Systematic review of sexual function in older women

Athey, Ruth A.; Kershaw, Victoria; Radley, Stephen

doi:10.1016/j.ejogrb.2021.11.011

Cited by 21 publications

(8 citation statements)

References 22 publications

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“…Sexual activity may reduce with age but is not absent and is a main factor of well-being and good health. 48 Interestingly, some of the women in the studies we reviewed maintained or regained sexual activity after surgery and some also remarried. This fact reflects the observation that the resolving of pelvic floor dysfunction and symptoms may increase sexual desire and activity, which is something that may need to be considered, when consulting female patients before surgery.…”

Section: Discussionmentioning

confidence: 99%

How does colpocleisis for pelvic organ prolapse in older women affect quality of life, body image, and sexuality? A critical review of the literature

Felder

Heinzelmann‐Schwarz

Kavvadias

2022

Womens Health (Lond Engl)

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Colpocleisis is a surgical treatment for pelvic organ prolapse that results in vaginal obliteration. This review aims to systematically evaluate the quality of life, changes in body image, regret, and impact on sexual activity in women after colpocleisis. A review was conducted using the PubMed and Scopus databases with search criteria specifying pelvic organ prolapse, colpocleisis, quality of life, body image, regret, sexuality, and their synonyms. For the selection of the eligible articles, we used the PRISMA reporting system. A total of 1285 articles were found. After removing duplicates and applying the inclusion and exclusion criteria, 30 articles were reviewed in full length. Quality of life after colpocleisis was evaluated in 22 articles, and 20 authors used validated questionnaires. All concluded that quality of life improved after surgical treatment. Twenty-one articles studied regret after obliterative treatment for pelvic organ prolapse. Most of the patients reported no regret. Regret was often due to bowel and bladder symptoms. A few patients reported regret because of loss of coital function. Body image was highlighted in six studies. Three articles assessed body image using the modified Body Image scale. The body image scores demonstrated a significant improvement after surgery. Women tended to remain sexually active and some also regained sexual activities after surgery. Colpocleisis remains a viable option for pelvic organ prolapse, without compromising quality of life, body image, or sexuality, but diligent patient selection is needed. Particular concern should be given to bladder and bowel symptoms since these are the main reason for dissatisfaction after colpocleisis.

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Section: Discussionmentioning

confidence: 99%

How does colpocleisis for pelvic organ prolapse in older women affect quality of life, body image, and sexuality? A critical review of the literature

Felder

Heinzelmann‐Schwarz

Kavvadias

2022

Womens Health (Lond Engl)

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“…Patients who underwent panhysterectomy due to hysteromyoma were selected for the study. As hysteromyoma is a common clinical disease, its prevalence rate is on the rise and tends to be found among younger patients [13,14] , making it easier for clinical data collection. The existing hysteromyoma treatment options include drug therapy and surgical therapy, and surgery is the most effective and direct mode of treatment.…”

Section: Discussionmentioning

confidence: 99%

Feasibility and Safety of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) Panhysterectomy: A Polycentric Retrospective Study

Qian¹,

Chen²,

Su³

et al. 2023

Preprint

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Objective To investigate the feasibility and safety of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) panhysterectomy. Method A retrospective analysis was conducted on the data of 75 patients who underwent panhysterectomy for hysteromyoma in the Department of Obstetrics and Gynecology of Tongxiang Maternal and Child Health Hospital; Department of Gynecology, The Affiliated Changzhou Second People's Hospital of Nanjing Medical University and Department of Gynecology, The First Affiliated Hospital of USTC from June 2019 to June 2020. According to the operation mode, the patients were divided into two groups: the traditional Multi-Port Laparoscopic Surgery (MPLS) group (n = 45) and the Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) group (n = 30). The operation duration, intraoperative blood loss, postoperative exsufflation time, postoperative activity time, hospital stay, treatment cost, 6h activities of daily living (ADL) score after the operation, cosmetic score, visual analog score, and complications were observed in the two groups. Results Perioperative period related indicators: Compared with the MPLS group, the total treatment cost and cosmetic score of the V-NOTES group were significantly better than those of the MPLS group, but the operation duration was longer, and the HB decreased more significantly (P < 0.05). However, there was no significant difference in intraoperative blood loss, postoperative exsufflation time, postoperative activity time, 6h ADL score after the operation, and hospital stay between the two groups (P > 0.05). Postoperative pain: The VAS score 1h, 6h, 12h, and 24h after the operation was lower in the V-NOTES group than in the MPLS group (P < 0.05). Postoperative complications: The complication rate of the V-NOTES group was significantly lower than that of the MPLS group (P < 0.05). Conclusion In treating panhysterectomy patients, both V-NOTES and MPLS can achieve satisfactory efficacy and prognosis, and both have advantages and disadvantages. Specifically, the V-NOTES surgery has significant advantages such as a lower treatment cost, lower incidence of postoperative complications, less pain, and more beautiful wounds.

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“…“having the hots for someone.” Because BMS is associated with postmenopausal women, psychotherapists may not expect metaphors of lust to be pertinent to this age group. Sexual desire is widely considered to abate at this time in a woman’s life[ 41 ]. However, for many women after menopause, freed from the fear of unwanted pregnancy, interest in sexual activity increases, often directed outside of legitimate channels[ 42 - 44 ].…”

Section: History Of Conceptualizations Of Bmsmentioning

confidence: 99%

Use of metaphors when treating unexplained medical symptoms

Seeman¹

2023

World J Clin Cases

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The words one chooses to describe personal pain mirror current usage, but may also hold echoes of an individual’s lived experience. They may provide clues to the origin of physical symptoms that are medically hard to explain. The aim of this commentary is to propose, on the basis of the available literature, that verbal metaphors can prove effective in the psychotherapy of such conditions. I provide a case history of a 45 year old woman referred to psychiatry because of extreme ‘burning’ pain in her mouth and tongue. She had been to numerous doctors, had undergone a variety of tests, had tried many medical treatments, and had been prescribed a number of different pharmaceutical agents. She had changed her diet, done her daily dental mouth exercises, drunk a lot of water, but the burning continued and interfered, with her job (she was a teacher), her friendships, and her everyday life. This made her angry and recalcitrant to therapy, but the metaphor ‘burning with rage,’ as applicable to her pain, worked to establish a good alliance that led to a decrease of symptoms. Burning Mouth Syndrome is a medically unexplained condition of complex etiology that psychotherapy alone cannot reverse. The literature bears out, however, that the use of metaphors can help to open avenues of psychological exploration that accelerate adaptation to pain and improve quality life.

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Systematic review of sexual function in older women

Cited by 21 publications

References 22 publications

How does colpocleisis for pelvic organ prolapse in older women affect quality of life, body image, and sexuality? A critical review of the literature

How does colpocleisis for pelvic organ prolapse in older women affect quality of life, body image, and sexuality? A critical review of the literature

Feasibility and Safety of Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-NOTES) Panhysterectomy: A Polycentric Retrospective Study

Use of metaphors when treating unexplained medical symptoms

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