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Updated: Jan 22, 2026

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Trastorno del deseo sexual hipoactivo posmenopáusico: desafíos continuos

Zhihua Zhu1,2, Lu Zhu1,2, Bing Song3

  • 1Reproductive Medicine Center, the First Affiliated Hospital of Anhui Medical University, Anhui, China.

Menopause (New York, N.Y.)
|January 20, 2026
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Resumen

El trastorno del deseo sexual hipoactivo (TDSH) es común en las mujeres, especialmente en las posmenopáusicas. Abordar las barreras sistémicas es crucial para mejorar el diagnóstico y el tratamiento del TDSH en esta población.

Palabras clave:
Terapia hormonalTrastorno del deseo sexual hipoactivoMujeres menopáusicasPosmenopáusicaTratamiento

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Área de la Ciencia:

  • Salud Reproductiva; Neuroendocrinología; Salud de la Mujer

Sus antecedentes:

  • El trastorno del deseo sexual hipoactivo (TDSH) es la disfunción sexual más prevalente en las mujeres.
  • La patogénesis implica un desequilibrio entre la excitación y la inhibición cerebral y deficiencias hormonales.
  • Las mujeres posmenopáusicas experimentan riesgos únicos debido a los cambios endocrinos y el envejecimiento.

Objetivo del estudio:

  • Revisar la prevalencia, las barreras y las direcciones de investigación futuras para el TDSH en mujeres posmenopáusicas.
  • Destacar el subdiagnóstico y el tratamiento insuficiente del TDSH en este grupo demográfico.
  • Identificar los factores sistémicos y sociales que influyen en el manejo del TDSH.

Principales métodos:

  • Búsquedas sistemáticas de literatura en PubMed, EMBASE y Cochrane Library (2000-2025).
  • Inclusión de estudios clave más antiguos y cribado de relevancia para el TDSH en mujeres posmenopáusicas.
  • No se aplicaron restricciones de idioma durante la selección de estudios.

Principales resultados:

  • El TDSH es muy prevalente en mujeres posmenopáusicas, pero con frecuencia se diagnostica y trata de forma insuficiente.
  • Las barreras estructurales (formación del proveedor, acceso, política) y las barreras sociales (diversidad, disparidades, estigma) dificultan la atención.
  • Los problemas sistémicos contribuyen a una negligencia clínica generalizada.

Conclusiones:

  • Abordar las barreras sistémicas es esencial para mejorar la atención del TDSH en mujeres posmenopáusicas.
  • La investigación futura debe centrarse en poblaciones diversas, claridad diagnóstica, educación del proveedor y reforma de políticas.
  • Se necesita una mayor educación pública e intervenciones específicas para mejorar los resultados.