Managing Menopause Chapter 8: Sexuality and Menopause

September 2014 in “ Journal of obstetrics and gynaecology Canada ”

menopause hormone therapy testosterone therapy lubricants sexual dysfunction vaginal discomfort hormonal changes

TLDR Menopause often leads to lower sexual desire and discomfort during sex, but treatment should be personalized and only if it bothers the woman.

The document from 2014 examines the effects of menopause on women's sexual health, noting that changes in sexual desire and discomfort during intercourse are common, with 52% of menopausal women reporting low sexual desire and up to 50% experiencing vaginal discomfort. It discusses the multifactorial influences on sexuality, including aging, health, stress, and hormonal changes. Studies like the SWAN study and the National Social Life, Health, and Aging Project illustrate the decline in sexual function with age. The document also reviews treatments for sexual dysfunction, such as hormone therapy, testosterone therapy, and other interventions like lubricants and counseling. It emphasizes the importance of a personalized approach to treatment, considering the complex interplay of factors affecting sexual health in menopausal women. Despite the decline in sexual function, the potential for sexual satisfaction remains, and healthcare providers are encouraged to address sexual dysfunction sensitively and only intervene if the patient is distressed by their symptoms.

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