Menopause and Aging: Quality of Life and Sexuality

The document from 2007 examines the effects of menopause and aging on women's quality of life and sexuality, highlighting the importance of these aspects in patient management. It discusses the role of estrogen deficiency in causing various urogenital symptoms and suggests that estrogen therapy can alleviate these issues. The paper also notes the benefits of hormone replacement therapy (HRT) in reducing menopausal symptoms, preserving skin collagen, and potentially offering cardioprotective effects when started near menopause. It mentions the use of testosterone therapy and its benefits and risks, as well as the relationship between lifestyle, body weight, and cardiovascular health. Additionally, the document discusses alternatives to HRT, such as selective estrogen receptor modulators (SERMs) and bisphosphonates, for reducing osteoporosis risk and suggests that future research should focus on new HRT formulations to minimize risks and improve quality of life and sexual function. The need for individualized hormonal therapies and consideration of the impact of therapeutic interventions on chronic diseases and their cost-effectiveness is also emphasized.