scholarly journals Sex After Menopause: Why Not?

2016 ◽  
Vol 9 (1) ◽  
pp. 106-106
Author(s):  
R. Hamilton ◽  
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
Sexual Pleasure ◽  
Sexual Life ◽  
Clinical Psychologist ◽  
Menopausal Woman ◽  
Health History ◽  
Age Related ◽  
Menopausal Women ◽  
Post Menopausal

Objective: Why do we care whether the menopausal woman engages in – let alone enjoys – sexual pleasure or not? It is surely a very individual area and should be addressed on an individual basis. Today, the majority of menopausal women are busy with work, looking after children and grandchildren and lead fulfilling, busy lives. Why not a great sexual life too? Design and Method: Retrospective analysis of peri and post-menopausal women, experiencing problems related to sexual dysfunction. Detailed sexual health history was obtained, detailing specifics around gynaecological and sexual health screenings and interventions. This gave rise to key factors that displayed sexual dysfunction elements, but once addressed, diminished or resolved the dysfunction. Results: It was found that the majority of women were guarded in discussing sexual problems from a psychosexual framework, however, it remained less challenging to subscribe to the perceived problem being a medical/gynaecological problem. Awareness of age-related health issues and discussion around this influenced appropriate management. Conclusions: Adequate baseline screening is a key concept to address practical impediments and discuss these from a normal aging process. A direct approach, practical information, engagement with the partner and awareness of options around sexual positions and exploration drive these consultations positively. Support and education via linking with a Clinical Psychologist during this process was found to be a key aspect to outcome.

Erectile dysfunction cause in men with urination disorders

2020 ◽  
Vol 1 (1) ◽  
pp. 50-59
Author(s):  
Pavel Rasner ◽  
Dmitrii Pushkar ◽  
Keyword(s):  
Erectile Dysfunction ◽  
Sexual Dysfunction ◽  
Sexual Health ◽  
Age Of Onset ◽  
Moscow Region ◽  
Sexual Life ◽  
Age Group ◽  
Urination Disorders ◽  
Peak Period ◽  
Age Related

Introduction. Erectile dysfunction is an urgent problem of modern urology. There is a consistent correlation between the sexual dysfunction incidence and the aging changes in the man’s body. In this study, an attempt was made to analyze the causes of the discussed correlation. An analysis comparing the data obtained with the worldwide figures and the results previously reported in Russia was performed. Materials and methods. The prospective multicenter epidemiological study was carried out using the data acquired from April 1 to May 31, 2017 during the anonymous questioning of 525 men (average age 64.2±9.93) living in Moscow, who had contacted the urologist due to urination disorders. The respondents answered the questions of the specially developed 140-point questionnaire. All demographic and medical data was taken into account, including information on comorbidities and age of onset. The IIEF, IPSS, QoL and AMS (Aging Male Screening) questionnaires were completed. Statistical processing of the results was carried out. Results. Complaints of sexual dysfunction are a relatively rare reason for the urologist’s consultation in men with LUTS living in the Moscow region. However, the survey has revealed that 39.9% of men did not consider themselves sexually active. The particularly low sexual health rate was detected in the age group over 70. The average IIEF questionnaire score for the respondents was 39.40±21.14. Less than a third of respondents reported their sexual life quality as acceptable. The correlation coefficient between the total IIEF score and the birth year was +0.422, and for the IPSS score it was -0.205. Correlations were considered significant when p<0.001. The erectile dysfunction risk increases with age, however, according to numerous publications it is not due to natural aging process, but due to severe comorbidities, particularly hypertension, infections, vascular diseases and diabetes mellitus. The patients' compliance with healthy lifestyle, abstention from smoking and regular drinking, is of great importance. In this study, the 152 of 525 (29%) respondents were smokers at the time of the survey. Strong liquor was routinely consumed by 250 respondents (47.6%), and low-alcohol beverages were consumed by 167 people (31.8%). The onset of the listed above comorbidities occurs at the age of 50–60, which makes it possible to explain the rapid ED incidence increase in the corresponding age group. The pattern identified constitutes evidence of the organic causes of erectile dysfunction. Conclusion. Analysis of the erectile dysfunction type and incidence in patients with LUTS living in the Moscow region demonstrated certain differences between the results obtained and the results of similar American and European studies. A steady trend of sexual health deterioration was observed in patients aged over 55–65. We have proved correlation between these changes and various cardiovascular diseases manifestations (CAD, hypertension), the peak period of which falls on the described age group. Comparison of the data obtained to those of 2012 has demonstrated increased severity of the “age-related” symptoms.

scholarly journals Profile of sexual function using Female Sexual Function Index (FSFI) in post-menopausal women in Geriatric Clinic, Dr Soetomo Hospital, Surabaya

