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Couplepause: A New Paradigm in Treating Sexual Dysfunction During Menopause and Andropause
Emmanuele A Jannini1, Rossella E Nappi2
1Endocrinology and Medical Sexology (ENDOSEX), Department of Systems Medicine, University of Rome Tor Vergata, Roma, Italy.
Sexual Medicine Reviews
|January 27, 2018
Summary
Midlife changes affect couples' sexual health. A new "couplepause" approach treats aging couples holistically, improving satisfaction for both partners.
Area of Science:
- Reproductive medicine and sexual health.
Background:
- Menopause causes estrogen deficiency, leading to genitourinary syndrome and hypoactive sexual desire disorder in women.
- Andropause in men increases erectile dysfunction and can cause testosterone deficiency.
- Both partners experience concurrent, interdependent age-related sexual changes.
Purpose of the Study:
- To review literature on how menopause and andropause impact couples' sexual health.
- To introduce a new paradigm, "couplepause," for addressing aging couples' sexual health needs holistically.
Main Methods:
- A narrative review combining PubMed literature searches with clinical insights.
- Publications reviewed included couples-based approaches, partner perceptions, and treatment impacts.
Main Results:
- Age-related sexual changes in partners are often concurrent and interdependent.
- Treating only one partner is often unhelpful or detrimental.
- A new paradigm is needed to address the couple's sexual health as a unit.
Conclusions:
- A couple-oriented approach to "couplepause" can improve sexual satisfaction and intimacy for both partners.
- This holistic approach addresses the aging couple's sexual health needs comprehensively.
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