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Updated: Jun 26, 2026

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Treatment Model for Young Patients with Psychogenic Erectile Dysfunction and Resultant Infertility

Published on: May 30, 2025

Sexuality during the climacteric period.

Lucia Alves da Silva Lara¹, Bernardo Useche, Julio Cesar Rosa E Silva

¹Department of Gynecology and Obstetrics, Faculdade de Medicina de Ribeirão Preto, São Paulo University, Brazil-University Hospital, 14049-900 Ribeirão Preto, SP, Brazil. luciaalvess@yahoo.com.br

|February 3, 2009

Summary

Sexual dysfunction is common in climacteric women, linked to bio-psychosocial factors. Local estrogen therapy can improve genital symptoms and sexual function during menopause.

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Area of Science:

Reproductive Endocrinology
Women's Health
Sexual Medicine

Background:

Cultural, social, physiological, and psychological factors influence sexual function in women during the climacteric period.
Sexual dysfunction is a prevalent concern for women navigating menopause.

Purpose of the Study:

To review the prevalence of sexual dysfunctions in climacteric women.
To establish associations between climacteric changes (organic and psychic) and sexual dysfunction.
To discuss potential therapeutic interventions.

Main Methods:

Literature review of PubMed articles (1982-2008).
Selection of 99 high-quality studies (prospective design, valid data, adequate sample size).
Data extraction by two independent reviewers from cross-sectional studies, cohort studies, trials, and reviews.

Main Results:

Sexual dysfunction is widespread in climacteric women, associated with bio-psychosocial factors.
Insufficient evidence links sexual dysfunction directly to decreased estrogen or aging.
Genital symptoms and coital pain are strongly associated; local estrogen therapy shows benefits.

Conclusions:

A significant decline in sexual function occurs during the climacteric, though the exact causes (estrogen decrease, aging, or both) remain unclear.
Relational factors can impact sexual function in this phase.
Estrogen therapy improves climacteric genital symptoms and positively influences sexual function.