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Sexuality and the menopause.

Kevan R Wylie1

  • 1Porterbrook Clinic, Sheffield, UK. k.r.wylie@sheffield.ac.uk

The Journal of the British Menopause Society
|December 21, 2006
PubMed
Summary
This summary is machine-generated.

Postmenopausal women commonly experience sexual dysfunction, including low desire. Treatments like vaginal estrogen, tibolone, or estrogen-androgen therapy may improve sexual function, with androgens potentially beneficial for low testosterone.

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Area of Science:

  • Reproductive Endocrinology
  • Women's Health
  • Sexual Medicine

Background:

  • Sexual problems, including dyspareunia and decreased sexual desire, are prevalent in postmenopausal women.
  • Hypoactive sexual desire disorder is a common diagnosis for women experiencing a loss of sexual interest or desire during menopause.

Purpose of the Study:

  • To outline the comprehensive assessment of sexual dysfunction in menopausal women.
  • To review current and potential therapeutic interventions for postmenopausal sexual problems.

Main Methods:

  • Assessment includes detailed medical, gynecological, psychiatric, psychosexual, and relationship history.
  • Utilizes self-report questionnaires, physical examinations, and hormonal evaluations.
  • Explores the efficacy of local vaginal estrogen and systemic therapies like tibolone and combined estrogen-androgen therapy.

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Main Results:

  • Vaginal estrogen may improve local genital response but not necessarily sexual interest.
  • Tibolone and estrogen-androgen therapy have shown reported improvements in sexual function.
  • The optimal patient groups for these treatments remain to be clearly defined.

Conclusions:

  • Comprehensive assessment is crucial for diagnosing and managing sexual dysfunction in menopausal women.
  • While various treatments exist, individualized approaches are necessary, with androgens potentially indicated for specific cases.
  • Further research is needed to identify which postmenopausal women will benefit most from different therapeutic strategies.