2018 ◽  
Vol 25 (2) ◽  
pp. 54 ◽  
Author(s):  
Miftha Hurrahmi ◽  
Eighty Mardiyan K ◽  
Azami Denas A ◽  
Sulistiawati Sulistiawati
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Function ◽  
Female Sexual Function Index ◽  
Menopausal Woman ◽  
Female Sexual Function ◽  
Function Index ◽  
Menopausal Women ◽  
High Prevalence ◽  
Geriatric Clinic ◽  
Post Menopausal

Objectives: to describe the profile of sexual function in post-menopausal women at Geriatric Clinic, Dr. Soetomo Hospital, Surabaya in May 2016 and to determine the factors of sexual dysfunction in 6 sexual domains.Materials and Methods: a descriptive study using survey to obtain data on the examined variables. Population in this study was all post-menopausal women at Geriatric Clinic of Dr. Soetomo Hospital, Surabaya, in May 2016. Data were obtained using Female Sexual Function Index (FSFI) questionnaire.Results: Total population in this study was 160 patients. The number of samples who met inclusion criteria were 90 patients, but only 37 were willing to participate. The prevalence of samples who were still active in sexual intercourse was 29.7%. Based on 6 sexual domains, the prevalence of the lack of desire was 48.6%, lack of arousal was 75.7%, lack of lubrication was 73%, lack of orgasm was 73%, lack of satisfaction was 73% and pain was 70.3%. The assessment of sexual function found that 78.4% of the samples were sexually dysfunctional.Conclusion: The high prevalence (78.4%) of sexual dysfunction in post-menopausal woman  was caused by dysfunction in sexual domain.

scholarly journals Evaluation of Sexual Life Problems among Menopausal Woman with post-menopausal Bleeding at Maternity Hospitals in Baghdad City

2021 ◽  
Vol 7 (3) ◽  
Keyword(s):  
Statistical Analysis ◽  
Sexual Life ◽  
Menopausal Woman ◽  
Inclusion Criteria ◽  
Life Problems ◽  
Menopausal Women ◽  
Maternity Hospitals ◽  
The Mean ◽  
Post Menopausal ◽  
Descriptive Statistical Analysis

Objective: To identify the sexual life problems among menopausal woman and to evaluate the levels of sexual life problems among menopausal woman. Methods: This study was conducted at maternity hospitals in Baghdad city to evaluate of sexual life problems among menopausal woman. This study was started in January 2021 to February 2021, The data regarding sexual life problems was achieved through the answering of women that attending maternity hospitals, the study consist of (200) women with menopausal age which were selected according to inclusion criteria (Women at menopausal age, Women with post-menopausal bleeding). The data are analyzed through the use of descriptive statistical analysis and inferential statistics. Results: most of women are showing unproblematic sexual life and only (23.5%) are showing problematic sexual life. presents the mean of scores for evaluation the items of sexual life among women at menopause age; the mean scores indicate unproblematic among most of the items except the items that are related to (suffering from reduced sexual activity; they had regular sexual relations; suffering from a lack of sexual desire; and they cannot give their husband's marital rights). Conclusion: Most of menopausal women are showing unproblematic sexual life and they have normal and joyful sexual life regardless they suffering from post-menopausal bleeding.

scholarly journals Nosology of the Sexual Dysfunctions: Are They Appropriate to Older Adults?

2020 ◽  
Vol 2 (2) ◽  
pp. 139-145
Author(s):  
Migita D’cruz ◽  
Chittaranjan Andrade
Keyword(s):  
Older Adults ◽  
Sexual Dysfunction ◽  
Medical Training ◽  
The Elderly ◽  
Sexual Pleasure ◽  
Sexual Response ◽  
Sexual Life ◽  
Diagnostic Systems ◽  
Dsm 5 ◽  
Age Related

The International Classification of Diseases, Tenth Revision ( ICD-10), describes sexual dysfunction on the basis of the inability of the individual to participate in a sexual relationship. On the other hand, the Diagnostic and Statistical Manual of Mental Disorders (Fifth Edition) ( DSM-5) describes it as the inability to respond sexually or experience sexual pleasure. Neither diagnostic manual addresses age as a contextual factor in sexual response, though DSM-5 notes that aging may be associated with a normative decrease in sexual response. In this review, we argue that the diagnosis of sexual dysfunction in the elderly should be based on age-related expectations. As examples, in older women, diagnostic criteria should factor in the considerations that vaginal dryness is associated with genital pain on penetration and with anorgasmia, as components of the genitourinary syndrome of menopause. In older men, the criteria for rigidity of erection and time to ejaculation may be unduly stringent and are not calibrated to changes in autonomic function with age. The lack of consideration of aging physiology in diagnostic systems and the predominance of ageist stereotypes restrict the validity of diagnoses of sexual dysfunction in older adults; there is the possibility of both under and over diagnosis, based upon the attribution models of the patient and the clinician. Age sensitivity during medical training would help reduce ageist stereotyping in clinical practice. Sexual health education in older adults would help familiarize them with and relieve distress related to body changes that may be distressing and that may impact their quality of sexual life.

