Sexuality during the climacteric period

Lara, Lúcia Alves da Silva; Useche, Bernardo; Silva, Júlio César Rosa e; Ferriani, Rui Alberto; Reis, Rosana Maria dos; Sá, Marcos Felipe Silva de; Carvalho, Bruno Ramalho de; Carvalho, Maria Angela Cury Ramos; Silva, Ana Carolina Japur de Sá Rosa e

doi:10.1016/j.maturitas.2008.12.014

Cited by 32 publications

(26 citation statements)

References 89 publications

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“…Such alterations adversely affect the sensitivity and trophism of the genitalia, impair a patient's overall sense of well‐being [7], and negatively affect the sexual response because of alterations in the complex mechanisms of sexual physiology [8]. In addition to these physiological changes, postmenopausal women also tend to have increased rates of psychological problems such as depression and anxiety, and these may contribute to the impairment of sexual function [9–12].…”

Section: Introductionmentioning

confidence: 99%

Is the Sexual Satisfaction of Postmenopausal Women Enhanced by Physical Exercise and Pelvic Floor Muscle Training?

Lara¹,

Montenegro

Franco

et al. 2012

The Journal of Sexual Medicine

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Introduction Physical exercise including pelvic floor muscle (PFM) training seems to improve the sexual function of women with urinary incontinence. This effect in postmenopausal women who are continent has not yet been determined. Aim The aim of this study was to assess the effect of a 3-month physical exercise protocol (PEP) on the sexual function and mood of postmenopausal women. Methods Thirty-two sedentary, continent, sexually active women who had undergone menopause no more than 5 years earlier and who had follicle stimulating hormone levels of at least 40 mIU/mL were enrolled into this longitudinal study. All women had the ability to contract their PFMs, as assessed by vaginal bimanual palpation. Muscle strength was graded according to the Oxford Modified Grading Scale (OMGS). A PEP was performed under the guidance of a physiotherapist (M.M.F.) twice weekly for 3 months and at home three times per week. All women completed the Sexual Quotient-Female Version (SQ-F) and the Hospital Anxiety and Depression Scale (HADS) before and after the PEP. Main Outcome Measures SQ-F to assess sexual function, HASDS to assess mood, and OMGS to grade pelvic floor muscle strength. Results Thirty-two women (24 married women, eight women in consensual unions) completed the PEP. Following the PEP, there was a significant increase in OMGS score (2.59 ± 1.24 vs. 3.40 ± 1.32, P < 0.0001) and a significant decrease in the number of women suffering from anxiety (P < 0.01), but there was no effect on sexual function. Conclusion Implementation of our PEP seemed to reduce anxiety and improve pelvic floor muscular strength in sedentary and continent postmenopausal women. However, our PEP did not improve sexual function. Uncontrolled variables, such as participation in a long-term relationship and menopause status, may have affected our results. We suggest that a randomized controlled trial be performed to confirm our results.

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Section: Introductionmentioning

confidence: 99%

Is the Sexual Satisfaction of Postmenopausal Women Enhanced by Physical Exercise and Pelvic Floor Muscle Training?

Lara¹,

Montenegro

Franco

et al. 2012

The Journal of Sexual Medicine

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“…Similarly, claims that vaginal laser is a treatment option for women with vulvodynia and lichen sclerosus is again not supported by scientific evidence, lacks biological plausibility, and can cause potential harm. The appeal of vaginal laser treatment as an office procedure for female pelvic organ prolapse, the so called “vaginal relaxation syndrome” and stress urinary incontinence has also been explored . There is minimal published data with the recurring theme of paucity of good quality evidence in the form of multi‐center randomized placebo‐controlled trials, which is concerning.…”

Section: Introductionmentioning

confidence: 99%

“…The appeal of vaginal laser treatment as an office procedure for female pelvic organ prolapse, the so called "vaginal relaxation syndrome" and stress urinary incontinence has also been explored. [19][20][21][22][23][24][25][26][27][28][29] There is minimal published data with the recurring theme of paucity of good quality evidence in the form of multi-center randomized placebo-controlled trials, which is concerning.…”

