Sexual Health and Birth Control in Menopausal Women
In this article titled “Sexual Health and Contraception in the Menopause Journey,” Drs. Laura Cucinella, Lara Tiranini, and Rossella E. Napp delve into the intricate relationship between menopause and sexual health, challenging preconceptions and shedding light on the impact of contraception during this life phase. Through their exploration, they aim to provide a comprehensive understanding of sexual health during menopause while examining the effects of contraception on women’s well-being.
Roles of genitourinary syndrome
The authors begin by dissecting the roles of genitourinary syndrome of menopause (GSM) and hypoactive sexual desire disorder (HSDD) in altering sexual health during midlife and beyond. GSM, characterized by symptoms such as vaginal dryness and discomfort during sexual activity, underscores the impact of hormone fluctuations on women’s sexual and urinary health. Conversely, HSDD, marked by a deficiency in sexual desire, highlights the complex interplay of neurotransmitters in regulating sexual behavior.
Their research, which draws from studies like the SWAN and PRESIDE studies, explores the prevalence of sexual symptoms among midlife women and the various treatment options available. The authors emphasize the importance of personalized treatment plans tailored to individual needs, considering factors such as hormonal contraceptives’ risks and benefits.
The article discusses the risks associated with hormonal contraceptives, including an increased risk of venous thromboembolism and breast cancer, while also acknowledging their benefits in managing menstrual irregularities and reducing cancer risks. However, it stresses the need for careful consideration of cardiovascular safety, especially in women with comorbidities.
Cultural biases and stigmatization
Furthermore, the authors address the cultural biases and stigmatization surrounding menopause and sexuality, advocating for proactive healthcare provider involvement in discussing sexual health concerns. They underscore the ethical responsibility of healthcare providers to create a supportive environment where women feel empowered to address sexual health issues without fear of judgment.
In conclusion, the article emphasizes the importance of individualized care in managing menopause-related sexual health concerns, advocating for evidence-based, patient-centered approaches to enhance women’s quality of life and sexual health standards. Through their research, Drs. Cucinella, Tiranini, and Napp strive to promote a deeper understanding of sexual health during menopause and advocate for proactive healthcare practices that prioritize women’s well-being.
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