[Menopause and sexuality]

Many researchers have noted a direct correlation between sexual difficulties and E2 level, when E2 < 50 pg/ml. But sexual behavior also interferes with sexuality. In Bachmann and coll. study, sexually active women ranging from 60 to 70, without HRT had higher mean levels of E2 and T than sexually inactive women. Of course the numerous complaints of that period (hot flushes, asthenia, tachycardia...) are creating physical and psychological conditions rather damaging for sexuality. They may also induce a state of true suffering with a loss of self esteem resulting in a more introverted way of life. In other cases, it is the psychological context in it self (depression, anxiety, relational difficulty with the partner or even male sexual problems) which is interfering. An actual amelioration of sexual life can be obtained with HRT plus or a minima percutaneous androgenotherapy in some cases. The treatment is indeed an asset for the therapeutic support, even from the psychotherapeutic point of view.