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confidence: 99%

The energy based devices for vaginal “rejuvenation,” urinary incontinence, vaginal cosmetic procedures, and other vulvo‐vaginal disorders: An international multidisciplinary expert panel opinion

Digesu

Tailor

Preti

et al. 2019

Neurourology and Urodynamics

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Aims Energy‐based devices using radiofrequency and laser technologies have gained popularity as therapies for vaginal atrophy, urinary incontinence, and vaginal prolapse. They have been promoted by cosmetic and aesthetic industries for vaginal “laxity” and vaginal “rejuvenation,” both of which are undefined conditions and terms. This article aims to review the current available literature and its quality on this emerging technology. Methods An international panel of gynaecologists, urogynaecologists, and urologists undertook a review of the available published literature, identifying articles, guidance, and society statements on the use vaginal energy‐based devices. Results There is currently no formal guidance for the use of vaginal energy based therapies. No randomized controlled trials have been published. No comparative studies to existing treatment has been carried out. Studies suggest that vaginal laser can be used in the treatment of vaginal prolapse or “vaginal laxity” and stress urinary incontinence with no quality evidence supporting the use of the therapy for vaginal atrophy or lichen sclerosis. Conclusions This international group propose that whilst there remains a paucity of good quality data describing the safety, benefits, and appropriate use of vaginal radiofrequency or laser treatments in gynaecology and urogynaecology, a consensus best practice document by an established scientific community needs to be developed.

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“…Aunque la menopausia es un proceso normal y no una enfermedad, está acom pañada frecuentemente de connotaciones negativas, en las que la pérdida de la función reproductiva y los cambios físicos que experimentan las mujeres tienen un impacto en la imagen de sí mismas y en sus vidas, provocando sufrimiento psicológico en un proceso que afecta profundamente su feminidad y la idea del papel que representan en la sociedad. Estas alteraciones afectan la vida sexual del 60 % de las mujeres, e influyen negativamente en el deseo e interés sexual (4,5).…”

Section: Introductionunclassified

Percepción de la menopausia y la sexualidad en mujeres adultas mayores en dos hospitales universitarios de Bogotá, Colombia, 2015

Vargas-Fandiño¹,

Leal-Vargas²,

Castillo-Zamora³

et al. 2016

Rev. Colomb. Obstet. Ginecol.

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Objetivo: realizar una aproximación a la manera como las mujeres perciben la menopausia y describir las experiencias de la sexualidad durante esta etapa, en mujeres atendidas en dos instituciones hospitalarias en Bogotá, Colombia.Materiales y métodos: estudio cualitativo de tipo fenomenológico. La población de estudio fueron las mujeres con diagnóstico de menopausia atendidas en la Clínica Universidad de La Sábana (Chía) y en el Hospital Universitario de La Samaritana. La muestra se configuró por un muestreo por conveniencia y el tamaño se definió mediante el criterio de saturación de la información. La entrevista a profundidad se utilizó como técnica de recolección de la información y los datos se estudiaron mediante el análisis de contenido.Resultados: emergieron cinco categorías: “Percepción de la menopausia”, “Cambios que induce la menopausia”, “Cambios en la vida sexual durante la menopausia”, “La sexualidad durante la menopausia” y “Apoyo médico para afrontar la menopausia”.Conclusiones: la menopausia se acompaña de nuevos significados de la sexualidad y se inicia la construcción de otro tipo de relación de pareja. Las mujeres necesitan del apoyo de la pareja, la familia y del personal de salud.

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Sexuality during the climacteric period

Cited by 32 publications

References 89 publications

Is the Sexual Satisfaction of Postmenopausal Women Enhanced by Physical Exercise and Pelvic Floor Muscle Training?

Is the Sexual Satisfaction of Postmenopausal Women Enhanced by Physical Exercise and Pelvic Floor Muscle Training?

The energy based devices for vaginal “rejuvenation,” urinary incontinence, vaginal cosmetic procedures, and other vulvo‐vaginal disorders: An international multidisciplinary expert panel opinion

Percepción de la menopausia y la sexualidad en mujeres adultas mayores en dos hospitales universitarios de Bogotá, Colombia, 2015

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