Impact of Infertility Duration on Female Sexual Health

2021 ◽  
Author(s):  
Meng Dong ◽  
Xiaoyan Xu ◽  
Yining Li ◽  
Yixian Wang ◽  
Zhuo Jin ◽  
...  
Keyword(s):  
Risk Factor ◽  
Sexual Dysfunction ◽  
Sexual Health ◽  
Sexual Function ◽  
Equation Model ◽  
Sexual Life ◽  
Female Sexual Function ◽  
Psychological Pain ◽  
Multivariable Logistic Regression Model ◽  
Group I

Abstract BackgroundAs an important source of stress, infertility may affect the quality of sexual life, with extensive studies believing that the incidence of sexual dysfunction in infertile women is highly prevalent. As the years of infertility increase, the greater this stress is likely to increase, which may aggravate psychological pain and cause sexual dysfunction. However, the effect of infertility duration on sexual health is unclear.Methods We performed a case-control study, and a total of 715 patients participated in this research between September 1, 2020, and December 25, 2020. Patients diagnosed with infertility (aged between 20 to 45 years) were included. Patients with infertility were divided into four groups according to infertility duration: ≤ 2 years (Group I, n=262), 2< infertility duration ≤5 years (Group II, n=282), 5 < infertility duration ≤8 years (Group III, n=97), and infertility duration > 8 years (Group IV, n=74). A questionnaire survey of female sexual function and psychological depression of patients with infertility was performed. The female sexual function was measured by the Female Sexual Function Index (FSFI), depression status was measured by the Patient Health Questionnaire (PHQ-9).ResultsAnalysis of the relevant factors that affect sexual function using a multivariable logistic regression model revealed that infertility duration of less than 8 years was not a risk factor for sexual dysfunction. However, when infertility duration was greater than 8 years, the incidence of sexual dysfunction (AOR=5.158,95%CI: 1.935-13.746, P=0.001) and 3 domains [arousal disorder (AOR=2.955 ,95%CI: 1.194-7.314, P=0.019, coital pain (AOR=3.811 ,95%CI: 1.045-13.897, P=0.043), and lubrication disorder (AOR=5.077 ,95%CI: 1.340-19.244, P=0.017)] increases. ConclusionsThe multivariate regression equation model reveals that the infertility duration is more than 8 years, which is a risk factor for the occurrence of sexual dysfunction. As the infertility duration increases, the incidence of female sexual dysfunction and psychological distress may increase.

On the mechanism of action of progestins

1981 ◽  
Vol 97 (3) ◽  
pp. 320-328 ◽  
Author(s):  
Gregorio Pérez-Palacios ◽  
María A. Fernández-Aparicio ◽  
Martha Medina ◽  
Jesús Zacarías-Villareal ◽  
Alfredo Ulloa-Aguirre
Keyword(s):  
Menopausal Woman ◽  
Base Line ◽  
Continuous Administration ◽  
Post Menopausal Woman ◽  
Menopausal Women ◽  
Vaginal Rings ◽  
Differing Effect ◽  
Post Menopausal ◽  
Insight Into ◽  
Natural Progesterone

Abstract. The effect of two synthetic injectable progestins, norethisterone oenanthate3 (NET-e) and medroxyprogesterone acetate (MPA) upon the hypothalamic pituitary unit was evaluated in post-menopausal women (PMW) and in castrated individuals with androgen un-responsiveness in order to gain insight into their mechanism of gonadotrophin inhibition. Continuous administration of natural progesterone (P4) to PMW by medicated vaginal rings was used as the experimental control. Elevated base line levels of serum immunoreactive gonadotrophins and normal pituitary LRH responses were found in PMW and pseudohermaphrodites. Progesterone did not affect circulating gonadotrophin levels or the pituitary LRH response in PMW. Administration of MPA 150 mg induced a clear decrease in serum gonadotrophins and a significant decrease in LRH pituitary responsiveness in a post-menopausal woman whereas no effect was observed on serum gonadotrophins and pituitary response to LRH in a patient with androgen unresponsiveness. Administration of NET-e 200 mg resulted in a significant decrease in circulating gonadotrophins in PMW and pseudohermaphrodites, while LRH pituitary sensitivity was diminished in all subjects except one post-menopausal woman. These results demonstrated that two structurally different synthetic progestins (NET-e and MPA) had a potent gonadotrophin inhibitory activity in PMW while natural progesterone did not, thus indicating a different mode of action. Furthermore their differing effect on individuals with complete androgen unresponsiveness suggested that antigonadotrophic activity of NET-e is mediated by its oestrogenic-progestational effect, while MPA acts through its androgenic potency and therefore requires the presence of androgen receptors.

