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Sexual Health
Published in Carolyn Torkelson, Catherine Marienau, Beyond Menopause, 2023
Carolyn Torkelson, Catherine Marienau
If you experience chronic vaginal dryness, despite the use of moisturizers and lubrication, you will likely need to use a low dose of vaginal estrogen therapy long term to continue having vaginal intercourse. Vaginal dryness, unlike hot flashes, does not go away over time. You need to keep those estrogen receptors in the vagina happy with a regular dose of estrogen. Another important factor is the use-it-or-lose-it phenomenon: regular sex, either with a partner, through masturbation, or a combination of the two, definitely helps keep vaginal tissues more supple and moist.
Gynaecology: Answers
Published in Euan Kevelighan, Jeremy Gasson, Makiya Ashraf, Get Through MRCOG Part 2: Short Answer Questions, 2020
Euan Kevelighan, Jeremy Gasson, Makiya Ashraf
Late radiotherapy damage can occur months or even years after treatment. Bowel effects include acute or subacute obstruction, bleeding, perforation, fistula formation and malabsorption (1). The bladder may be affected long term due to contracture formation, with associated reduction in bladder capacity. Haemorrhagic cystitis may occur, causing haematuria and pain. Fistula formation can occur, especially with the vagina and ureteric obstruction, and hydronephrosis has been described (2). In premenopausal women pelvic irradiation can cause subsequent ovarian failure and premature menopause (1). Vaginal effects include atrophy, causing shortening and stenosis. Vaginal dryness can occur, which may lead to sexual problems (1).
Symptom sorter
Published in Sarah Bekaert, Women's Health, 2018
Vaginal dryness is a common condition that affects women of all ages. It is estimated that 10-40% of women who have reached the menopause have symptoms related to vaginal dryness. Other causes are usually related to factors that reduce oestrogen levels and thus decrease vaginal lubrication.
Experiences of patients and their partners with sexual problems after spinal cord injury: A phenomenological qualitative study
Published in The Journal of Spinal Cord Medicine, 2022
Seçil Taylan, İlknur Özkan, Gülden Küçükakça Çelik
In a study on women and men in Turkey, the Golombok-Rust Inventory of Sexual Satisfaction (GRISS) was used to evaluate the sex life of the participants, and the results indicated that the sex life of the participants was significantly affected.27 Other studies conducted using GRISS, Sexual Quality of Life-Female (SQOL-F), Female Sexual Function Index (FSFI), and International Index of Erectile Function (IIEF) also drew attention to low scores.2,9,14,17,34 In parallel with the findings of the present study, in the literature, most men were determined to have impaired erectile function, orgasm, and ejaculation ability.2,12,13,16,17,35 In the current study, women were reported to experience vaginal dryness, loss of sensation in the genital area, pain, and urinary and fecal incontinence during sexual intercourse. In the literature, vaginal fluid, sexual desire, and orgasm ability were reported to significantly decrease in women with SCI.36 Also, self-confidence, sexual desire, and frequency of intercourse were found to be affected by urinary or intestinal incontinence, spasticity, and pain. These conditions were determined to weaken the emotional and social relationships between the partners.28,37
Rationale and design for fractional microablative CO2 laser versus photothermal non-ablative erbium:YAG laser for the management of genitourinary syndrome of menopause: a non-inferiority, single-blind randomized controlled trial
Published in Climacteric, 2019
R. Flint, L. Cardozo, T. Grigoriadis, A. Rantell, E. Pitsouni, S. Athanasiou
Genitourinary syndrome of menopause (GSM) is the new terminology for ‘vulvovaginal atrophy (VVA)’1. The GSM definition was introduced to describe more accurately the urogenital changes and the local symptoms occurring after the menopause in comparison to the terms of VVA vaginitis1. Hence, it involves clinical symptoms and signs from both the genital tract and the lower urinary tract (LUTS)1. Although women may present with some or all of the clinical symptoms and signs1, the most common symptom of VVA/GSM is vaginal dryness2–4. Vaginal dryness occurs at or soon after the menopause, with a subsequent increase in prevalence as the postmenopausal years progress3, and is associated with an increase of LUTS5. GSM is chronic in nature and may worsen over time, jeopardizing sexual function and quality of life in up to 50% of postmenopausal women6–10. In breast cancer survivors, GSM can affect up to 70% of the postmenopausal patients when compared to postmenopausal women without breast cancer11,12.
Impact of vulvovaginal atrophy of menopause: prevalence and symptoms in Italian women according to the EVES study
Published in Gynecological Endocrinology, 2019
R. E. Nappi, R. Seracchioli, S. Salvatore, A. Cagnacci, T. Di Paolantonio, M. Busacca
The current data in Italian postmenopausal women support the already mentioned idea that VVA symptoms are strongly associated with sexual function and QoL impairments [2,9,22–24]. In the present cohort, sexually active women with VVA confirmed presented a worse sexual function (both by the global FSFI score and its components and the FSDS-R score). The previous REVIVE survey already postulated VVA symptoms that clearly interfered sexual activities (i.e. spontaneity, intimacy, sexual satisfaction) [5] in United States population; the 59% of women reported a high impact of VVA symptoms on sex enjoyment that become worse as the years under menopause increased [5]. The European REVIVE survey reported that although 75% of participants were still sexually active, this activity had been reduced by one-third because of VVA [13]. For the Italian population specifically, VVA symptoms had a significant impact on these participants’ ability to achieve pleasurable relations (74%) and spontaneity (70%). Similar trends were confirmed for the Spanish population of the REVIVE study [19]. This goes in agreement with the idea that vaginal dryness is related to pain during intercourse and sexual functioning impaired [25].