intercourse. 6 Menopausal status, 7,8 age, 8,9 body mass index, 7 depression, 8 partner_s sexual dysfunction, 10 anxiety, 11 and decreased estradiol levels 12 are some of the factors associated with the occurrence of dyspareunia.…”

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confidence: 99%

A population-based study of dyspareunia in a cohort of middle-aged Brazilian women

et al. 2008

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“…Menopausal women had significantly more vaginal dryness and dyspareunia than premenopausal women. In another cross-sectional analysis of 231 Columbian born women aged 40 to 62 years using a self report questionnaire, age was found to negatively influence all sexual function domains of desire, arousal, lubrication, orgasm, and pain, while menopause affected only pain and lubrication domains significantly (21). The changes in sexual function with menopause and aging are seen to be a reflection of the underlying changes in the hormonal milieu mainly attributable to estrogens, with the role of androgens remaining unclear.…”

Section: Menopause and Agingmentioning

confidence: 97%

Female Sexual Dysfunction in Obstetrics and Gynecology

Thakar¹,

Sultan²

2008

Obstetrical &Amp; Gynecological Survey

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Sexual dysfunction in women is common, with a community prevalence of 30% to 50%. The sexual response cycle in women is complex, with multiple overlapping dimensions, which necessitates a biopsychosocial approach for understanding the basis of dysfunction. Physiological events such as pregnancy, childbirth, menopause, aging as well as gynecological conditions like infertility, prolapse, urinary incontinence, and gynecological cancers, have an impact on sexual well-being. The interaction of these conditions with sexual health needs to be better understood to deal effectively with the problems as a whole. However, the woman concerned should be sufficiently distressed by her problem for the diagnosis of female sexual dysfunction to be made. Overall, gynecological surgery performed to alleviate symptoms which have an organic basis have the potential to improve sexual function, and this does not necessarily correlate with the anatomical outcome of the surgery. Hysterectomy done by any approach does not compromise sexual function. Sexual health enquiry and evaluation in clinical practice can be done with the help of simple screening questions, a comprehensive history followed by an adequate examination. As no single laboratory test is recommended as a marker of sexual dysfunction, investigations are best dictated by clinical judgment. Detailed assessment tools in the form of self-report questionnaires and diagnostic tests for objective measures of sexual dysfunction could be used in special circumstances. Therapy entails understanding the point of break in the sexual response cycle and the underlying pathophysiology. While there are multiple treatment options available, integrated therapy which deals with both the psyche and the soma yield best results. Sexual counseling plays a vital role when therapy becomes necessary.

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Sexual function, menopause and hormone replacement therapy (HRT)

Cited by 57 publications

References 21 publications

Assessment of sexuality among middle-aged women using the Female Sexual Function Index

Assessment of sexuality among middle-aged women using the Female Sexual Function Index

A population-based study of dyspareunia in a cohort of middle-aged Brazilian women

Female Sexual Dysfunction in Obstetrics and Gynecology

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