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Related Concept Videos

Menopause01:28

Menopause

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Menopause, a natural biological process marking the end of a woman's fertility, typically occurs between the fifth and sixth decade of life. This phase is characterized by the exhaustion of the ovarian follicle pool, leading to less responsive ovaries despite the high levels of Follicle Stimulating Hormone (FSH) and Luteinizing Hormone (LH). The consequential decrease in estrogen production results in symptoms like hot flashes, heavy sweating, headaches, hair loss, muscle pains, vaginal...
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Cognitive therapy, pioneered by Aaron T. Beck in the 1960s, is a structured approach to addressing psychological distress by focusing on the influence of thoughts on emotions and behaviors. All cognitive therapies involve the basic assumption that human beings have control over their feelings, and that how individuals feel about something depends on how they think about it. Unlike psychoanalytic methods that delve into unconscious processes or humanistic approaches emphasizing...
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Hormonal Regulation of the Menstrual Cycle01:22

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The ovarian cycle regulates endometrial changes throughout a single menstrual cycle via the coordinated action of gonadotrophin-releasing hormone (GnRH) and gonadotrophins.
At puberty, GnRH begins a pulsatile release pattern, which triggers the anterior pituitary gland to secrete follicle-stimulating hormone (FSH) and luteinizing hormone (LH). The frequency and amplitude of GnRH pulses vary across the menstrual cycle, with faster pulses favoring LH release and slower pulses favoring FSH...
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Cognitive Behavioral Therapy for Sexual Concerns During Perimenopause: A Four Session Study Protocol.

Sheryl M Green1,2, Melissa Furtado2,3

  • 1Department of Psychiatry and Behavioural Neurosciences, McMaster University, Hamilton, ON, Canada.

Frontiers in Global Women'S Health
|November 24, 2021
PubMed
Summary

This study introduces a new Cognitive Behavioral Therapy for Sexual Concerns (CBT-SC-Peri) protocol to address sexual difficulties during perimenopause. Early intervention with CBT-SC-Peri aims to improve sexual satisfaction and overall well-being in women transitioning through menopause.

Keywords:
cognitive behavioral therapynon-pharmacological managementperimenopausepsychologicalsexual concerns

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Area of Science:

  • Women's Health
  • Psychology
  • Reproductive Medicine

Background:

  • Menopausal transition commonly involves physical and emotional symptoms impacting quality of life.
  • Sexual concerns affect up to 87% of perimenopausal and postmenopausal women, with limited non-pharmacological treatment options.
  • Current treatments often focus on physical symptoms, with minimal improvement in psychological and sexual well-being.

Purpose of the Study:

  • To develop and evaluate the effectiveness of a novel Cognitive Behavioral Therapy for Sexual Concerns (CBT-SC-Peri) protocol.
  • To provide an early intervention for sexual concerns prevalent during perimenopause.
  • To assess the impact of CBT-SC-Peri on sexual satisfaction and related psychological and physical symptoms.

Main Methods:

  • A clinical trial involving 82 women aged 40-60 in perimenopause, meeting criteria for significant sexual concerns.
  • A four-session, individually tailored CBT protocol (CBT-SC-Peri) focusing on psychoeducation and cognitive-behavioral strategies.
  • Assessment of primary outcome (sexual satisfaction) and secondary outcomes (desire, arousal, relationship satisfaction, body image, vasomotor symptoms, depression, anxiety) at baseline and post-treatment.

Main Results:

  • This section is to be filled after the study's completion.

Conclusions:

  • This is the first study to investigate a CBT protocol specifically for perimenopausal sexual concerns.
  • If effective, CBT-SC-Peri offers a non-pharmacological treatment option for a common menopausal issue.
  • The protocol has the potential for integration into routine perimenopausal care and dissemination to healthcare providers.