Studying GSM symptoms in aging women
From March to October 2015, Dr. Clark and her colleagues surveyed more than 1,500 women aged 55 and above using electronic mail. The women were predominantly blank, and closely half ( 48 percentage ) of them reported not having had any sexual bodily process in the 6 months leading astir to the report. The women were approached within 2 weeks after they had visited their primary care doctor or gynecologist, and the researchers selected the participants using electronic health records. In the view, the women were asked about their history of “ vulvovaginal, urinary, and intimate symptoms. ” The researchers compiled questions from the International Urogynecology Association-Revised Pelvic Organ Prolapse/Incontinence Sexual Questionnaire, and they combined them with similar questions that they designed specifically for vulvovaginal atrophy symptoms.
Fear of painful sex makes women avoid it
The main self-reported reasons for why women were not sexually active were miss of a collaborator, with 47 percentage of respondents saying that this was the case, or the partner ’ second “ lack of interest or physical inability, ” with 55 percentage of participants responding thus.
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however, in addition to these, the respondents reported respective aesculapian reasons. “ Bladder leaks, urgency, or excessively frequent micturition ” was noted by 7 percentage of the women, while 26 percentage of them said that their intimate inactiveness was “ due to vulvovaginal sobriety, pique, or pain, ” and 24 percentage said that dyspareunia was the chief reason. sexually active voice women besides reported find “ annoyance or discomfort ” while having sex, with 45 percentage of them saying that they “ normally ” or “ constantly ” feel such pain. besides, 7 percentage of these women said that they experienced urine escape during sexual intercourse. Vaginal dispassion was another coarse trouble, and 64 of the women who did not use lubricant reported experiencing this write out. Overall, “[For] both sexually active and inactive women, fear of experiencing [painful sex] was reported as [the] reason for avoiding or restricting sex more often […] than fear of bladder symptoms,” write the authors. More specifically, 20 percentage of the women reported a reverence of vulvovaginal atrophy symptoms, while fair 9 percentage reported a fear of bladder see symptoms. Dr. Clark and her colleagues conclude, “ Postmenopausal women report that [ GSM ] symptoms occur during sexual activity. Further, these symptoms limit the ability to be sexually active and negatively affect the emotional experience of their sexual life. ”
“ Our findings underscore the need to further expand the intimate history after a woman reports that she is not presently sexually active. ”
Strengths and limitations of the study
Speaking to Medical News today about her research, Dr. Clark said, “ [ The strengths of the study were that ] we evaluated the wax age spectrum for postmenopausal women, up to long time 89, [ and that ] we [ were ] able to link sketch and electronic health record data. ” Dr. JoAnn Pinkerton, the administrator film director of the NAMS, besides weighs in on the findings, saying, “ This study provides merely one more reason why healthcare providers need to have an capable and honest discussion with peri- and postmenopausal women so that appropriate treatments options can be evaluated. ” But Dr. Clark noted some limitations of the analyze, deoxyadenosine monophosphate well. She told MNT, “ Our study population differs from the general population in that these women had sought contraceptive concern. We evaluated women immediately after a well-woman visit. ” “ besides, ” she continued, “ women in our survey may have increased awareness of GSM since they volunteered to participate in a discipline named ‘ Yes to Vulvovaginal Health. ‘ ” She said that future research should test the findings in larger cohorts. “ [ The ] adjacent steps, ” Dr. Clark concluded, “ are to continue to find ways to include sexually inactive women in studies of intimate function related to GSM. ”
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