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Educational Programs and Sexual Counselling for Postmenopausal Sexual Dysfunction: A Systematic Review and
Inês Marques Santos Silva1, Mafalda Paula Pinto2, Diana Gonçalves1
1USF Ars medica, ACES Loures Odivelas, Lisbon, Portugal.
The Journal of Sexual Medicine
|November 11, 2021
Summary
Sexual counseling educational programs effectively improve sexual function in postmenopausal women. These accessible programs address sexual dysfunction, offering a valuable first-line approach for enhancing quality of life.
Area of Science:
- Gynecology
- Sexual Health
- Psychology
Background:
- Female sexual dysfunction (FSD) is prevalent postmenopause, influenced by medical, psychological, and interpersonal factors.
- Sexual counseling and educational programs show promise in improving sexual behavior and function.
Purpose of the Study:
- To systematically review and meta-analyze the evidence on the efficacy of sexual counseling educational programs for FSD in postmenopausal women.
Main Methods:
- A systematic search of multiple databases (MEDLINE, CENTRAL, Scopus) and gray literature was conducted.
- Eight studies (6 RCTs, 2 non-RCTs) involving 619 women were included, with interventions focusing on sexual education, cognitive-behavior therapy, and mindfulness.
- The Female Sexual Function Index (FSFI) was used to evaluate outcomes in a meta-analysis.
Main Results:
- Sexual counseling educational programs significantly improved total FSFI scores compared to routine care (mean difference = +7.14).
- Statistically significant improvements were observed across all sexual domains: pain, arousal, lubrication, desire, orgasm, and satisfaction (P < .05).
Conclusions:
- Sexual counseling educational programs are an effective, resource-minimal intervention for improving sexual dysfunction in postmenopausal women.
- These programs offer a valuable first-line approach to mitigate psychological and social consequences of FSD in this demographic.
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