scholarly journals Insufficient Assessment of Sexual Dysfunction: A Problem in Gynecological Practice

Medicina ◽  
2013 ◽  
Vol 49 (7) ◽  
pp. 49 ◽  
Author(s):  
Ieva Briedite ◽  
Gunta Ancane ◽  
Andrejs Ancans ◽  
Renars Erts
Keyword(s):  
Sexual Dysfunction ◽  
Sexual Health ◽  
Well Being ◽  
Sexual History ◽  
Sexual Life ◽  
Sexual Disorders ◽  
Oncologic Patients ◽  
Sexual History Taking ◽  
Gynecological Care ◽  
Main Barrier

Background and Objective. Sexual health is an important part of a woman’s life and well-being. Female sexual dysfunction is a complicated problem, it is often underestimated in the healthcare process, and its management is complex. Giving women the opportunity to talk about sexual problems is a fundamental part of healthcare and may improve their quality of life. The aim of this study was to find out patients’ experience and attitudes toward the involvement of gynecologists addressing sexual issues, to disclose the main barriers to initiate a conversation, and to assess the prevalence of sexual disorders among patients in a gynecological clinic. Material and Methods. A questionnaire-based approach was used to survey 18- to 50-year-old voluntary patients in the gynecological clinic. The study population comprised 300 different gynecological (except oncologic) patients independently of reasons for being in the clinic. The duration of the study was 6 months. Results. Only one-third of the patients had ever been asked about their sexual life by a gynecologist, whilst the majority (80%) of the respondents reported they would like to be asked and discuss sexual issues. The patients mostly did not complain because of psychoemotional barriers, and shame was the main barrier for patients to talk about their problems. Sexual dysfunction was a frequent disorder among gynecological patients, reaching especially high levels in the arousal (46.41%) and lubrication (40.67%) domains. Conclusions. The assessment of sexual health is insufficient in gynecological care, and sexual history-taking and evaluation of sexual functions should be included in routine gynecological health assessments.

URINARY EXCRETION OF PREGNANEDIOL IN POST-MENOPAUSAL WOMEN AND MEN DURING PROLONGED DAILY ADMINISTRATION OF PROGESTERONE

1954 ◽  
Vol 10 (4) ◽  
pp. 351-357 ◽  
Author(s):  
G. F. MARRIAN ◽  
MARGARET E. RUSSELL ◽  
SHELIA M. ATHERDEN
Keyword(s):  
Urinary Excretion ◽  
Intramuscular Injection ◽  
Daily Administration ◽  
Menopausal Woman ◽  
Marked Contrast ◽  
Post Menopausal Woman ◽  
Menopausal Women ◽  
Post Menopausal

SUMMARY Progesterone (50 mg/day) was administered by intramuscular injection to six intact post-menopausal women and to one man for periods of 13–20 days, and by mouth to one intact post-menopausal woman for 15 days. Determinations of the daily urinary excretion of pregnanediol by these subjects gave results in marked contrast to those of Sommerville & Marrian [1950].

scholarly journals Primary Squamous Cell Carcinoma of the Endometrium : A Rare Case in the Philippines

2020 ◽  
pp. 1-4
Author(s):  
Doris R Benavides
Keyword(s):  
Squamous Cell Carcinoma ◽  
Cell Carcinoma ◽  
Squamous Cell ◽  
Rare Case ◽  
Myometrial Invasion ◽  
The Philippines ◽  
Menopausal Woman ◽  
Primary Squamous Cell Carcinoma ◽  
Menopausal Women ◽  
Post Menopausal

Introduction: Primary Squamous Cell Carcinoma of the Endometrium (PSCCE) is an extremely rare case accounting for only 0.1% of all endometrial cancer cases. It usually occurs in post-menopausal women. Case: We reported a case in the Philippines, a 64-year-old, multiparous, post-menopausal woman who presented with post-menopausal bleeding. Procedure: Endometrial curettage showed squamous cell carcinoma. She then underwent Exploratory Laparotomy, Radical Hysterectomy with Bilateral Salpingo-oophorectomy, with Bilateral Pelvic Lymph Node Dissectionand Peritoneal Fluid Cytology. Results: Histopathology of the uterus showed squamous cell carcinoma, keratinizing, with full thickness myometrial invasion. Postoperative diagnosis was primary squamous cell carcinoma, keratinizing, endometrium, stage IIIA. Patient was advised to undergo chemotherapy and radiotherapy. Conclusion: The etiology of PSCCE is still unclear and usually presents with vaginal bleeding in post-menopausal women. To diagnose, histology should meet three criteria asdefined by Fluhmann. The prognosis is poor and related to stage at diagnosis.

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